EXAM QUESTIONS AND ANSWERS6
Assisted vaginal delivery is an important tool to safely prevent primary cesarean deliveries.
Which of the following is an
indication for undertaking an assisted vaginal delivery? - ANSWERS-Category III fetal heart rate
tracing
In evaluating the pregnant patient with minor trauma, an individual should be observed for 24
hours if she has any of
the following EXCEPT: - ANSWERS-Greater than or equal to 4 contractions per hour
Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to
infection. Accurate
identification of pregnant women at risk of deterioration is difficult, due to physiological
changes of pregnancy. The
Systematic Inflammatory Response Syndrome (SIRS) creates a red flag system (objective criteria)
pointing to a
diagnosis of sepsis. Which one of the following is an attribute of the SIRS criteria? - ANSWERS-
Temperature greater than 38C
In classifying hypertensive disorders of pregnancy, exceeding which one of the following
parameters defines an
elevated blood pressure in pregnancy? - ANSWERS-140/90
Documentation in the medical record after a delivery with a shoulder dystocia is an essential
risk management tool.
, Which of the following should be documented in the medical record pertaining to the
circumstances that took place
during the shoulder dystocia? - ANSWERS-The elapsed amount of time from delivery of the fetal
head until complete delivery of the baby
Since the 1990's, the American Heart Association has recommended resuscitative hysterotomy
in pregnant women
who have not benefitted from resuscitative efforts after loss of maternal cardiac activity. Which
one of the following is
true regarding this procedure that could potentially save two lives? - ANSWERS-It should only be
carried out when appropriate facilities and personnel are available to care for the mother and
infant after the procedure
You are called to the ED where the emergency response system has been activated for an
unresponsive 42-year-old
G1 at 40 2/7 weeks who was brought in following an MVC in which she was the restrained
passenger. You find the
patient to be in the supine position receiving chest compressions. In how many minutes, should
resuscitative
hysterotomy be undertaken if there is no return of spontaneous circulation? - ANSWERS-4
minutes
Magnesium Sulfate is the preferred treatment for preeclampsia with severe features. In
considering this therapeutic
intervention, which one of the following statements is true? - ANSWERS-The loading dose is 4-6
grams over 15-20 minutes
Septic shock is a potentially fatal medical condition that occurs when sepsis leads to
dangerously low blood pressure
and abnormalities in cellular metabolism. Which one of the following is part of a set of six
interventions that should be