[OBS] M.08 CS - CS HYSTERECTOMY

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Questions and Answers

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?

<p>Bowel prep (D)</p> Signup and view all the answers

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

<p>Venous thromboembolism (D)</p> Signup and view all the answers

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

<p>Placenta accreta (B)</p> Signup and view all the answers

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

<p>Indirect Coomb’s test (A)</p> Signup and view all the answers

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

<p>Suturing of the endometrium (D)</p> Signup and view all the answers

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

<p>To reduce the risk of infection (C)</p> Signup and view all the answers

Which incision is most frequently selected for cesarean sections?

<p>Pfannenstiel incision (A)</p> Signup and view all the answers

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

<p>To prevent retaining foreign objects (C)</p> Signup and view all the answers

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

<p>Fascial sheath (D)</p> Signup and view all the answers

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

<p>Blunt or sharp dissection (C)</p> Signup and view all the answers

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

<p>Promotes neonatal adaptation (A)</p> Signup and view all the answers

Which technique involves inserting scissors between peritoneum and myometrium?

<p>Sharp dissection (D)</p> Signup and view all the answers

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

<p>It limits access to the upper abdomen (B)</p> Signup and view all the answers

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

<p>Reduced risk of surgical site infections (C)</p> Signup and view all the answers

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

<p>Using depilatory cream (C)</p> Signup and view all the answers

What should be included when obtaining informed consent for surgery?

<p>Asking about contraception preferences (C)</p> Signup and view all the answers

What is the significance of maternal request for cesarean section?

<p>It reflects a concern for childbirth fear (A)</p> Signup and view all the answers

What is the recommended skin incision location for cesarean section?

<p>3 cm below the line joining the anterior superior iliac spines (D)</p> Signup and view all the answers

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

<p>Surgical site infections (C)</p> Signup and view all the answers

What is a potential outcome of removing hair before surgery?

<p>Lower incidence of surgical site infections (D)</p> Signup and view all the answers

What is considered a temporary contraception method mentioned?

<p>Postpartum IUD (C)</p> Signup and view all the answers

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

<p>Refer the patient to another doctor for a second opinion. (C)</p> Signup and view all the answers

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

<p>Pfannenstiel incision (A)</p> Signup and view all the answers

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

<p>A single dose of AMPICILLIN or a first-generation cephalosporin. (B)</p> Signup and view all the answers

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

<p>It is a straight incision about 10 cm. (C)</p> Signup and view all the answers

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

<p>Immediately consult with a clinician. (B)</p> Signup and view all the answers

Which incision lies between the Maylard and Pfannenstiel incisions?

<p>Joel-Cohen incision (D)</p> Signup and view all the answers

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

<p>Because they feel unqualified to perform it. (A)</p> Signup and view all the answers

What is a distinguishing feature of the midline vertical incision?

<p>It is a straight incision and follows the midline. (D)</p> Signup and view all the answers

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

<p>High maternal BMI (C)</p> Signup and view all the answers

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

<p>Postmortem cesarean delivery (C)</p> Signup and view all the answers

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

<p>Invasive cervical cancer (C)</p> Signup and view all the answers

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

<p>Higher percentage of births among nulliparas (C)</p> Signup and view all the answers

Which option is a potential complication following a cesarean section?

<p>Skin laceration (C)</p> Signup and view all the answers

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

<p>Higher likelihood of prolonged labor (B)</p> Signup and view all the answers

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

<p>Before skin incision (D)</p> Signup and view all the answers

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

<p>Invasive cervical cancer (B)</p> Signup and view all the answers

What might be a likely outcome of prior full-thickness myomectomy in the context of delivery?

<p>Risk of uterine rupture (A)</p> Signup and view all the answers

Which condition is a contraindication for a vaginal delivery and may lead to cesarean delivery?

<p>Prior significant perineal trauma (A)</p> Signup and view all the answers

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