Drugs Administered For Postpartum Hemorrhage

Drugs Administered For Postpartum Hemorrhage
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Drugs Administered For Postpartum Hemorrhage
1. 11. Which of the following drugs when administered to the mother is least likely
to have clinical effects on the neonate?
A. Vecuronium
B. Propofol
C. Morphine
D. Diazepam
E. Ketamine
2. Which of the following drugs administered for postpartum hemorrhage (PPH) is
incorrectly paired with a commonly associated side effect?
A. Carbetocin—hypotension
B. Oxytocin—hypernatremia
C. Misoprostol—fever
D. Methylprostaglandin—bronchoconstriction
E. Methylergonovine—arteriolar constriction
3. Which of the following drugs administered to reduce preterm labor is least
likely to reduce preterm birth?
A. β-Adrenergic agonists
B. Magnesium sulfate
C. Progesterone
D. Calcium channel blockers
E. Indomethacin
4. A 22-year-old G2P1 is seen preoperatively for an anesthesia consultation at
32 weeks. She has a history of complex partial seizures since the age of 8 years
and has been maintained on carbamazepine for the last several years with good
control, and her last seizure was 19 months ago. Which of the following is NOT
a common perinatal consequence of maternal antiepileptic drug use?
A. Small for gestational age
B. Decreased Apgar scores
C. Thromboembolic events
D. Admission to NICU
E. Preterm delivery
5. You are called to assist with an emergent general anesthesia for a 34-year-old
G1P0 for nonreassuring fetal heart tones and persistent fetal bradycardia.
During induction, you give propofol, succinylcholine, and fentanyl intravenously.
Which of the following pharmacologic drug characteristics is most likely to be
associated with an increased transfer of drugs across the placental membrane?
A. Lipophilic substances
B. Charged molecules
C. Molecular weight >1000 Da
D. Low free drug fraction
E. α-1-Acid glycoprotein binding
6. Which of the following statements comparing chorionic villus sampling (CVS)
with amniocentesis is most accurate?
A. Amniocentesis is associated with a risk of Rh isoimmunization; however, CVS is
B. CVS is safer than amniocentesis before 15 weeks of gestation.
C. Pregnancy loss following CVS and amniocentesis is directly related to provider
D. Both techniques evaluate amniotic fluid and desquamated fetal cells (amniocytes)
to perform genetic analysis.
E. Amniocentesis is contraindicated in patients with a history of pregnancy loss.
7. 17. Which of the following statements regarding oligohydramnios is most
A. The amniotic fluid volume can be influenced by acute fetal hypoxia or acute fetal
CNS dysfunction.
B. Oligohydramnios secondary to amniocentesis carries a worse prognosis than
other causes and rarely reverts to normal volumes of amniotic fluid.
C. The most common cause of oligohydramnios is fetal anomalies.
D. Uteroplacental insufficiency is not associated with oligohydramnios.
E. Hydrops fetalis is classically associated with oligohydramnios.
8. Which of the following statements regarding the etiology of hydrops fetalis is
most correct?
A. Since the introduction of Rho(D) immune globulin, the most common causes of
hydrops fetalis are nonimmune.
B. Maternal viral infections are not associated with hydrops fetalis.
C. Although the etiology of this condition must be addressed after delivery, the
overall perinatal mortality associated with hydrops fetalis is <10%.
D. Non-ABO RBC antigens such as Kell, Rh(E), Rh(c), and Duffy are not
associated with severe immune hydrops.
E. Isolated blunt abdominal trauma to a pregnant woman is not an indication for
Rho(D) immune globulin.
9. Which of the following variables is NOT included in a biophysical profile
A. Fetal limb movements
B. Fetal breathing movements
C. Fetal response to stimulation
D. Qualitative amniotic fluid volume
E. Fetal body movements
10. A 23-year-old G2P0 undergoes an ultrasound at 38 weeks, which demonstrates an
estimated fetal weight (EFW) of 4850 g. Which of the following statements is
the correct statement regarding fetal macrosomia?
A. An EFW greater than 4500 g in a nondiabetic woman or greater than 5000 g in a
diabetic woman may warrant an elective cesarean delivery.
B. Fetal macrosomia is associated with an increased risk of cesarean and
instrumental vaginal delivery.
C. Fetal macrosomia is more accurately predicted by ultrasound than by Leopold
D. Induction of labor at 38 weeks for suspected fetal macrosomia is associated with
improved maternal and fetal outcomes.
E. The risk of PPH is unchanged by the presence of fetal macrosomia
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