A woman with chronic hypertension is at increased risk during pregnancy for all of the following conditions, except:

A blood pressure of 160/110 mm Hg in a pregnant woman with proteinuria and persistent headache represents preeclampsia with severe features.

Magnesium sulfate is used for the acute reduction of blood pressure in women who have preeclampsia with severe features .

If gestational hypertension occurred in one pregnancy , there is an increased risk of it occurring in subsequent pregnancies.

Slowing of the fetal growth rate may occur before preeclampsia is evident.

In cases of preeclampsia with severe features, early delivery for the health of the pregnant woman or the baby may be necessary.

Women with hypertension during pregnancy are at increased risk for placenta previa.

When thrombocytopenia is present, epidural anesthesia is the preferred method of pain relief during labor.

All of the following conditions are possible maternal complications of hypertension during pregnancy, except:

Which of the following actions should be taken first if a woman with preeclampsia has a seizure?

Which of the following conditions is most likely to be present at birth in a newborn whose mother received large amounts of magnesium sulfate?

Which of the following conditions is least likely to be present in a woman with HELLP syndrome?

In women with severe hypertension, lowering blood pressure below 140/90 mm Hg should be avoided because blood pressure below that level is likely to result in

In a woman being treated for obstetric hemorrhage, decreasing urine output suggests blood is being lost from her vascular system.

Cesarean delivery is the recommended route of delivery when a placenta previa is present, even if no bleeding has occurred.

A woman who had a placental abruption with one pregnancy has an increased risk for having another placental abruption with a subsequent pregnancy.

Even with fetal death, in severe cases of placental abruption cesarean delivery of the dead fetus may be necessary to reduce maternal morbidity.

Placenta accreta is more common with placenta previa.

The most common cause of postpartum hemorrhage is disseminated intravascular coagulation .

Placental abruption can usually be prevented.

Steady, slow, persistent bleeding postpartum suggests uterine atony.

Placental abruption

When late-pregnancy placental bleeding occurs

Maternal tachycardia and decreasing blood pressure are early signs of placental abruption.

With certain types of obstetric hemorrhage, blood loss may occur internally and is not externally visible.

Any bleeding during pregnancy requires investigation.

Disseminated intravascular coagulation can develop with placental abruption or HELLP (hemolysis, elevated liver enzyme levels, and low platelet count) syndrome.

An Rh(D)-negative woman had an episode of significant bleed­ing at 10 weeks of gestation and received Rh immunoglobulin at that time. At 25 weeks of gestation, she has another episode of bleeding. She should receive Rh immunoglobulin again, within 72 hours of the bleeding.

Which of the following is most likely to be associated with postpartum hemorrhage?

All of the following statements about ectopic pregnancy are accurate,except

All of the following findings are generally an indication of placental abruption, except

Which of the following actions should you take first when postpartum hemorrhage is detected?

All of the following conditions increase the risk for placenta previa, except

A 32-year-old primigravida woman has active genital herpes. Her membranes rupture at 38 weeks of gestation . Two hours later, she comes to the hospital, but she is not in labor. What should be done?

If a mother is a carrier of hepatitis B, the only neonatal treatment available is to isolate the baby from the mother.

Positive urine culture results, whether or not a pregnant woman has symptoms, should be treated with appropriate antibiotics

A woman with gonorrhea is at increased risk for premature rupture of the amniotic membranes.

Transplacental infection of the fetus always causes congenital malformations .

Reinfection is the most common reason sexually transmitted infections recur in a person

Erythromycin ophthalmic ointment will effectively treat chlamydial conjunctivitis in a newborn.

Penicillin is the drug of choice for treatment of gonorrhea.

If a woman has intra-amniotic infection, the baby is at risk for neonatal sepsis.

In general, women with puerperal mastitis may continue to breast feed, as long as antibiotics have been started and an abscess has not formed.

In general, women with puerperal mastitis may continue to breast feed, as long as antibiotics have been started and an abscess has not formed, except:.

Which of the following statements about syphilis is true?

Although most babies are born healthy, transplacental infection with parvovirus puts the fetus at risk for

All of the following statements about colonization of the maternal genital tract with group B streptococcus are correct, except

If an acute toxoplasmosis infection is identified during pregnancy, maternal treatment may reduce transmission to the fetus.

Congenital rubella infection in the first trimester frequently causes severe, permanent damage to the fetus

All of the following conditions increase the risk for puerperal endometritis, except

Which of the following statements about HIV infection is true?

Which of the following medical conditions is associated with an increased risk of maternal death?

Maternal immune thrombocytopenic purpura may place the fetus and newborn at risk for intracranial hemorrhage.

Women with antiphospholipid antibody syndrome should use only oral contraceptives that contain estrogen.

The dosage of an anticonvulsant medication to a woman with a seizure disorder should not be adjusted during pregnancy.

A fetus may develop goiter if maternal hyperthyroidism was treated during pregnancy .

All of the following statements are accurate concerning severe maternal anemia, except:

Heparin use is contraindicated in women with antiphospholipid antibody syndrome

Women who are heavy smokers are much more likely than non­ smokers to deliver babies who are large for gestational age.

A woman who delivered one stillborn baby has an increased risk of delivering another stillborn baby.

Placental function declines in post-term gestations, significantly increasing the risk for category II and category Ill fetal heart rate tracings during labor

Twins in non-vertex (A)vertex (B) presentation are generally delivered vaginally

Growth-restricted fetuses are at increased risk for abnormal fetal heart rate patterns during labor.

Which of the following conditions is most likely to be associated with oligohydramnios?

Which of the following conditions is most likely to be identified in a post-term pregnancy?

Vaginal birth after a cesarean delivery is usually contraindicated when

Polyhydramnios is associated with an increased risk for

In general, pregnant teenagers are at increased risk for all of the following complications, except:

Polyhydramnios is associated with congenital infection.

Which of the following psychosocial risk factors should be assessed and managed during pregnancy?

Women who are heavy smokers are much more likely than nonsmokers to deliver babies who are large for gestational age.

Any illicit substance use in pregnancy is a potential risk to the fetus.

Women who have not received prenatal care are more likely to have an adverse psychosocial condition.

A woman who actively uses cocaine should be advised not to breastfeed.

Electronic cigarettes are a safe alternative to smoking in pregnancy.

A woman can drink alcohol occasionally during pregnancy without risk of fetal harm.

Women who smoke cigarettes should not breastfeed.

All women should undergo urine drug testing during pregnancy .

Postpartum psychosis is associated with an increased risk of suicide.

When used during pregnancy, which of the following substances is associated with placental abruption?

Only women with low socioeconomic status should be screened for intimate partner violence.

Pregestational diabetes can be diagnosed in the first trimester of pregnancy.

Gestational diabetes mellitus (GDM) develops because the hormonal changes of pregnancy make a pregnant woman more resistant to the insulin her body produces.

After diagnosis is confirmed, GDM should be treated with insulin therapy.

It is desirable to keep the maternal fasting blood glucose level above 120 mg/dl throughout pregnancy .

Black women are at increased risk for GDM .

Pregnant women with an early 1-hour (50-g) oral glucose toler­ ance test (OGTI) blood glucose level above 140 mg/dl should have a standard 3-hour (100-g) OGTI value obtained to diagnose GDM.

Women with pregestational diabetes mellitus and women with GDM have the same risk of having a baby with congenital malformation(s).

Nearly all women with GDM will develop diabetes mellitus later in life.

Pregnant women with gestational diabetes are at increased risk for developing preeclampsia

GDM is diagnosed with a 3-hour (100-g) OGTI value when results from 2 or more testing periods (fasting, 1-hour, 2-hour, or 3-hour values) are above the reference range.

Generally, a planned delivery at 36 to 37 weeks of gestation is recommended when GDM is diagnosed

Insulin therapy may be needed during labor for women with GDM, even if insulin was not needed earlier in pregnancy

During the peripartum period, women with GDM should routinely receive all of these, except

If the amniotic fluid is foul smelling and maternal fever is pres­ent, you should begin treatment for intra-amniotic infection.

Rupture of membranes for 18 hours or longer increases the risk of neonatal infection for preterm babies but not for term babies .

Intra-amniotic infection can occur only after the membranes have ruptured.

When intra-amniotic infection develops in a preterm gestation, the early use of intravenous antibiotics usually allows the pregnancy to continue for at least another 1 to 2 weeks.

Intra-amniotic infection increases the risk for postpartum endometritis

A woman has PROM at 38 weeks of gestation , with foul-smelling amniotic fluid, maternal fever of 38.6°C (101.5°F), tender uterus, and fetal tachycardia. There is no other evidence of fetal distress; presentation is vertex. You should begin intravenous antibiotics and

When a woman is treated for intra-amniotic infection during labor, intravenous antibiotic therapy should be continued for 10 to 14 days after she becomes afebrile.

In the presence of asymptomatic maternal colonization with group B 13-hemolytic streptococcus, there is no reason to use prophylactic antibiotics during labor.

Neonatal sepsis can follow PROM, even if the woman showed no sign of illness.

Fluid restriction may stop preterm uterine contractions if true labor has not developed.

Maternal hyperglycemia (high blood glucose level) is a possible side effect of magnesium sulfate

Cervical cerclage at 12 to 14 weeks of gestation is rec­ommended for women who are known to have cervical insufficiency.

The risk of preterm delivery is increased with multifetal gestation .

Tocolysis may be appropriate for a woman with intact mem­branes and preterm labor, even when the cervix is dilated 4 cm or more.

Optimal benefits from antenatal steroid administration are achieved when treatment is administered 24 to 48 hours before delivery.

Corticosteroids are administered to a pregnant woman to help (select one best answer)

In which of the following situations is tocolysis most appropriate? (select one best answer)