Maternal Health Risks and Complications Quiz
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Questions and Answers

What is a common risk factor for preeclampsia-eclampsia in adolescents?

  • Excessive weight gain
  • High maternal age
  • Maternal malnutrition (correct)
  • Uterine rupture
  • Which of the following is a risk associated with advanced maternal age?

  • Abortion (correct)
  • Low birth weight
  • Labor abnormalities
  • Adolescent pregnancy
  • What mode of conception is associated with higher risks for congenital anomalies?

  • Assisted reproductive technology (ART) (correct)
  • Natural family planning
  • Spontaneous conception
  • Intrauterine insemination
  • Which of the following is considered a danger sign during pregnancy?

    <p>Vaginal bleeding</p> Signup and view all the answers

    What does a past history of complications in pregnancy indicate for future pregnancies?

    <p>Higher risk for complications</p> Signup and view all the answers

    Which of the following could indicate danger signs that require immediate assessment?

    <p>Decreased fetal movement</p> Signup and view all the answers

    What are the potential complications associated with the younger maternal age during pregnancy?

    <p>Labor abnormalities</p> Signup and view all the answers

    What is an important aspect to assess during antenatal care history?

    <p>Past history of obstetric complications</p> Signup and view all the answers

    What is the most common cause of antepartum fetal death?

    <p>Asphyxia</p> Signup and view all the answers

    What percentage of antepartum fetal deaths is attributed to infections?

    <p>5%</p> Signup and view all the answers

    Which fetal state lasts about 40 minutes and includes vigorous body movement?

    <p>State 2F</p> Signup and view all the answers

    Which of the following complications contributes to antepartum fetal death?

    <p>Maternal hypertension</p> Signup and view all the answers

    What percentage of antepartum fetal deaths is due to congenital malformations?

    <p>15%</p> Signup and view all the answers

    In which fetal state would you expect to see continuous eye movement and increased variability?

    <p>State IV</p> Signup and view all the answers

    Which factor can influence the fetal states of sleep and activity?

    <p>Mother's nutrition</p> Signup and view all the answers

    What is the expected behavior of a fetus in State 1F?

    <p>No acceleration of heart rate</p> Signup and view all the answers

    What is the purpose of the Medstar Clinical Guide and Synopsis?

    <p>To serve as a revision tool for medical students</p> Signup and view all the answers

    Which guideline did the management plans primarily reference?

    <p>FMOH Obstetrics management protocol</p> Signup and view all the answers

    Who contributed significantly to the preparation of the second edition?

    <p>Graduating Class of Jimma University</p> Signup and view all the answers

    What aspect of the guide was notably improved in the second edition?

    <p>Inclusion of more topics and updates</p> Signup and view all the answers

    What is strongly recommended for history and physical examination in OBGYN?

    <p>Introduction to Obstetrics and Gynecology diagnosis by Dr. Asheber Gaym</p> Signup and view all the answers

    How has feedback influenced the second edition of the guide?

    <p>By incorporating constructive criticism received from the previous edition</p> Signup and view all the answers

    What is the primary format of the guide's content?

    <p>Case-oriented approach</p> Signup and view all the answers

    What communication method was provided for student feedback on the guide?

    <p>Email address and Telegram bot link</p> Signup and view all the answers

    What percentage of anemia during pregnancy is caused by iron deficiency?

    <p>75%</p> Signup and view all the answers

    What is the total body iron in women approximately?

    <p>2.3g</p> Signup and view all the answers

    What factor can contribute to iron deficiency anemia in women?

    <p>Short interpregnancy interval</p> Signup and view all the answers

    What is the first pathological change in iron deficiency anemia?

    <p>Depletion of bone marrow, liver, and spleen iron stores</p> Signup and view all the answers

    Which of the following lab parameters would be expected in iron deficiency anemia?

    <p>Low MCV</p> Signup and view all the answers

    In combination with iron deficiency, what can affect the morphology of RBCs?

    <p>Folate/Vit B12 deficiency</p> Signup and view all the answers

    What happens to serum iron levels during the onset of iron deficiency anemia?

    <p>They fall</p> Signup and view all the answers

    What additional iron is needed to support increased RBC mass, the fetus, and placenta during pregnancy?

    <p>1g (6-7mg/day)</p> Signup and view all the answers

    What symptoms are commonly associated with acute cystitis?

    <p>Urgency and dysuria</p> Signup and view all the answers

    Which urine test is preferred for diagnosing acute cystitis?

    <p>Urine culture from a catheterized sample</p> Signup and view all the answers

    What colony count in urine indicates infection when using a catheterized specimen?

    <p>102/mL</p> Signup and view all the answers

    Which antibiotic regimen is suggested for initial treatment of acute cystitis?

    <p>3 days of treatment</p> Signup and view all the answers

    What is a significant risk associated with using amoxicillin and cephalexin?

    <p>Causing diarrhea or monilial vulvovaginitis</p> Signup and view all the answers

    Which antibiotic has minimal effect on vaginal and bowel flora?

    <p>Nitrofurantoin monohydrate</p> Signup and view all the answers

    Which antibiotics are generally effective against drug-resistant pathogens?

    <p>Amoxicillin-clavulanic acid and TMP-SMX</p> Signup and view all the answers

    What is a common complication of recurrent infections in patients with acute cystitis?

    <p>Need for longer courses of therapy</p> Signup and view all the answers

    What is the primary rationale for recommending LDA prophylaxis in preeclampsia?

    <p>It decreases vasospasm and coagulation abnormalities.</p> Signup and view all the answers

    When should LDA prophylaxis ideally be started during gestation?

    <p>Before 16 weeks.</p> Signup and view all the answers

    What is a significant risk reduction associated with LDA prophylaxis in pregnant women?

    <p>It reduces the risk of preterm birth by 14%.</p> Signup and view all the answers

    Which condition is defined as the development of convulsions during pregnancy associated with preeclampsia?

    <p>Eclampsia</p> Signup and view all the answers

    What percentage range represents the reported incidence of eclampsia in the western world?

    <p>1 in 2000 to 1 in 3448 pregnancies</p> Signup and view all the answers

    What defines late postpartum eclampsia?

    <p>Eclampsia occurring after 48 hours but before 4 weeks of delivery.</p> Signup and view all the answers

    Which of the following is NOT a maternal complication of preeclampsia?

    <p>Uteroplacental insufficiency</p> Signup and view all the answers

    Which statement about eclampsia diagnosis is correct?

    <p>Alternative diagnoses are necessary if seizure occurs shortly after delivery.</p> Signup and view all the answers

    Study Notes

    Clinical Guide and Synopsis - Obstetrics and Gynecology

    • Second Edition, December 2022
    • Prepared by the Graduating Class of Jimma University 2015 E.C (2022/23)
    • The guide is based on feedback and criticism from the previous edition.
    • It is written in a case-oriented approach, combining ward experience and detailed scientific information from textbooks.
    • Management plans are mainly from the FMOН Obstetrics management protocol and Jimma University OBGYN Management Guideline.
    • For further information regarding history and physical examination use the introduction to Obstetrics and Gynecology diagnosis by Dr. Asheber Gaym.
    • Jimma Medical Center OBGYN Department provides further information on history taking and physical examination.
    • The guide provides an email address and telegram bot link for feedback to aid in the future edition development.

    Contents

    • The guide is divided into two sections: Obstetrics and Gynecology.
    • Each section is further subdivided into chapters.
    • The chapters cover antenatal care, fetal well-being assessment, fetal pulmonary maturity, HDP, antepartum hemorrhage, PROM, preterm labor, malpresentation, multifetal gestation, RBC alloimmunization, GDM, intrauterine growth restriction, and more topics within the sections.
    • A detailed list of topics within each chapter further elaborates the book's content.

    Contributors

    • A list of contributors is included in the various sections.

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    Description

    Test your knowledge on the various risk factors and complications associated with pregnancy, specifically in adolescents and those with advanced maternal age. This quiz covers crucial topics such as antepartum fetal death, congenital anomalies, and important assessments during antenatal care. It's designed for those studying maternal health and obstetrics.

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