Obstetrics Quiz on Placenta and Hypertension

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Questions and Answers

What is the typical timeframe for normal placental separation after delivery?

  • Within 15 minutes (correct)
  • Within 25 minutes
  • Within 10 minutes
  • Within 30 minutes

Which type of hypertension is characterized by high blood pressure that exists before pregnancy?

  • Chronic Hypertension (correct)
  • Eclampsia
  • Preeclampsia
  • Gestational Hypertension

What condition occurs when the placenta does not separate within 30 minutes after the start of the third stage of labor?

  • Uterine Atony
  • Placenta Previa
  • Retained placenta (correct)
  • Placenta Accreta

Which of the following conditions is known as 'Toxemia' in older slang?

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

Which fetal condition should be monitored in a woman with Chronic Hypertension?

<p>Intrauterine Growth Restriction (IUGR) (C)</p> Signup and view all the answers

What is the minimum blood pressure reading that qualifies as gestational hypertension (GHTN)?

<p>140/90 mmHg (B)</p> Signup and view all the answers

Which symptom is present in preeclampsia but not in gestational hypertension?

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

What is an increased risk associated with preeclampsia with severe features?

<p>Placental abruption (A)</p> Signup and view all the answers

Which of the following is a common risk factor for developing preeclampsia?

<p>History of preeclampsia (B)</p> Signup and view all the answers

What distinguishes eclampsia from preeclampsia?

<p>Development of seizures (C)</p> Signup and view all the answers

What is the recommended management for high-risk patients during the first trimester?

<p>Low dose aspirin (A)</p> Signup and view all the answers

Which of the following is NOT a feature of preeclampsia with severe features?

<p>Increased fetal movement (A)</p> Signup and view all the answers

What is the expected resolution period for preeclampsia after delivery?

<p>By 12 weeks postpartum (C)</p> Signup and view all the answers

Which medication is commonly used in the management of preeclampsia with severe features?

<p>Magnesium sulfate (A)</p> Signup and view all the answers

Which of the following is an effective method for monitoring fetal health in patients with gestational hypertension?

<p>Weekly nonstress tests (NST) (D)</p> Signup and view all the answers

What is the most commonly accepted definition of postpartum hemorrhage (PPH) according to ACOG?

<p>Cumulative blood loss of &gt;1,000 mL for either vaginal or cesarean birth (D)</p> Signup and view all the answers

Which of the following conditions is NOT considered a risk factor for postpartum hemorrhage?

<p>Low body mass index (D)</p> Signup and view all the answers

What is the cardinal sign of hematoma formation related to lacerations during delivery?

<p>Pain not relieved by analgesics (B)</p> Signup and view all the answers

In managing early postpartum hemorrhage, which medication is contraindicated in patients with hypertension?

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

What should the nurse monitor for when assessing a patient with suspected uterine atony?

<p>Color and amount of lochia (D)</p> Signup and view all the answers

Which of the following is a potential complication associated with prolonged second stage of labor?

<p>Uterine atony (D)</p> Signup and view all the answers

What does the medication tranexamic acid (TXA) primarily help with during postpartum hemorrhage management?

<p>Preventing the breakdown of fibrin (C)</p> Signup and view all the answers

Which action is NOT a part of the nursing management for postpartum hemorrhage?

<p>Assess pulse oximetry (C)</p> Signup and view all the answers

Which type of laceration extends from the skin and muscles into the anal sphincter?

<p>Third-degree laceration (C)</p> Signup and view all the answers

What is a common symptom indicating subinvolution of the uterus after childbirth?

<p>Pelvic discomfort or backache (B)</p> Signup and view all the answers

What is the most effective way to manage a retained placenta leading to postpartum hemorrhage?

<p>Manual removal by qualified personnel (C)</p> Signup and view all the answers

What might indicate the need for a massive transfusion protocol (MTP) in a postpartum patient?

<p>Sustained hypotension (C)</p> Signup and view all the answers

Which assessment finding suggests a potentially severe case of hypovolemia during postpartum hemorrhage?

<p>Weak pulsations and cool extremities (B)</p> Signup and view all the answers

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