Which of the following signs is associated with amniotic fluid embolism?

• A. Respiratory distress and hypotension
• B. Elevated liver enzymes
• C. Hyperglycemia
• D. Hypertension

Answer: (A)

Amniotic fluid embolism presents with an abrupt cardiopulmonary crisis: sudden respiratory distress and severe hypotension leading to shock. This combination reflects how fetal material entering the maternal circulation triggers a rapid, widespread reaction causing hypoxemia and cardiovascular collapse, often with coagulopathy. The other signs listed aren’t typical for this condition—elevated liver enzymes can be seen in other obstetric emergencies like HELLP syndrome, while hyperglycemia and hypertension are not characteristic features of amniotic fluid embolism. So the presentation of respiratory distress with hypotension best fits the scenario.