[OBS] M.08 CS - CS HYSTERECTOMY

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What is the recommended time frame for the patient to be NPO before elective cesarean surgery?

2 hours

4 hours

6 hours (correct)

8 hours

What is the preferred anesthesia type for a cesarean section?

Sedation

General anesthesia

Regional anesthesia (correct)

Local anesthesia

In which scenario is a transverse abdominal incision preferred?

Repeat cesarean section (correct)

Routine cesarean delivery

Emergency cesarean delivery

Breech presentation

Which of the following is NOT recommended as part of bowel preparation for cesarean delivery?

Bowel prep Signup and view all the answers

Which complication is commonly associated with the use of general anesthesia during cesarean sections?

Venous thromboembolism Signup and view all the answers

What is a potential risk associated with abnormal placentation during a cesarean section?

Placenta accreta Signup and view all the answers

Which test is indicated prior to conducting an elective cesarean section?

Indirect Coomb’s test Signup and view all the answers

What should be avoided in the delivery preparation of a patient at risk for placenta accreta?

Suturing of the endometrium Signup and view all the answers

What is the primary purpose of verifying prophylactic antibiotics in surgical procedures?

To reduce the risk of infection Signup and view all the answers

Which incision is most frequently selected for cesarean sections?

Pfannenstiel incision Signup and view all the answers

What is the importance of instrument, sponge, and needle counts before and after surgery?

To prevent retaining foreign objects Signup and view all the answers

In surgical procedures using the Pfannenstiel incision, what anatomical structure is primarily manipulated?

Fascial sheath Signup and view all the answers

What technique is primarily used for separating abdominal muscles during a cesarean section?

Blunt or sharp dissection Signup and view all the answers

What is the benefit of delayed cord clamping and cutting after delivery of the fetus?

Promotes neonatal adaptation Signup and view all the answers

Which technique involves inserting scissors between peritoneum and myometrium?

Sharp dissection Signup and view all the answers

Why is the Pfannenstiel incision often discouraged in certain surgical scenarios?

It limits access to the upper abdomen Signup and view all the answers

What is one potential benefit of immediate IUD insertion after delivery?

Reduced risk of surgical site infections Signup and view all the answers

What is an appropriate method for hair removal before surgery to reduce SSI risk?

Using depilatory cream Signup and view all the answers

What should be included when obtaining informed consent for surgery?

Asking about contraception preferences Signup and view all the answers

What is the significance of maternal request for cesarean section?

It reflects a concern for childbirth fear Signup and view all the answers

What is the recommended skin incision location for cesarean section?

3 cm below the line joining the anterior superior iliac spines Signup and view all the answers

Which of the following is a risk associated with surgical procedures?

Surgical site infections Signup and view all the answers

What is a potential outcome of removing hair before surgery?

Lower incidence of surgical site infections Signup and view all the answers

What is considered a temporary contraception method mentioned?

Postpartum IUD Signup and view all the answers

What should a clinician do if they refuse to perform a scheduled elective cesarean section?

Refer the patient to another doctor for a second opinion. Signup and view all the answers

Which incision type is characterized as curvilinear and follows the linea nigra?

Pfannenstiel incision Signup and view all the answers

What is recommended as the antibiotic choice for elective cesarean sections?

A single dose of AMPICILLIN or a first-generation cephalosporin. Signup and view all the answers

What is the primary characteristic of the Joel-Cohen incision?

It is a straight incision about 10 cm. Signup and view all the answers

What should be done if signs of labor occur before the scheduled CS?

Immediately consult with a clinician. Signup and view all the answers

Which incision lies between the Maylard and Pfannenstiel incisions?

Joel-Cohen incision Signup and view all the answers

Why might a clinician consult another doctor regarding a scheduled CS?

Because they feel unqualified to perform it. Signup and view all the answers

What is a distinguishing feature of the midline vertical incision?

It is a straight incision and follows the midline. Signup and view all the answers

What condition is NOT associated with an increasing risk of cesarean delivery?

High maternal BMI Signup and view all the answers

Which surgical procedure involves delivery after death of the mother or imminent death?

Postmortem cesarean delivery Signup and view all the answers

Which condition is NOT a reason for performing a perimortem cesarean delivery?

Invasive cervical cancer Signup and view all the answers

What factor associated with increased cesarean delivery rates is linked to women having fewer children?

Higher percentage of births among nulliparas Signup and view all the answers

Which option is a potential complication following a cesarean section?

Skin laceration Signup and view all the answers

Which is a reason why older women may have an increased risk for cesarean delivery?

Higher likelihood of prolonged labor Signup and view all the answers

When should antibiotic prophylaxis be administered in relation to cesarean delivery?

Before skin incision Signup and view all the answers

Which of the following is NOT a reason for increasing cesarean section rates?