Deck 21: Pregnancy, Childbirth, and the Puerperium

Question 1

What drug could be given to inhibit labor?

A)Cervidil
B)Terbutaline
C)Pitocin
D)Demerol

Answer 1

B

Question 2

The patient is admitted in labor at 38 weeks.She labors for 24 hours when it is noted that the baby is in fetal distress.The patient is taken to the OR for an emergency C-section (LTCS).She delivers a healthy baby.

A)O77.9,Z3A.38,Z37.0,10D00Z1
B)O77.8,Z3A.38,Z38.003
C)O77.8,Z3A.38,Z37.0,10D00Z1
D)O77.9,Z3A.38,Z38.00,10D00Z0

Answer 2

A

Question 3

Ectopic pregnancies occur in 1 in ____ pregnancies.

A)10
B)25
C)50
D)100

Answer 3

C

Question 4

A pregnant woman at 39 weeks presents to the hospital for delivery of known quadruplets.She is taken to the operating room for a cesarean section (LTCS).As the babies are delivered,it is discovered that one has died in utero.

A)O30.203,O36.4xx0,Z3A.39,Z37.62,1ODOOZ1
B)O30.209,O36.4,Z3A.39,Z37.52,1ODOOZ1
C)O30.203,O36.4xx1,Z3A.39,Z37.52,1ODOOZ1
D)O30.209,O36.4xx,Z3A.39,Z37.62,1ODOOZ1

Question 5

Molar pregnancies occur in 1 in ____ pregnancies.

A)5
B)100
C)500
D)1000

Question 6

A 38-week primigravida spontaneously delivers an SGA baby.Following delivery the obstetrician manually removes fragments of the retained placenta.On the second day after delivery,the patient develops a fever.Antibiotics are initiated and puerperal sepsis is documented.

A)O73,O85,Z3A.38,Z37.0,1OD17ZZ,10E0XZZ
B)O73.1,O85,Z3A.38,Z37.0,1OD17ZZ,10E0XZZ
C)O73.1,O75.3,Z3A.38,Z37.0,1OD17ZZ,10E0XZZ
D)O73.0,O75.3,Z3A.38,Z37.0,1OD17ZZ,10E0XZZ

Question 7

A gravid patient at 11 weeks presents for a routine prenatal visit.This patient had preeclampsia in her previous pregnancy and the physician documents high-risk pregnancy.She has blood work done on this visit and is found to be anemic.The physician prescribes an iron supplement.

A)O09.891,O99.019,D50.9,Z3A.11
B)O09.91,O99.011,D64.9,Z3A.11
C)O09.891,O99.011,D64.9,Z3A.11
D)O09.91,O99.019,D50.9,Z3A.11

Question 8

Patient is admitted to the hospital 3 weeks postpartum.She is having pain in her lower right leg and is given a diagnosis of deep vein thrombosis.The patient is treated with IV heparin.

A)O87.1,I82.4Z1
B)O87.0
C)O88.219
D)O88.23

Question 9

A patient at 12 weeks is admitted for a therapeutic abortion due to a chromosome abnormality in the fetus.A D&C is performed,resulting in a complete abortion.Her post-operative course is complicated by shock due to acute blood loss secondary to hemorrhage with resulting anemia.

A)Z33.2,O04.6,O04.81,D62,O35.1xx0,Z3A.12,10A07ZZ
B)O04.81,O04.6,Z3A.12,10A07ZZ
C)O04.6,O04.81,D62,Z3A.12,10A07ZZ
D)O04.6,O35.1xx0,D62,O35.1xx0,Z3A.12

Question 10

The patient is 9 weeks pregnant.She is admitted for an elective abortion.The physician performs a vacuum D&C to terminate the pregnancy.

A)Z33.2,10A07Z6
B)O02.1,10D17ZZ
C)O03.9,10A07ZZ
D)O20.0,10A07Z6

Question 11

The patient presents to the hospital in labor at 40 weeks.She labors for 5 hours with the help of an epidural and goes on to deliver a healthy baby girl.

A)O82,Z3A.40,Z37.9,10E0XZZ,3E0S3BZ
B)O80,Z3A.40,Z37.9,10E0XZZ,3E0S3BZ
C)O82,Z3A.40,Z37.0,10E0XZZ,3E0S3BZ
D)O80,Z3A.40,Z37.0,10E0XZZ,3E0S3BZ

Question 12

Which of the following is NOT a risk factor for complications in pregnancy?

A)Weight of mother is less than 100 pounds
B)Obese mother
C)Tall mother
D)Disorders of a mother that are present before the pregnancy

Question 13

A patient is an elderly multigravida at 39 weeks who has come in for trial labor following previous cesarean.The patient has been taking iron for iron deficiency anemia and is obese.Labor progresses,but fetal decelerations require repeat LTCS.On day 2,the patient develops a fever and is treated with antibiotics for suspected endometritis.

A)O76,Z37.0,O34.21,O99.02,D50.9,O99.214,O86.12,O09.523,E66.9,Z3A.39,10D00Z
B)Z37.0,O76,O34.21,O99.02,D50.9,649.11,E66.9,O86.12,Z3A.39,10D00Z1
C)O34.21,O76,Z37.0,O99.02,O99.214,O86.12,Z3A.39,10D00Z1
D)O76,O34.21,O99.02,D50.9,O99.214,O86.12,Z3A.39,10D00Z1

Question 14

A woman is admitted at 22 weeks for insertion of a laminaria for termination of pregnancy.She delivers a liveborn fetus.

A)O60.120,Z3A.22,10E0XZZ,10A07ZW
B)Z33.2,Z3A.22,10E0XZZ,10A07ZW
C)O60.12x0,Z3A.22,Z37.0,10E0XZZ,10A07ZW
D)Z33.2,Z3A.22,Z37.0,10E0XZZ,10A07ZW

Question 15

A patient is admitted at 37 weeks in labor,and she delivers a 7-pound baby boy.After vaginal delivery,she hemorrhages.The physician documents that the hemorrhage is due to a retained placenta accreta.

A)O43.213,Z38.00,O72,Z3A.37,10E0XZZ
B)O80,O72.0,Z37.0,Z3A.37,10E0XZZ
C)Z38.00,O72.0,Z3A.37,10E0XZZ
D)O72.0,O43.213,Z37.0,Z3A.37,10E0XZZ

Question 16

What drug could be given to induce labor?

A)Stadol
B)Epidural
C)Pitocin
D)Terbutaline

Question 17

Which of the following codes are correct when a normal pregnancy is coded?

A)O80 Normal delivery
B)Z37.0 Single liveborn
C)10E0XZZ Manually assisted delivery
D)All of the above

Question 18

Complications of pregnancy,childbirth,and the puerperium are coded ____.

A)M00-M99
B)L00-L99
C)O00-O9A
D)Q00-Q99

Question 19

The patient is admitted to the hospital in preterm labor.She is 27 weeks pregnant.Terbutaline is administered,and the patient remains on bed rest.In the third week of bed rest,her water breaks,and she is taken to the delivery room.She vaginally delivers a baby girl.

A)O60.12x1,Z38.00,Z3A.27,10E0XZZ
B)O60.13x0,Z37.0,Z3A.27,10E0XZZ
C)O60.12x1,Z38.00,Z3A.27,10E0XZZ
D)O60.130,Z37.0,Z3A.27,10E0XZZ

Question 20

The patient is admitted in labor at term.After lab work is completed,it is noted that the patient has a UTI and appears to be preeclamptic.The patient goes on to vaginally deliver a healthy baby boy.

A)O23.42,O14.93,Z37.0,Z3A.38,10E0XZZ
B)O23.23,O14.93,Z3A.38,Z38.00,10E0XZZ
C)O23.43,O14.93,Z3A.38,Z37.0,10E0XZZ
D)O23.33,O14.03,Z3A.38,Z38.00,10E0XZZ

Question 21

The organs of the female reproductive system include the ovaries,fallopian tubes,uterus,vagina,and cervix.

Question 22

A woman pregnant at 43 weeks is still considered to be a term pregnancy.

Question 23

In ICD-10-CM,the final character indicates the episode of care.

Question 24

Match the following terms with the correct definition.
a.Young obstetric patient
b.Antepartum
c.Primigravida
d.Puerperium
e.Gravid
f.Elderly OB patient
Before delivery

Question 25

Match the following terms with the correct definition.
a.Young obstetric patient
b.Antepartum
c.Primigravida
d.Puerperium
e.Gravid
f.Elderly OB patient
Pregnant

Question 26

Match the following terms with the correct definition.
a.Young obstetric patient
b.Antepartum
c.Primigravida
d.Puerperium
e.Gravid
f.Elderly OB patient
The period of time from delivery through the first 6 weeks postpartum

Question 27

Match the following terms with the correct definition.
a.Young obstetric patient
b.Antepartum
c.Primigravida
d.Puerperium
e.Gravid
f.Elderly OB patient
35 or older at date of delivery

Question 28

What is tested for in a female's urine sample to confirm that she is pregnant?

Question 29

In ICD-10-CM,there are seventh characters to specify the fetus affected by the obstetric condition.

Question 30

In ICD-10-CM,the diagnosis used for an elective abortion comes from the pregnancy chapter.

Question 31

Coding a normal pregnancy requires only three diagnostic codes and one or more procedure codes.

Question 32

ICD-10-CM does NOT have separate categories for high-risk pregnant individuals.

Question 33

What does it mean when a pregnant woman is called primigravida?

Question 34

If code O80 is assigned,other codes in the O00-O9A range should also be assigned,if applicable.

Question 35

What does postpartum mean?

Question 36

When a cesarean delivery is performed,the principal diagnosis should correspond to the reason the cesarean delivery was performed unless the reason for admission was unrelated to the condition resulting in the cesarean delivery.

Question 37

Match the following terms with the correct definition.
a.Young obstetric patient
b.Antepartum
c.Primigravida
d.Puerperium
e.Gravid
f.Elderly OB patient
Younger than 16 at date of delivery

Question 38

In referring to a pregnant woman,what does antepartum mean?

Question 39

Match the following terms with the correct definition.
a.Young obstetric patient
b.Antepartum
c.Primigravida
d.Puerperium
e.Gravid
f.Elderly OB patient
First pregnancy

Question 40

When a vaginal delivery occurs,the principal diagnosis should correspond to the main circumstance or complication of the delivery.

Question 41

Lupus nephritis in second trimester of pregnancy (20 weeks): __________

Question 42

Acute gonococcal cervicitis in the second trimester of pregnancy (26 weeks): __________

Question 43

Suppressed lactation postpartum: __________

Question 44

Mother with mastitis due to nursing.Delivered 8 days ago: __________

Question 45

A 40-week primigravida patient comes to the hospital in labor.Labor progresses,and she delivers a normal 7.6-pound infant.An episiotomy is performed and repaired.The patient had a UTI during the fourth month of pregnancy that was treated with antibiotics.She suffered from hyperemesis gravidarum early in the pregnancy.She is discharged on day 2 with no complaints.What codes are applicable? __________

Question 46

What is the Index term if the condition is affecting the pregnancy?

Question 47

What happens in a molar pregnancy?

Question 48

What is the Index term if the condition is affecting the labor?

Question 49

Missed abortion: __________

Question 50

What is an ectopic pregnancy?

Question 51

Early separation of placenta third trimester (38 weeks) delivered a single liveborn via vaginal delivery: __________

Question 52

Cephalopelvic disproportion as cause of obstruction delivered single term (40 weeks) liveborn via classical C-section this admit: __________

Question 53

A patient delivered 1 week before admission.She now presents to the ER with SOB and chest pain.CT confirms small pulmonary embolism.Physician documents postpartum pulmonary embolism.Patient is treated with anticoagulants for this blood clot and is discharged in stable condition.What codes are applicable? __________

Question 54

Patient comes to the hospital at 39 weeks with convulsions;baby is taken emergently by low cervical C-section: __________

Question 55

Severe antepartum deep thrombophlebitis of the right calf at 25 weeks: __________

Question 56

Gestational edema,second trimester antepartum (25 weeks): __________