Chapter 14- Specific obstetric emergencies

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elwoo4
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Chapter 14- Specific obstetric emergencies
Updated:
2010-09-26 02:12:44
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Women\'s Health core curriculum
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Women'sd.
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  1. Which of the following is most characteristic of placenta praevia?
    A. small bleed at the time of rupture of membranes
    B. intrauterine fetal death
    C. painless vaginal bleed
    D. DIC
    E. severe abdo pain
    C. painless vaginal bleed
    (this multiple choice question has been scrambled)
  2. Which of the following should not be part of the inital assessment of a pt w antepartum haemorrhage?
    a. abdo palpation
    b. VE
    c. US
    d. coagulation studies
    e. CTG
    VE should not be performed until placenta praevia has been excluded by US
  3. Which of the following is true of primary PPH?
    a. blood loss postpartum is usually overestimated
    b. primary PPH is a rare obstetric event
    c. primary PPH is still a major cause of maternal mortality
    d. Primary PPH doesn't occur w c-section
    e. primary PPH can occur anytime in the first 6/52 postpartum
    • PPH usually underestimated
    • common
    • true
    • <500 for nvd, <1000mL for c-section
    • primary = <24hrs
  4. Which of the following is true of primary postpartum haemorrhage?
    A. risk reduction can be achieved by routine use of prophylactic oxytocic agents
    B. Primary PPH cannot be prevented.
    C. Primary PPH doesn't occur as long as the uterus is well contracted
    D. Primary PPH is alwasy characterised by hypotension and tachycardia
    E. Primary PPH is most effectively prevented by the expectant Mx of the third stage of labour
    A.
    (this multiple choice question has been scrambled)
  5. The Mx of established primary PPH:
    a. always involves blood transfusion and the use of other blood products
    b. ideally involves colloid solutions for the correction of hypovolaemia
    c. doesn't involve inspection fo the lower genital tract
    d. consist of initial assessment and Rx folowed by more directed interventions
    e. is not considered an obstetric emergency
    • d.
    • normal saline or hartmanns (crystalloids)
  6. Which of the following is true of shoulder dystocia?
    a. from the time of deliery of the fetal head to delivery of the fetal body, 15mins can elapse before the fetus becomes hypoxic
    b. shoulder dystocia is more common in mothers w diabetes mellitus
    c. shoulder dystocia is more common w N delivery
    d. shoulder dystocia doen't occur w a N-sized baby
    e. fundal pressure helps to deliver the baby
    • maternal risk factors
    • - previous shoulder dystocia
    • - diabetes
    • - instrumental vaginal delivery
    • - prolonged 1st and 2nd stage labour
    • - short maternal stature
    • - maternal obesity
    • fetal risk factors
    • - fetal macrosomia
    • - post-date pregnancy
    • - fetal anomalies
  7. Which of the following is true of a malpresentation?
    A. it is assoc w a higher risk of cord prolapse
    B. it decr the chance of c-section
    C. a malbresentation means that the fetal face is presenting
    D. a breech presentation means the fetus cannot be delivered vaginally
    E. a transverse presentation meant the fetus can be delivered vaginally
    A.
    (this multiple choice question has been scrambled)

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