Ch. 3 Questions Flashcards
A 32 year old patient is admitted to the high risk obstetric floor in premature labor. She is currently at 28 weeks gestation. She has 3 living children with one miscarriage and one previous premature delivery which of the following is her correct obstetrical history?
G4 P2113
You are confronted by a worry patient in the waiting room. She was concerned that her daughter seems to be taking too long to deliver her first grandchild. Her daughter’s first contraction started at 2 AM, she was admitted at 4 AM, and it is now 11:30 PM of the same day. You arrive at the nurses station and see that the patient is fully effaced and dilated to 8 cm. Which of the following is most likely?
The daughter has the signs of a dysfunctional uterus.
A 40 week gestation fetus is found to be in the breech position is having severe heart race decelerations. A vaginal examination is done. And it is found that the cervix is dilated to 10 cm with 100% effacement. The vaginal exam reveals no abnormalities and the amniotic sac ruptured nearly an hour previously. The most likely cause of the deceleration is:
An occult prolapse of the umbilical cord
A 25 year old female with a history of hypertension is admitted with a chief complaint of vaginal bleeding. She is 26 weeks gestation with her first pregnancy. On abdominal examination, her uterus is tender and seals. Contracted. Which of the following is most likely?
Grade 2 abruption
A G2 P345 year old with a 20 pack year smoking history is admitted to the hospital at 23 weeks gestation. Her blood pressure is measured at 160/98 and she has 2+ edema in both lower legs. You suspect preeclampsia; however, one additional test needs to be run to confirm the diagnosis. That test is:
Urinalysis
5 hours postpartum following a forceps assisted vaginal delivery, a primigravida 29 year old patient notices a small amount of frank blood on her pad. The nurse performs a vaginal examination and notices a small tear in the perineum. This is most likely caused by:
The use of the forceps
During a routine prenatal class, a couple approaches you and reveals that they are expecting twins. They question whether the twins will be identical of fraternal. You discover that the mother of the pregnant woman was a twin. You tell them:
That they are more likely to be fraternal twins
Which of the following physical or biochemical factors initiating the first breath is a baby born via cesarean section likely to miss?
Chest recoil
