Test Bank For Current Diagnosis & Treatment Obstetrics & Gynecology 12th
Edition by Alan H. DeCherney, Ashley S. Roman, Lauren Nathan, Neri
Laufer 9780071833905 Chapter 1-62 Complete Guide feedback
1. A 28-year-old female with history of recurrent pregnancy loss. She comes
now want to improve her immunity before trying to conceive. What you will
give her?
A. Influenza vaccine B. Rubella vaccine C. Hepatitis D. Immunoglobulin
Correct Answer: B Explanation: (According to UpToDate) Congenital
rubella syndrome— Rubella infection can have catastrophic effects on the
developing fetus, resulting in spontaneous abortion, fetal infection, stillbirth,
or intrauterine growth restriction
2. Female her previous pregnancy is stillbirth and now she want to pregnant
and ask the doctor about all the vaccines that she is need before conception
and reduce the stillbirth?
A. Rubella B. Varicella C. Influenza Correct Answer: A Explanation:
(According to UpToDate) Congenital rubella syndrome — Rubella infection
can have catastrophic effects on the developing fetus, resulting in
spontaneous abortion, fetal infection, stillbirth, or intrauterine growth
restriction 5 | Page Obstetrics and Gynecology: SMLE Questions and
Answers Chapter 1: Obstetrics
3. Married women came in winter to OB /gyn clinic she want to conceive later
what vaccine you should give her before conceive?
A. Rubella B. Influenza C. Varicella D. Tdap Correct Answer: B
Explanation: (According to Williams Obstetrics and UpToDate)
PRECONCEPTION IMMUNIZATION - Influenza o Vaccinate all women
who will be pregnant during flu season. Vaccinate high-risk women prior to
flu season. o Vaccination against influenza throughout the influenza season,
but optimally in October or November, is recommended by the Centers for
Disease Control and Prevention (CDC) and the American College of
Obstetricians and Gynecologists for all women who will be pregnant during
the influenza season. - Measles, mumps, rubella (MMR) o Screen for rubella
,Test Bank For Current Diagnosis & Treatment Obstetrics & Gynecology 12th
Edition by Alan H. DeCherney, Ashley S. Roman, Lauren Nathan, Neri
Laufer 9780071833905 Chapter 1-62 Complete Guide feedback
immunity. If nonimmune, vaccinate and counsel on the need for effective
contraception during the subsequent month. - Varicella o Screen for
varicella immunity. If nonimmune, vaccinate and counsel on the need for
effective contraception during the subsequent month. - Tdap (tetanus,
diphtheria, pertussis) o Update vaccination in all reproductive-aged women.
6 | Page Obstetrics and Gynecology: SMLE Questions and Answers Chapter
1: Obstetrics
4.
Pregnant in 2nd trimester which vaccine to give her?
A. H. influenza B. DTAP Correct Answer: A Explanation: (According to
UpToDate) - Tdap • Pregnant women should receive Tdap, ideally during
the early part of the 27 to 36 week gestational age range (third trimester) -
Inactivated Influenza Vaccine • All women who are pregnant or might be
pregnant during the influenza season should receive the inactivated
influenza vaccine as soon as it becomes available and before onset of
influenza activity in the community, regardless of their stage of pregnancy
5. Pregnant lady, what vaccine should she get at first visit?
A. Influenza B. Tdap Correct Answer: A Explanation: (According to
UpToDate) - Tdap • Pregnant women should receive Tdap, ideally during
the early part of the 27 to 36 week gestational age range (third trimester) -
Inactivated Influenza Vaccine • All women who are pregnant or might be
pregnant during the influenza season should receive the inactivated
influenza vaccine as soon as it becomes available and before onset of
influenza activity in the community, regardless of their stage of pregnancy
6. Pregnant nullipara what vaccine should you give her?
A. Influenza B. DTaP C. Rh immunoglobulin Correct Answer: Depends on
the gestational age Explanation: - If 1st or second trimester à I would go
with influenza - If third trimester à I would go with Tdap 7 | Page
, Test Bank For Current Diagnosis & Treatment Obstetrics & Gynecology 12th
Edition by Alan H. DeCherney, Ashley S. Roman, Lauren Nathan, Neri
Laufer 9780071833905 Chapter 1-62 Complete Guide feedback
Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1:
Obstetrics
7.
Female have regular cycle every 30 days her last period before 36, she
received rubella vaccine before 3 weeks. She was asked not to get pregnant
until 2 months of receiving rubella , But she got pregnant, what’s the most
likely pregnancy outcome?
A. Not affected B. Associated with congenital malformations. Correct
Answer: A Explanation: (According to Williams Obstetrics and
UpToDate) - Inadvertent administration of measles, mumps, rubella
(MMR) or varicella vaccines during pregnancy should not generally be
considered indications for pregnancy termination. - ACIP and American
College of Obstetricians and Gynecologists (ACOG) recommendations
to avoid pregnancy for one month following each dose of a live vaccine.
Nevertheless, adverse outcomes in women who became pregnant soon
after receiving these vaccines have not been established
8
Pregnant women doesnt have rubella vaccine what should do?
A. Take in second trimester. B. Postpartum Correct Answer: B Explanation:
(According to UpToDate) POSTPARTUM IMMUNIZATION - MMR and
varicella – The following vaccines should be given before discharge to
protect a nonimmune mother and newborn: o MMR – The measles, mumps,
rubella (MMR) vaccine should be administered to women nonimmune to
rubella or measles o Varicella vaccination is recommended for women
without evidence of immunity. The first dose is given while the patient is in
the hospital and the second dose is given four to eight weeks later, which
Edition by Alan H. DeCherney, Ashley S. Roman, Lauren Nathan, Neri
Laufer 9780071833905 Chapter 1-62 Complete Guide feedback
1. A 28-year-old female with history of recurrent pregnancy loss. She comes
now want to improve her immunity before trying to conceive. What you will
give her?
A. Influenza vaccine B. Rubella vaccine C. Hepatitis D. Immunoglobulin
Correct Answer: B Explanation: (According to UpToDate) Congenital
rubella syndrome— Rubella infection can have catastrophic effects on the
developing fetus, resulting in spontaneous abortion, fetal infection, stillbirth,
or intrauterine growth restriction
2. Female her previous pregnancy is stillbirth and now she want to pregnant
and ask the doctor about all the vaccines that she is need before conception
and reduce the stillbirth?
A. Rubella B. Varicella C. Influenza Correct Answer: A Explanation:
(According to UpToDate) Congenital rubella syndrome — Rubella infection
can have catastrophic effects on the developing fetus, resulting in
spontaneous abortion, fetal infection, stillbirth, or intrauterine growth
restriction 5 | Page Obstetrics and Gynecology: SMLE Questions and
Answers Chapter 1: Obstetrics
3. Married women came in winter to OB /gyn clinic she want to conceive later
what vaccine you should give her before conceive?
A. Rubella B. Influenza C. Varicella D. Tdap Correct Answer: B
Explanation: (According to Williams Obstetrics and UpToDate)
PRECONCEPTION IMMUNIZATION - Influenza o Vaccinate all women
who will be pregnant during flu season. Vaccinate high-risk women prior to
flu season. o Vaccination against influenza throughout the influenza season,
but optimally in October or November, is recommended by the Centers for
Disease Control and Prevention (CDC) and the American College of
Obstetricians and Gynecologists for all women who will be pregnant during
the influenza season. - Measles, mumps, rubella (MMR) o Screen for rubella
,Test Bank For Current Diagnosis & Treatment Obstetrics & Gynecology 12th
Edition by Alan H. DeCherney, Ashley S. Roman, Lauren Nathan, Neri
Laufer 9780071833905 Chapter 1-62 Complete Guide feedback
immunity. If nonimmune, vaccinate and counsel on the need for effective
contraception during the subsequent month. - Varicella o Screen for
varicella immunity. If nonimmune, vaccinate and counsel on the need for
effective contraception during the subsequent month. - Tdap (tetanus,
diphtheria, pertussis) o Update vaccination in all reproductive-aged women.
6 | Page Obstetrics and Gynecology: SMLE Questions and Answers Chapter
1: Obstetrics
4.
Pregnant in 2nd trimester which vaccine to give her?
A. H. influenza B. DTAP Correct Answer: A Explanation: (According to
UpToDate) - Tdap • Pregnant women should receive Tdap, ideally during
the early part of the 27 to 36 week gestational age range (third trimester) -
Inactivated Influenza Vaccine • All women who are pregnant or might be
pregnant during the influenza season should receive the inactivated
influenza vaccine as soon as it becomes available and before onset of
influenza activity in the community, regardless of their stage of pregnancy
5. Pregnant lady, what vaccine should she get at first visit?
A. Influenza B. Tdap Correct Answer: A Explanation: (According to
UpToDate) - Tdap • Pregnant women should receive Tdap, ideally during
the early part of the 27 to 36 week gestational age range (third trimester) -
Inactivated Influenza Vaccine • All women who are pregnant or might be
pregnant during the influenza season should receive the inactivated
influenza vaccine as soon as it becomes available and before onset of
influenza activity in the community, regardless of their stage of pregnancy
6. Pregnant nullipara what vaccine should you give her?
A. Influenza B. DTaP C. Rh immunoglobulin Correct Answer: Depends on
the gestational age Explanation: - If 1st or second trimester à I would go
with influenza - If third trimester à I would go with Tdap 7 | Page
, Test Bank For Current Diagnosis & Treatment Obstetrics & Gynecology 12th
Edition by Alan H. DeCherney, Ashley S. Roman, Lauren Nathan, Neri
Laufer 9780071833905 Chapter 1-62 Complete Guide feedback
Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1:
Obstetrics
7.
Female have regular cycle every 30 days her last period before 36, she
received rubella vaccine before 3 weeks. She was asked not to get pregnant
until 2 months of receiving rubella , But she got pregnant, what’s the most
likely pregnancy outcome?
A. Not affected B. Associated with congenital malformations. Correct
Answer: A Explanation: (According to Williams Obstetrics and
UpToDate) - Inadvertent administration of measles, mumps, rubella
(MMR) or varicella vaccines during pregnancy should not generally be
considered indications for pregnancy termination. - ACIP and American
College of Obstetricians and Gynecologists (ACOG) recommendations
to avoid pregnancy for one month following each dose of a live vaccine.
Nevertheless, adverse outcomes in women who became pregnant soon
after receiving these vaccines have not been established
8
Pregnant women doesnt have rubella vaccine what should do?
A. Take in second trimester. B. Postpartum Correct Answer: B Explanation:
(According to UpToDate) POSTPARTUM IMMUNIZATION - MMR and
varicella – The following vaccines should be given before discharge to
protect a nonimmune mother and newborn: o MMR – The measles, mumps,
rubella (MMR) vaccine should be administered to women nonimmune to
rubella or measles o Varicella vaccination is recommended for women
without evidence of immunity. The first dose is given while the patient is in
the hospital and the second dose is given four to eight weeks later, which
