Deck 34: Obstetric Emergencies

Question 1

Which of the following does not occur in the normal anatomical and physiological changes of a pregnant woman?

A) The uterus becomes an abdominal organ from the 12th week of pregnancy onwards
B) The superior vena cava is compressed during the second trimester
C) The gastrointestinal tract motility decreases and absorption increases
D) There is a general depression of the immune system

Answer 1

The superior vena cava is compressed during the second trimester

Question 2

Which among the following observations of a pregnant woman is of priority?

A) BP = 140/80 mmHg; RR = 20 cpm; PR = 82 bpm
B) BP = 150/100 mmHg; RR = 18 cpm; PR = 79 bpm
C) BP = 100/60 mmHg; RR = 25 cpm; PR = 111 bpm
D) BP = 100/60 mmHg; RR = 16 cpm; PR = 60 bpm

Answer 2

BP = 100/60 mmHg; RR = 25 cpm; PR = 111 bpm

Question 3

Which among the following conditions may permit the indication of perimortem caesarean section?

A) It can be performed any time regardless of the placement of the fundus
B) If there are any available personnel to perform the procedure
C) If the pregnant woman is able to respond with a return of spontaneous circulation within 4 minutes
D) If there are appropriate facilities and personnel available to care for the woman and baby after the procedure

Answer 3

If there are appropriate facilities and personnel available to care for the woman and baby after the procedure

Question 4

What is the most comfortable position for a pregnant woman in labour?

A) Being on hands and knees
B) Supine position
C) Side-lying position
D) Lithotomy position

Question 5

What is the benefit of leaving the baby on the mother's chest and breastfeeding after the delivery?

A) It will assist expulsion of the placenta
B) It helps control bleeding
C) It will assist expulsion of the placenta and It helps control bleeding
D) None are correct

Question 6

The normal physiological change of a pregnant woman which increases the woman's risk of developing thromboembolism:

A) An increase in plasma volume of approximately 45% by 32 weeks of pregnancy
B) Vascular changes occur to allow increased blood volume
C) It decreases the absorption of thiamine from the GI tract and It changes the structure of thiamine
D) Anticoagulation components decrease

Question 7

What condition should be considered in all women of childbearing age who present with abdominal pain in ED?

A) Eclampsia
B) Ectopic pregnancy
C) Miscarriage
D) Sepsis

Question 8

Why is it more difficult to detect pulmonary embolism (PE) among pregnant women?

A) Because the normal physiological change of a pregnant woman may mask the key sign of PE
B) Because there are no evident signs and symptoms manifested in patients with pulmonary embolism
C) Because signs and symptoms develop during the late stage of PE and treatment is no longer beneficial
D) Because the signs and symptoms of PE are so subtle that it does not appear to be a concern for a pregnant woman

Question 9

The HELLP syndrome, which represents a particular presentation of severe pre eclampsia, stands for:

A) Haemolysis, Elevated Liver enzymes and a Low Platelet count
B) Hypertension, Elevated Lymphocytes and a Low Platelet count
C) Hypoglycaemia, Elevated Liver enzymes and a Low Prothrombin count
D) Haemolysis, Elevated Lymphocytes and a Low Prothrombin count

Question 10

The following belong to the four criteria which must be present to make the diagnosis of amniotic fluid embolism, EXCEPT:

A) Acute hypotension or cardiac arrest
B) Acute hypoxia
C) Coagulopathy or severe haemorrhage in the absence of other explanations
D) All of the other three criteria occur during labour, caesarean section, dilation and evacuation, or within 2 hours postpartum