Nokea
The postpartum patient who has undergone a forceps-assisted vaginal delivery is at increased risk for
- A. postpartum hemorrhage
- B. eclampsia
- C. postpartum depression
Correct Answer: A
Rationale: Forceps deliveries can increase the risk of trauma and bleeding, leading to postpartum hemorrhage.
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Obesity during pregnancy is associated with an increased risk of
- A. fetuses that are small-for-gestational age
- B. cesarean birth
- C. rapid postpartum weight loss
Correct Answer: B
Rationale: Obesity during pregnancy is associated with an increased risk of cesarean birth due to complications such as macrosomia and labor dystocia.
If a woman's white blood cell count was 20,000 after delivery and increased to 40,000 by the second day, this likely indicates
- A. normal postpartal elevation
- B. acute infection
- C. chronic infection
Correct Answer: A
Rationale: Leukocytosis is a normal physiological response to childbirth and resolves gradually.
An Rh-negative mother who has given birth to an Rh-positive infant and has no evidence of sensitization (i.e., maternal indirect Coombs test negative) should be administered
- A. Rh immune globulin (Rhogam) within 72 hours of delivery
- B. no additional medication
- C. cross-matched packed red blood cells within 4 hours of delivery
Correct Answer: A
Rationale: Administering Rh immune globulin prevents maternal sensitization and future hemolytic disease of the newborn.
Which of the following hormones causes ejection of milk into the mammary ducts, making it accessible for the infant?
- A. Progesterone
- B. Oxytocin
- C. Prolactin
- D. Estrogen
Correct Answer: B
Rationale: Oxytocin stimulates the ejection of milk into the mammary ducts.
The recreational drug that most increases the risk of spontaneous abortion is
- A. marijuana
- B. methamphetamine
- C. MDMA
Correct Answer: B
Rationale: Methamphetamine use poses significant risks to pregnancy, including miscarriage.