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WorksheetsPre test Ante and post partum hemorrhage
Total questions: 10
Worksheet time: 10mins
Which of the following statements regarding treatment of preeclampsia is FALSE?
Delivery of the fetus and placenta is the definitive treatment.
Magnesium sulfate 4 g over 5 minutes is dosed to prevent convulsions.
Hydralazine is commonly used to decrease blood pressure
The use of spinal anesthesia for C-section in patients with severe preeclampsia is absolutely contraindicated due to the resulting
refractory hypotension.
Which of the following is TRUE regarding obstetric hemorrhage?
Antepartum hemorrhage is associated only with abruptio placentae.
Delivery of a placenta previa pregnancy carries a <1% risk of maternal mortality.
The risk of placenta accreta in women with previa increases by 8% with each additional cesarean section.
Postpartum hemorrhage is typically defined as blood loss greater than 2,000 mL following vaginal or cesarean section.
Four hours postdelivery, and after the epidural is removed, the patient now requires emergent anesthesia for surgical removal of retained placental products. The appropriate anesthetic management includes all of the following, except
Antibiotic administration
Total intravenous anesthesia
General endotracheal inhaled anesthetic
Sodium citrate
Postdural puncture headache (PDPH) occurs more frequently
In elderly (>50 year old)
vs.
young patients
In underweight
vs.
overweight patients
With a cutting-point
vs.
pencil-point spinal needles
With larger
vs.
smaller-gauge spinal needles
Adverse effects of inhaled β-tocolytic therapy for preterm labor to the mother include all of the following, except
Hypoglycemia
Pulmonary
edema
Tachycardia
Ventricular arrhythmias
A 24-year-old G4 P2 parturient is undergoing a general anesthetic for emergency cesarean section due to uterine rupture. All these findings would suggest an amniotic fluid embolism (AFE), except
Decreased EtCO2
Increased maternal pH
Bleeding diathesis
Upsloping EtCO2
tracing
Drugs useful in the treatment of uterine atony in an asthmatic patient with
severe preeclampsia include
Oxytocin (Pitocin) only
Ergonovine (Ergotrate) or methylergonovine (Methergine) only
15-Methyl prostaglandin F2α
(PGF2α) (Carboprost, Hemabate)
only
All of the above are safe and can be used alone or in combination
with the others
Which of the following signs and symptoms is NOT associated with amniotic
fluid embolism ( AFE)?
Chest pain
Bleeding (disseminated intra vascular coagulation [DIC])
Pulmonary vasospasm with severe pulmonary hypertension and
right heart failure
Left ventricular failure and pulmonary edema
The MOST common injury recorded in the American Society of
Anesthesiologists (ASA) Closed Claims Project regarding obstetric
anesthetic claims is
Pain during anesthesia
Maternal nerve damage
Headache
Aspiration pneumonitis
Which condition BEST describes the third-trimester maternal condition with
the following signs and symptoms: new-onset vaginal bleeding that stops, no
pain, no fetal distress ?
Placental abruption
Placenta previa
Uterine rupture
Vasa previa
