Understanding Maternal-Fetal Transport

Regionalized care, team roles, stabilization, destination decisions, transfer readiness, legal basics, case study, and a 20-question quiz.

Transport Safety and Logistics

Mode selection, mission risk, vehicle safety, oxygen and power, specialty equipment, infusions, monitoring, diversion, and a 20-question quiz.

Communication and Handoff

Pretransport consultation, structured communication, closed-loop teamwork, en-route updates, receiving handoff, records, and escalation.

Normal Maternal Physiology

Cardiovascular, respiratory, airway, hematologic, renal, and transport implications with clinical photography and a 20-question quiz.

Placental and Fetal Physiology

Placental exchange, uteroplacental perfusion, umbilical circulation, fetal shunts, oxygen transport, compensation, and transport implications.

Neonatal Transition

Lung aeration, circulatory transition, PPV, oxygen targets, thermoregulation, glucose, prematurity, Apgar scoring, and neonatal transport readiness.

Obstetric History and Terminology

GTPAL, gestational dating, term categories, current and prior pregnancy risk, uterine scars, prenatal records, and transport-focused history.

Maternal Physical Assessment

Pregnancy-specific vital signs, neurologic and cardiopulmonary assessment, uterine findings, shock patterns, and transport reassessment.

Labor Assessment

Labor stages, contractions, cervical change, presentation, membrane rupture, imminent delivery, and transport decisions.

Fetal Heart-Rate Assessment

Baseline, variability, accelerations, decelerations, categories, uterine activity, corrective actions, and diversion.

Laboratory and Diagnostic Assessment

Pregnancy-specific laboratory interpretation, HELLP, hemorrhage, sepsis, blood bank, POCUS, and diagnostic imaging.

Medication Principles in Pregnancy

FDA labeling, ADME, placental transfer, benefit-risk reasoning, dosing, infusion safety, and medication handoff.

Substance Use and Toxicology

Person-centered substance-use assessment, toxidrome recognition, overdose and withdrawal management, fetal effects, and toxicology transport planning.

Legal and Ethical Issues

Autonomy, capacity, informed consent, refusal, EMTALA, privacy, reporting, minors, surrogates, restraints, and documentation.

The Pregnant Airway

Pregnancy-specific airway anatomy and physiology, oxygenation, positioning, difficult-airway planning, failed intubation, and extubation risk.

Rapid Sequence Induction

RSI decision-making, physiologic optimization, preoxygenation, induction and paralysis, difficult-airway branching, confirmation, and postintubation care.

Ventilation and Failed Airway

Pregnancy-aware ventilator management, oxygenation and carbon-dioxide targets, obstructive and ARDS strategies, troubleshooting, failed-airway rescue, and transport continuity.

How to Approach the Examination

Exam structure, blueprint-driven preparation, stem analysis, priority reasoning, distractor elimination, pacing, remote-proctor readiness, and score-report use.

High-Yield Final Review

A seven-domain rapid review of the highest-yield physiology, assessment, pharmacology, pathophysiology, transport, special-situation, and airway distinctions.

Practice Examinations

Full-length 65-question simulations, blueprint distribution, timed testing, score interpretation, remediation, and final readiness planning.

Domain weighting

Exam format