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Post test Ante and Post partum Hge

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

15-Methyl PGF2α is administered directly into the myometrium to treat

uterine atony in a 28- year -old mother . Possible effects from treatment with

this drug include

a)

Nausea and vomiting

b)

Bronchospasm

c)

Hypoxia

d)

All of the above

2.

Which of the following statements regarding MgSO4 therapy for preeclampsia

is TRUE ?

a)

The therapeutic range for serum magnesium is 10 to 15 mEq/L

b)

High serum magnesium levels can be estimated by changes in

deep tendon patellar reflexes in a patient with an epidural

anesthetic loaded for a cesarean section

c)

Excessive serum magnesium levels cause widening of the QRS

complex

d)

As soon as delivery occurs, the chance f or eclampsia no longer

exists and the magnesium should be reversed so that postpartum

bleeding is less likely to occur

3.

Most cases of cerebral palsy (CP) are due to conditions during

a)

Antepartum

b)

Labor

c)

Delivery

d)

The first 30 days of life

4.

A woman has been admitted for a dilation and evacuation (D&E) at 10

weeks EGA. She has some persistent bleeding and cramping after the

expulsion of some tissue. Her obstetric condition is called

a)

A threatened abortion

b)

An inevitable abortion

c)

A complete abortion

d)

An incomplete abortion

5.

Which of the following treatments has pro v en effective in decreasing the

incidence of PDPHs after an accidental dural puncture with an epidural

needle ?

a)

Bed rest

b)

Prophylactic hydration

c)

Prophylactic epidural blood patch after delivery

d)

None of the above

6.

Which local anesthetic has the SHORTEST plasma half -life after being

injected into the epidural space ?

a)

Bupivacaine

b)

Chloroprocaine

c)

Lidocaine

d)

Ropivacaine

7.

Adverse effects of inhaled β-tocolytic therapy for preterm labor to the mother include all of the following, except

a)

Hypoglycemia

b)

Tachycardia

c)

Pulmonary

edema

d)

Ventricular arrhythmias

8.

Which of the following signs and symptoms is NOT associated with amniotic

fluid embolism ( AFE)?

a)

Chest pain

b)

Pulmonary vasospasm with severe pulmonary hypertension and

right heart failure

c)

Bleeding (disseminated intra vascular coagulation [DIC])

d)

Left ventricular failure and pulmonary edema

9.

Which of the following statements regarding treatment of preeclampsia is FALSE?

a)

Delivery of the fetus and placenta is the definitive treatment.

b)

Hydralazine is commonly used to decrease blood pressure

c)

he use of spinal anesthesia for C-section in patients with severe preeclampsia is absolutely contraindicated due to the resulting

refractory hypotension.

d)

Magnesium sulfate 4 g over 5 minutes is dosed to prevent convulsions.

10.

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,

a)

General endotracheal inhaled anesthetic

b)

Antibiotic administration

c)

Sodium citrate

d)

Total intravenous anesthesia