1 A 28-year-old patient (27 weeks' gestation) was admitted to the
intensive care unit for treatment of pneumonia-related sepsis. The
patient goes into cardiac arrest. When should resuscitative cesarean
delivery (RCD) be performed?
Select the correct answer to this question.
As soon as possible after return of spontaneous circulation (ROSC)
Within 5 minutes from the time of arrest
Within 1 hour of return of spontaneous circulation (ROSC)
After 5 cycles of CPR, if return of spontaneous circulation (ROSC) has not been
achieved

Resuscitative cesarean delivery (RCD) should be performed promptly after return of spontaneous circulation (ROSC) to enhance chances of maternal and fetal survival.

Explanation:

Resuscitative cesarean delivery (RCD) should be performed as soon as possible after return of spontaneous circulation (ROSC) in pregnant patients who experience cardiac arrest to maximize chances of saving the fetus. Timing is crucial due to the risk of hypoxic brain injury if delivery is delayed.

Immediate intervention is critical as prolonged cardiac arrest can lead to irreversible damage. Performing RCD promptly after ROSC increases the likelihood of a positive outcome for both the mother and the fetus.

Delaying RCD may result in fetal hypoxia and adverse outcomes. Therefore, swift action following ROSC is essential in such emergent situations.

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