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WorksheetsAnesthesia for Cesarean section and anesthesia for non-obstetric
Total questions: 10
Worksheet time: 10mins
True statements regarding inclusion of intrathecal morphine, fentanyl, or
sufentanil in obstetric anesthesia practice include each of the following
EXCEPT
The chief site of action is the substantia gelatinosa of the dorsal horn of the spinal column
There is no motor and no sympathetic blockade
Pain relief is adequate for the second stage of labor
Lipophilic narcotics are associated with less respiratory
depression than nonlipophilic narcotics
The MOST common side effect of intraspinal narcotics in the obstetric
population is
Pruritus
Nausea and vomiting
Respiratory depression
Urinary retention
A 110-kg , gravida 1, para 0 woman has a blood pressure of 180/95
during an office visit at the 16th week of gestation and 175/90 1 week later .
She has some ankle but no facial edema, and no protein detected in her urine.
Her serum creatinine is 1.2. These findings would be classified as
Preeclampsia
Chronic hypertension
Chronic hypertension with superimposed preeclampsia
Gestational hypertension
Which inhalation anesthetic does NOT produce uterine relaxation?
Isoflurane
Sevoflurane
Nitrous oxide
All produce uterine relaxation
Cesarean delivery is associated with a blood loss of about
250 mL
500 mL
750 mL
1000 mL
In general, morbidly obese patients have a higher incidence of all of the
following EXCEPT
Cesarean deliveries
Postdural puncture headaches (PDPHs)
Preeclampsia
Thromboembolic diseases
Anesthetic considerations for open fetal surgery include all of the following
EXCEPT
Uterine relaxation is essential
Maternal hypotension (mean blood pressure < 65 mmHg) can be
treated with phenylephrine or ephedrine
Vecuronium at the ED95
dose of 0.04 mg/kg should be administered IM or IV by the obstetrician or surgeon if fetal
muscle relaxation is needed
Normal fetal oxygen saturation is 50% to 70%
Aortocaval compression starts to become significant in a normal pregnancy at
how many weeks EGA?
10 weeks
15 weeks
20 weeks
25 weeks
Which agent is the MOST useful for raising the gastric pH just before
induction of general anesthesia for emergency cesarean section?
Ranitidine
Sodium citrate
Metoclopramide
Magnesium hydroxide and aluminum hydroxide
Agents that are useful for decreasing the incidence of shivering during
cesarean section under regional anesthesia or for treating shivering include all
of the following EXCEPT
Administration of intrathecal local anesthetic with fentanyl
and/or morphine
Intravenous magnesium sulfate
Administration of epidural local anesthetic solutions with
epinephrine
Intravenous meperidine
