NEW
Font size
WorksheetsAnesthesia for cesarean delivery & Anesthesia for non-obstetric
Total questions: 10
Worksheet time: 10mins
A 20-year-old G1 P0 female at 42 weeks of gestation presents to labor and delivery floor with rupture of membranes and onset of early labor. She appears uncomfortable and becomes extremely anxious with peripheral IV placement, and begins to hyperventilate. If allowed to continue hyperventilation, it will cause
Increased placental perfusion
Decreased maternal arterial pH
Increased fetal arterial pH
Decreased maternal uterine artery flow
Which of the following drugs does NOT pass the placenta easily?
Etomidate
Ephedrine
Atropine
Glycopyrrolate
A 38- year-old obese patient is receiving subcutaneous low-molecular -weight
heparin (LMWH) for thromboprophylaxis. Her epidural for an elective cesarean delivery was placed 14 hours after the heparin was stopped. She developed Horner syndrome on the left side 30 minutes after placement of the epidural. On physical examination, a T4 anesthetic level is noted, but aside from the Horner syndrome no other findings are revealed. The most appropriate course of action at this time would be to
Remove the epidural
Consult a neurosurgeon
Obtain a computed tomographic scan
None of the above
Magnesium sulfate (MgSO4) is used as an anticonvulsant in patients with
preeclampsia and for fetal neuroprotection and sometimes for short-term
tocolysis. MgSO4 may produce any of the following effects EXCEPT
Sedation
Respiratory paralysis
Inhibition of acetylcholine (ACh) release at the myoneural
junction
Hypertension when used with nifedipine
A 29- year -old gravida 1, para 0 woman at 8 weeks of gestation is to undergo
an emergency appendectomy under general anesthesia with isoflurane, N2O,
and oxygen. Which of the following is a proven untoward consequence of
general anesthesia in the unborn fetus ?
Congenital heart disease
Cleft palate
Behavioral defects
None of the above
A lumbar epidural is placed in a 24- year -old gravida 1, para 0 parturient with
myasthenia gravis (MG) for labor. Select the TRUE statement regarding neonatal MG.
The newborn is almost always affected with myasthenia
The newborn is affected by maternal immunoglobulin M (IgM)
antibodies
The newborn may require anticholinesterase therapy for up to 4
weeks
The newborn will need lifelong treatment
Which of the following patients is MOST likely to need an emergency
hysterectomy f or uncontrolled bleeding at the time of delivery?
Patient undergoing cesarean section after an unsuccessful trial of
labor after cesarean (TOLA C)
Patient with quadruplets
Patient with a placenta previa (not bleeding) for an elective repeat
cesarean section
Patient with an abdominal pregnancy
General anesthesia is induced in a 35- y ear -old patient for elective cesarean
section. No part of the glottic apparatus is visible after two unsuccessful
attempts to intubate, but mask ventilation is adequate. The most appropriate
step at this point would be to
Wake up the patient
Attempt a blind nasal intubation
Continue mask ventilation and cricoid pressure
Use a laryngeal mask airway
Cigarette smoking is associated with an increase of each of the following
EXCEPT
Spontaneous fetal loss
Placental abruption
Preeclampsia
Sudden inf ant death syndrome (SIDS)
When performing a rapid-sequence induction (RSI) for an emergency
cesarean delivery , which of the following muscle relaxants is LEAST
desirable to use after the IV general anesthetic is administered?
Atracurium
Rocuronium
Succinylcholine
Vecuronium
