Deck 35: Preterm Labor Management

Question 1

Which race/ethnic group experiences the highest rate of premature births?

A) African-Americans
B) Asians
C) Caucasians
D) Hispanics

Answer 1

A

Question 2

An infant born at 30 weeks would be classified as:

A) Extremely premature
B) Moderate to late premature
C) Very premature

Answer 2

C

Question 3

What is the most important risk factor for spontaneous premature births?

A) Autoimmune disease
B) Prior spontaneous preterm birth
C) Renal disease
D) Uterine malformation

Answer 3

B

Question 4

Which pregnancy history finding is not a concern for premature birth?

A) Body mass index = 18.5
B) Twin pregnancy
C) Placental abnormalities
D) First-trimester vaginal bleeding

Question 5

You have three women waiting to be seen in your clinic. Based on the subjective history provided by the medical assistance, which patient would you see first?

A) 32-week gestation women complaining of suprapubic pain, change in urination frequency, and with an oral temperature of 99.5℉
B) 33-week gestation women complaining of menstrual-type cramping, vaginal spotting, and pelvic pressure
C) 30-week gestation women complaining of change in vaginal discharge associated with a fishy smell and "itchiness"

Question 6

Your plan of care for a pregnant woman with type 1 diabetes and a HgbA1C of 9.8 would include which of the following?

A) Advise a high fat with low protein diet.
B) Discuss progesterone supplementation at the first visit.
C) Screening for asymptomatic bacteriuria at initial visit and every visit thereafter.
D) Consider obtaining a cervical length measurement during second trimester.

Question 7

What are the diagnostic criteria for preterm labor? (Select all that apply.)

A) Gestational age 19-37 6/7 weeks
B) Gestational age 20-36 6/7 weeks
C) Documented regular contractions
D) Cervical dilation > 1 cm
E) Documented cervical change

Question 8

The presence of what sign or symptom, in addition to a pyelonephritis diagnosis, increases the risk of premature birth?

A) Costovertebral angle tenderness
B) An oral temperature of 99℉
C) Lab values of Hbg 8 g/dL and Hct 26%
D) Suprapubic pain