Repro2 E2: Hacker & Moore
A pelvic examination should not be performed until _____ has been excluded by ultrasonography -
(correct Answer) - placenta previa
4 Factors that have been associated with a higher incidence of placenta previa include _____ - (correct
Answer) - (1) multiparity, (2) increasing maternal age , (3) prior placenta previa , and (4) multiple
gestation
The classic presentation of placenta previa is painless vaginal bleeding in a previously normal pregnancy.
The mean gestational age at onset of bleeding is _____ - (correct Answer) - 30 weeks
most common risk factor for placento abrupto: _____ - (correct Answer) - maternal hypertension
Clinically, the diagnosis of a _____ is entertained if a patient presents with painful vaginal bleeding in
association with uterine tenderness, hyperactivity, and increased tone - (correct Answer) - placental
abruption
In the setting of placental abruption, the use of tocolytics or uterine relaxants is _____ - (correct Answer)
- not advised . Uterine tone must be maintained to control bleeding following delivery,
_____ is the most common cause of DIC in pregnancy - (correct Answer) - Placental abruption
The diagnosis of fetal bleeding is made by performing an _____ test. After obtaining blood from the
vagina and putting it into a red-topped test tube, tap water is added. The water will lyse blood cells and
release hemoglobin. Adding 1 mL of KOH results in a brown discoloration when the hemoglobin is
maternal. If the blood is fetal in origin, the color of the fluid will remain red because the fetal
hemoglobin will not be denatured by the KOH - (correct Answer) - Apt
Fetal bleeding often results when the cord insertion is _____, implying that the vessels of the cord insert
between the amnion and chorion away from the placenta - (correct Answer) - velamentous
Failure of the uterus to contract after placental separation ( _____ ) leads to excessive placental site
bleeding - (correct Answer) - uterine atony
Most postpartum hemorrhages (75% to 80%) are due to _____ - (correct Answer) - uterine atony
In about half of patients with delayed postpartum hemorrhage, _____ are present - (correct Answer) -
placental fragments
_____ can cause an iatrogenic uterine inversion - (correct Answer) - Improper management of the third
stage of labor
Following primary cesarean delivery, the incidence of febrile morbidity is about twice that following
vaginal delivery. Most of these fevers are caused by _____. - (correct Answer) - endometritis
About 70% of puerperal infections are caused by _____ organisms - (correct Answer) - anaerobic
A pelvic examination should not be performed until _____ has been excluded by ultrasonography -
(correct Answer) - placenta previa
4 Factors that have been associated with a higher incidence of placenta previa include _____ - (correct
Answer) - (1) multiparity, (2) increasing maternal age , (3) prior placenta previa , and (4) multiple
gestation
The classic presentation of placenta previa is painless vaginal bleeding in a previously normal pregnancy.
The mean gestational age at onset of bleeding is _____ - (correct Answer) - 30 weeks
most common risk factor for placento abrupto: _____ - (correct Answer) - maternal hypertension
Clinically, the diagnosis of a _____ is entertained if a patient presents with painful vaginal bleeding in
association with uterine tenderness, hyperactivity, and increased tone - (correct Answer) - placental
abruption
In the setting of placental abruption, the use of tocolytics or uterine relaxants is _____ - (correct Answer)
- not advised . Uterine tone must be maintained to control bleeding following delivery,
_____ is the most common cause of DIC in pregnancy - (correct Answer) - Placental abruption
The diagnosis of fetal bleeding is made by performing an _____ test. After obtaining blood from the
vagina and putting it into a red-topped test tube, tap water is added. The water will lyse blood cells and
release hemoglobin. Adding 1 mL of KOH results in a brown discoloration when the hemoglobin is
maternal. If the blood is fetal in origin, the color of the fluid will remain red because the fetal
hemoglobin will not be denatured by the KOH - (correct Answer) - Apt
Fetal bleeding often results when the cord insertion is _____, implying that the vessels of the cord insert
between the amnion and chorion away from the placenta - (correct Answer) - velamentous
Failure of the uterus to contract after placental separation ( _____ ) leads to excessive placental site
bleeding - (correct Answer) - uterine atony
Most postpartum hemorrhages (75% to 80%) are due to _____ - (correct Answer) - uterine atony
In about half of patients with delayed postpartum hemorrhage, _____ are present - (correct Answer) -
placental fragments
_____ can cause an iatrogenic uterine inversion - (correct Answer) - Improper management of the third
stage of labor
Following primary cesarean delivery, the incidence of febrile morbidity is about twice that following
vaginal delivery. Most of these fevers are caused by _____. - (correct Answer) - endometritis
About 70% of puerperal infections are caused by _____ organisms - (correct Answer) - anaerobic
