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WorksheetsDr. Lett's Obstetrics Quiz
Total questions: 18
Worksheet time: 14mins
Painless and unexplained hemorrhage in a multigravida is usually due to:
abruptio placenta
placenta previa
pre-eclamptic toxemia
toxic shock syndrome
General management of antepartum hemorrhage includes:
(Choose Three)
blood transfusion
recording of vital signs
vaginal examination
evaluating clot retraction
Eclampsia is characterized by:
(Choose Three)
hypertension
proteinuria
convulsions
hemorrhage
The best treatment of eclampsia:
antibiotics
anticonvulsants (MgSO4, phenytoin or diazepam)
antihypertensives
delivery as soon as possible
Which of the following statements is concerning magnesium sulphate and the treatment of eclampsia?
(Choose Three)
an IV bolus of 4 g should be given, followed by an iv infusion of 1g per hour, or 10 mg IM and 5 mg IM q4hr.
if a repeat seizure occurs, a bolus of 8 g IV should be given.
magnesium sulfate is a safe drug and does not require monitoring
monitoring includes: respiratory rate, patellar reflexes, urinary output.
Vacuum Assisted Delivery:
(Choose Two)
should be performed with the largest possible extractor cup
does not require aseptic precautions
requires that the cervix be fully dilated
may be continued for 1 hour
Post-partum hemorrhage may be caused by:
(Choose Three)
cervical tears
vaginal lacerations
contracted uterus
retained placenta
After a spontaneous vaginal delivery:
If metritis occurs antibiotics with anaerobic coverage are needed.
Fever is usually caused by a bladder infection.
Bacteria causing metritis usually comes from health workers’ hands.
Teaching deep breathing and coughing decreases the chances of fever.
Which of the following is NOT a risk factors for postpartum infection?
prolonged rupture of membranes
caesarean section delivery
multiple vaginal examinations
rapid labour
The following statements are true:
(Choose Three)
a third degree tear involves the vaginal wall, perineum and anal sphincter
blood loss from a perineal tear may cause hypovolemia
infected perineal tears should be cleansed, sutured and dressed
the vaginal mucosa is closed by a continuous, absorbable suture
Uterine rupture:
Choose Two
may be associated with previous Cesarean section
always requires a hysterectomy
requires expeditious laparotomy
always requires massive blood transfusion
Ectopic pregnancy:
Choose Two
is never associated with fainting
may present as an acute abdomen
is always associated with amenorrhea
is difficult to differentiate from pelvic inflammatory disease
Infection of perineal wounds:
(Choose Three)
are uncommon
should be opened and drained
require ampicillin and metronidazole if severe
if necrotic should be referred for wide debridement.
Surgical management is required for:
(Choose Two)
hematoma
Persistent Fecal Incontinence
Rectovaginal fistula
superficial infections
regarding Perineal Lacerations: first degree perineal lacerations involve the skin, mucosa and subcutaneous tissues only
True
False
regarding Perineal Lacerations: In a second degree perineal laceration the pubococcygeus and bulbocavernosus muscles and some fibres of the anal sphincter are involved
True
False
regarding Perineal Lacerations: Third degree and 4th degree lacerations should be given a single dose of antibiotics and referred for repair by a doctor.
True
False
regarding Perineal Lacerations:
A fourth-degree perineal laceration always involves injury to the rectal mucosa
True
False
