1. A 23-year-old G3P2 woman at 12 weeks' gestation with a uterine anomaly presents asking if she should undergo cerclage placement to prevent preterm birth. The decision to place a cerclage should be based on which of the following? a. The type of müllerian anomaly Ob. Cervical length at 14 weeks' gestation c. The same criteria used for women without uterine anomalies d. All of the above A
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- 3.A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21 weeks' gestation. The cervical changes are found. She denies any complaints, including contractions. On sterile speculum exam she is noted to be dilated 1-2 cm with bulging membranes just past the level of the external os. She undergoes 24 hours of observation on labor and delivery without any change. What is the most likely diagnosis? OA. Inevitable abortion B. Cervical insufficiency Arresked preterm labor OC. D. Placenta Previa5. A fetal head that is floating above the inlet during early labor: A. Is always associated with a deflexed attitude 3. Is associated with an increased risk of Cesarean delivery C Signifies a malposition O Only occurs in cases of android pelvic architecture . A nullipara has a normal first stage. At full cervical dilation, the head is at station 0 and the position is left occiput transverse. Two hours later the station is between + 2 and + 3. She has nad no anesthesia. Which of the following is correct? A. There is a deep transverse arrest 3. Descent is normal and no intervention is necessary C. The use of forceps or a vacuum extractor is necessary if delivery does not occur within 30 min D. Descent is protracted 5. During the latent phase of labor: A. The fetal head normally rotates internally 3. The cervix dilates at ≤ 5 cm/h C. Uterine contractions occur irregularly D. All of the above . During most of the active phase: . Fetal descent occurs . Uterine contractility diminishes E.…1. Which of the following statements is correct? The TNM Classification of the Cervix corresponds to International Federation of Gynecology and Obstetrics (FIGO) stage and are revised in close collaboration with FIGO. PT2NOMO Carcinoma in situ of the cervix is staged in FIGO but not UICC TNM. UICC and FIGO staging are identical.
- 9. Match each uterine disorder with the correct description. aloodsma Adenomyosis Endometriosis Endometritis Leiomyoma polycystic ovarian lumica A syndrome bould to r a. "Fibroids" that grow within the myometrium; the most common form of pelvic tumor; typically do not interfere with pregnancy and most regress with menopause: b. Endometrial tissue is present within the myometrium; likely to occur in middleaged, multiparous women and resolve with menopause: c. Infection of the endometrial lining with a variable clinical picture but often marked by a foul- smelling vaginal discharge: baltimage set to viovel nolinot leader d. Presence of endometrium in ectopic sites usually within the pelvic cavity; likely to occur in young women who are infertile or who have chronic pelvic pain. Treated by suppressing ovulation: e. Leading cause of infertility: giriano scudo of besig is uimybibigg5. A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21 weeks' gestation. The cervical changes as shown below are found. She denies any complaints, including contractions. On sterile speculum exam she is noted to be dilated 1-2 cm with bulging membranes just past the level of the external os. She undergoes 24 hours of observation on labor and delivery without any change. The patient elects to proceed with cerclage placement. What is the most appropriate statement regarding her probable outcome? OA. There is a 20% risk of delivery prior to term. OB. There is a 33% risk of delivery prior to 35 weeks' gestation. C. There is a 50% risk of delivery prior to 36 weeks' gestation. OD. There is at least a 50% risk of delivery prior to 28 weeks' gestation. *5. Prepare a chart describing the definition, causes, and nursing considerations for the following complications of labor and delivery: • Maternal hemorrhage Premature rupture of membranes Preterm labor
- Which of the following factors that occur with prolapse . Select all that apply: A. small fetus B. placenta previa C. CPD D. Oligohydramnios E. premature rupture of membranes F. multiple gestation.11. Sally has noticed that her cervical mucus has changed and now resembles egg whiteswhich is fluidly and stretchy, - from this Sally could assume a. her menstrual flow is about to happen b. it is safe to have sexual intercourse, chance of pregnancy is very low C. coitus at this time will give her a high chance of pregnancy d. she just finished her menstrual period, low chance of pregnancy e. she has yeast infection1.) A woman presents to a prenatal clinic appointment at 10 weeks' gestation, in the first trimester of pregnancy. Which symptoms would be considered a normal finding at this point in pregnancy? asap
- 7. Write a report describing the events that lead to gestational trophoblastic disease (hydatidiform mole). Be sure to state the nursing considerations related to the outcome of this condition.Identify 3 effects of progesterone on pregnancy. Select one or more: O a. This causes the uterus to remain contracted after delivery to reduce blood loss from the placental site O b. This is produced when the ovarian follicle that encloses the developing egg forms a structure called the corpus luteum O c. This decreases bladder tone leading to an increased risk of urinary infection O d. This prepares the body for pregnancy. It acts as an appetite stimulant Identify 1 effect of the hormone vasopressin in pregnancy. Select one: O a. This has an important compensatory mechanism for restoring blood pressure in hypovolaemic shock such as that which occurs during haemorrhage O b. Promotes the maintenance of the corpus luteum at the beginning of pregnancy O C. Involved in thickening of the endometrium and other aspects of regulating the menstrual cycle9. Marielle, 18 year old, Gravida 1 Para 0, 40 weeks AOG is in the labor and delivery unit. Eight minutes after a normal delivery under pudendal anesthesiaMarielle has not completed the third stage of labor. The uterus is discoid and firm; no bleeding is evident. What should the nurse do?a. Gently massage the uterus and waitb. Pull steadily but with greater traction on the cordc. Perform Crede's maneuver the contractions with intramuscular (IM) methergined. Manually remove the placenta.
