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Book 2 Unit 8
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
Which of the following complications are associated with prelabor rupture of mem branes (PROM)?
Which of the following complications are associated with prelabor rupture of mem branes (PROM)?
Yes
No
Amniotic fluid embolism
Umbilical cord compression
Neonatal sepsis
Placental abruption
If the amniotic fluid is foul smelling and maternal fever is present, you should begin treatment for intra-amniotic infection.
True
False
Rupture of membranes for 18 hours or longer increases the risk of neonatal infection for preterm babies but not for term babies .
True
False
Intra-amniotic infection can occur only after the membranes have ruptured.
True
False
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.
True
False
Intra-amniotic infection increases the risk for postpartum endometritis
True
False
PROM has occurred at 32 weeks of gestation. There are no signs or symptoms of labor or infection, and the fetal heart pattern is reactive. For which of the following reasons should a sterile speculum examination be performed?
PROM has occurred at 32 weeks of gestation. There are no signs or symptoms of labor or infection, and the fetal heart pattern is reactive. For which of the following reasons should a sterile speculum examination be performed?
Yes
No
Assess cervical dilation and effacement.
Obtain samples for group B 13-hemolytic streptococcus, chlamydia, and gonorrhea testing.
Collect amniotic fluid from the vaginal pool to test for phosphatidyl glycerol.
Place internal fetal heart rate and uterine contraction monitoring devices.
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
A. Induce labor.
B. Perform a cesarean delivery.
C. Wait for spontaneous onset of labor.
D. Perform an amnioinfusion.
Which of the following actions may be appropriate for the management of preterm PROM at 30 weeks of gestation when a woman is not in labor and there are no signs of infection?
Which of the following actions may be appropriate for the management of preterm PROM at 30 weeks of gestation when a woman is not in labor and there are no signs of infection?
Yes
No
Start antibiotics.
Use sterile speculum examination to check for a prolapsed umbilical cord.
Obtain urine for urinalysis and culture.
Periodically palpate the uterus.
Administer antenatal corticosteroids.
Perform digital cervical examination to assess cervical dilation.
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.
True
False
In the presence of asymptomatic maternal colonization with group B 13-hemolytic streptococcus, there is no reason to use prophylactic antibiotics during labor.
True
False
Neonatal sepsis can follow PROM, even if the woman showed no sign of illness.
True
False
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