Nokea
A definitive indication for elective caesarean section includes
- A. Cord prolapse denoted in first stage
- B. Failure of first stage to progress
- C. Major degree of placenta praevia
- D. Fetal compromise denoted in first stage
Correct Answer: C
Rationale: A major degree of placenta praevia is a definitive indication for elective cesarean section.
You may also like to solve these questions
K. W. is a 50-year-old woman who presents for surgical resection of the liver for treatment of metastatic colon cancer. Preoperatively, the surgeon tells her that he is planning to remove 50 to 75 of her liver. The patient is concerned that she will not be able to recover normal liver function with that much removed. The AGACNP counsels her that
- A. Such a high-volume resection is utilized only in people with markedly compromised hepatic function
- B. Major regeneration occurs within 10 days, and the process is complete by 5 weeks
- C. Liver function will probably recover to 50% baseline, but that is enough for normal function
- D. Up to 95% of the liver can be removed without any apparent consequence to the patient
Correct Answer: B
Rationale: The liver is known for its remarkable ability to regenerate. Major regeneration can occur within 10 days after partial hepatectomy (liver resection) as a compensatory mechanism. The process is typically complete within 5 weeks. This regenerative capacity allows for safe removal of a significant portion of the liver for procedures such as liver resection for cancer. The remaining liver tissue is able to rapidly proliferate and restore normal liver function. The patient should be reassured that even with 50 to 75% of her liver being removed, she can expect a significant amount of liver function recovery postoperatively.
How does a water birth benefit labor?
- A. Reduces labor pain
- B. Lowers risk of tearing
- C. Enhances relaxation
- D. All of the above
Correct Answer: D
Rationale: Water birth can reduce pain, lower tearing risks, and improve relaxation during labor.
In marginal cephalopelvic disproportion,
- A. All the patients will need an operative delivery.
- B. Half of the patients will need an operative delivery.
- C. The problem is always overcome during labor.
- D. The pelvis is too small for the fetus to pass through.
Correct Answer: C
Rationale: Marginal cephalopelvic disproportion can often be managed in labor without the need for a cesarean.
Complications of deep venous thrombosis include:
- A. Moist gangrene, secondary postpartum hemorrhage
- B. Pulmonary embolism, varicosity
- C. Hydronephrosis, hematoma formation
- D. Prolonged labor, disseminated intravascular coagulopathy
Correct Answer: B
Rationale: Pulmonary embolism and varicosity are significant complications of deep venous thrombosis.
Placental parasitation is associated with
- A. Malaria prenatally
- B. Candidiasis prenatally
- C. Tuberculosis prenatally
- D. Multiple gestation
Correct Answer: A
Rationale: Placental parasitation is associated with malaria during pregnancy.