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What is the first step to take when caring for a pregnant patient in cardiac arrest?

  1. Start high-quality CPR without delay

  2. Activate maternal and neonatal resuscitation teams

  3. Check for a fetal heartbeat

  4. Administer medication immediately

The correct answer is: Activate maternal and neonatal resuscitation teams

When caring for a pregnant patient in cardiac arrest, the first step is to activate maternal and neonatal resuscitation teams. This is crucial because the management of a pregnant patient in cardiac arrest involves additional considerations beyond regular adult resuscitation protocols. Engaging the specialized teams ensures that both the mother and the fetus receive the necessary care promptly. The maternal resuscitation team can bring specific skills and equipment that are valuable in managing the complexities associated with pregnancy. Additionally, the neonatal team can prepare for immediate care of the newborn once the baby is delivered, particularly if the resuscitation efforts lead to a delivery. Early activation of these teams can save critical time and improve outcomes for both the mother and the infant. While starting high-quality CPR without delay is paramount for most cardiac arrest situations, in the context of pregnancy, the emphasis on involving specialized teams is a unique and essential first step to address the dual care needs of both mother and child effectively.