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Book 2 Unit 2
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
In a woman being treated for obstetric hemorrhage, decreasing urine output suggests blood is being lost from her vascular system.
True
False
Cesarean delivery is the recommended route of delivery when a placenta previa is present, even if no bleeding has occurred.
True
False
A woman who had a placental abruption with one pregnancy has an increased risk for having another placental abruption with a subsequent pregnancy.
True
False
Even with fetal death, in severe cases of placental abruption cesarean delivery of the dead fetus may be necessary to reduce maternal morbidity.
True
False
Placenta accreta is more common with placenta previa.
True
False
The most common cause of postpartum hemorrhage is disseminated intravascular coagulation .
True
False
Placental abruption can usually be prevented.
True
False
Steady, slow, persistent bleeding postpartum suggests uterine atony.
True
False
Placental abruption
A. Is usually caused by a perinatal infection
B. May be associated with disseminated intravascular coagulation
C. Most often occurs in women who use heroin
D. Is always accompanied by visible bleeding
When late-pregnancy placental bleeding occurs
A. The fetus will almost always go into severe shock.
B. The degree of fetal blood loss correlates closely with the degree of maternal bleeding.
C. Maternal blood, but not fetal blood, is lost.
D. Fetal health may be compromised by decreased placental perfusion.
Which of the following parameters would be especially important to check in a baby whose mother had a bleeding placenta previa?
Which of the following parameters would be especially important to check in a baby whose mother had a bleeding placenta previa?
Yes
No
Hematocrit value
Serum creatinine level
Bilirubin level
Blood pressure level Blood culture
Blood culture
Maternal tachycardia and decreasing blood pressure are early signs of placental abruption.
True
False
With certain types of obstetric hemorrhage, blood loss may occur internally and is not externally visible.
True
False
With certain types of obstetric hemorrhage, blood loss may occur internally and is not externally visible.
True
False
Any bleeding during pregnancy requires investigation.
True
False
Disseminated intravascular coagulation can develop with placental abruption or HELLP (hemolysis, elevated liver enzyme levels, and /ow platelet count) syndrome.
True
False
An Rh(D)-negative woman had an episode of significant bleed ing at 10 weeks of gestation and received Rh immunoglobulin at that time. At 25 weeks of gestatio n, she has another episode of bleeding. She should receive Rh immunoglobulin again, within 72 hours of the bleeding.
True
False
Which of the following is most likely to be associated with postpartum hemorrhage?
A. Primigravid state
B. Preterm delivery
C. Post-term delivery
D. High parity
All of the following statements about ectopic pregnancy are accurate , except
A. Surgical removal or chemotherapy may be used to treat ectopic pregnancy.
B. Clinically significant maternal internal bleeding may occur.
C. The implantation site is most often in a fallopian tube.
D. Symptoms rarely occur before 12 to 14 weeks of gestatio n.
All of the following findings are generally an indication of placental abruption, except
A. Sudden increase in fundal height
B. Bright red, painless bleeding
C. Uterus that is tender when palpated
D. Increased uterine tone
Which of the following actions should you take first when postpartum hemorrhage is detected?
A. Prepare for immediate surgery.
B. Check clotting studies.
C. Palpate the uterus.
D. Administer an intravenous bolus of 40 U oxytocin.
All of the following conditions increase the risk for placenta previa, except
A. Maternal hypertension
B. Multifetal gestation
C. High parity
D. Previous cesarean delivery
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