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Obstetric Scenarios

Quiz by Julie Brannon

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19 questions
Show answers
  • Q1
    30-year-old female complaining of shortness of breath and chest pain 2 hours after delivery. Pt is hypotensive, tachycardic, pale, cool, and diaphoretic.
    Pneumonia
    pregnancy induced CHF
    Amniotic fluid embolism
    Pulmonary Embolism
    30s
  • Q2
    22-year-old female complaining of lower cramp-like abdominal pain and vaginal bleeding. Pt reports last menstrual cycle was 8 weeks ago.
    Placenta previa
    Abrupto placenta
    Abortion
    Stillbirth
    30s
  • Q3
    A 27-year-old patient is 31 weeks pregnant. Pt complains of bright red, painless vaginal bleeding. Pt states she felt her baby move a little while ago. Pt has a large pool of blood on the sheet.
    Miscarriage
    Placenta previa
    Uterine rupture
    Abruptio Placenta
    30s
  • Q4
    22-year-old female complaining of right lower quadrant abdominal pain. Pt denies vaginal bleeding. The pain began suddenly. Pt is pale, cool, and diaphoretic. LMP is unknown as her periods are very irregular. She is married and does not use birth control because she was told it would be difficult to get pregnant.
    Ruptured ovarian cyst
    PID
    Ectopic Pregnancy
    Appendicitis
    30s
  • Q5
    A 34-year-old patient states that she is scheduled for a cesarian section next week but that she started having contractions several hours ago. Contraction suddenly became less severe and patient reports feeling light-headed. What is your diagnosis?
    Abrupto placenta
    Uterine Rupture
    Hypovolemic shock
    Uterine hemorrhage
    30s
  • Q6
    A 35-year-old patient woke up with severe abdominal pain. Pt is 31 weeks gestation. Pt denies vaginal bleeding. Pt reports she has not felt baby move since she woke up.
    Abruptio Placenta
    Abortion
    Uterine rupture
    Placenta previa
    30s
  • Q7
    Pt complains of headache and blurry vision. You note edema to the hands and face. Pt heart rate is 110, respirations are 20, and blood pressure is 158/110.
    Chronic HTN
    Eclampsia
    Gestational HTN
    Preeclampsia
    30s
  • Q8
    Pt is 3 weeks postpartum. The family reported that the patient has not been feeling well when she lost consciousness and began seizing. What is the first medication you will administer?
    Ativan
    Magnesium sulfate
    Versed
    Valium
    30s
  • Q9
    The patient is 9 weeks pregnant and complains of vomiting every evening and nausea throughout the day.
    Morning sickness
    Hyperemesis gravidarum
    Norovirus
    Food poisoning
    30s
  • Q10
    A 26-year-old female is 37 weeks gestation. Pt states that contractions began about 2 hours ago and are gradually getting more intense and closer together and have been 5 minutes apart lasting 1 minute for the last hour
    True labor
    False labor
    Prodromal Labor
    Precipitous labor
    30s
  • Q11
    The patient is 9 weeks pregnant and complaining of vomiting multiple times a day. Pt is hypotensive and hypoglycemic.
    Morning sickness
    Gastroenteritis
    Food poisoning
    Hyperemesis gravidarum.
    30s
  • Q12
    Stage of labor that consists of contractions which dilate and efface the cervix.
    3rd stage of labor
    4th stage of labor
    2nd stage of labor
    1st stage of labor
    30s
  • Q13
    A 26-year-old female is 37 weeks gestation. Pt states that the contractions began 2 hours ago when her water broke. Patient states she feels the urge to push. When you examine her you note crowning. This is a:
    Precipitous delivery
    quicker than some but not abnormal
    normal labor
    expatiated labor
    30s
  • Q14
    Medication is given for the management for eclampsia
    Nifedipine
    Pitocin
    Magnesium Sulfate
    Tebrutaline
    30s
  • Q15
    The patient is 37 weeks gestation. Pt states that contractions began 2 hours ago when her water broke. Upon examination, you note the umbilical cord protruding from the vagina. Your diagnosis is...
    Footling breech
    this baby can be delivered on scene
    Prolapsed cord.
    30s

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