Deck 36: Complications of Pregnancy

Question 1

The Paramedic's physical examination of the pregnant patient focuses on bleeding.

Answer 1

True

Question 2

Premature separation of a normally implanted placenta from the uterine wall is known as placenta ____.

A) hemorrhage
B) abruption
C) previa
D) accreta

Answer 2

abruption

Question 3

____ is a surgical procedure wherein the cervix is sewn shut until the baby comes to term.

A) Culdocentesis
B) Amniocentesis
C) Episiotomy
D) Cerclage

Answer 3

Cerclage

Question 4

A pregnancy that implants outside the uterus is called a(n) ____ pregnancy.

A) incomplete
B) ectopic
C) antepartum
D) molar

Question 5

Both maternal antepartal transport and steroids have been shown to decrease neonatal morbidity and mortality.

Question 6

Uterine malformation is thought to be a congenital anomaly that occurs in approximately seven percent of the female population.

Question 7

Treatment for a molar pregnancy is evacuation of the uterine contents, sometimes combined with chemotherapy.

Question 8

Placenta ____ occurs when the placenta is implanted in the uterine wall such that it partially or completely covers the internal os, the opening of the uterus at the cervix.

A) accreta
B) previa
C) abruption
D) disruption

Question 9

____ abortion is defined as a pregnancy that ends before 20 weeks' gestation.

A) Complete
B) Missed
C) Spontaneous
D) Threatened

Question 10

Second trimester bleeding is more common than first trimester bleeding.

Question 11

Complete abortion is expulsion of all products of conception.

Question 12

Some women with a molar pregnancy go on to develop ____ after the molar pregnancy is removed, which can be thought of as an abnormal tissue growth that can develop into cancer.

A) didelphys
B) gestational trophoblastic disease
C) hydatidiform moles
D) HELLP syndrome

Question 13

The leading cause of infant mortality (birth to one year of life) is congenital malformations.

Question 14

The incidence of ectopic pregnancy is as high as three in 50 pregnancies.

Question 15

Approximately ____ of pregnant women experience some vaginal bleeding, other than spotting.

A) 10%
B) 20%
C) 30%
D) 40%

Question 16

Hematoma formation occurs between the placenta and the ____ of the uterine wall in placental abruption.

A) decidua basalis
B) accreta
C) increta
D) myometrium

Question 17

Most uterine ruptures occur during labor, and over 90% are associated with a(n) ____.

A) previous uterine scar
B) antepartum hemorrhage
C) placental detachment
D) hydatidiform mole

Question 18

All cases of placental abruption present with vaginal bleeding.

Question 19

Infection is the most common cause of second trimester bleeding.

Question 20

In some women, a mass of grape-like tissue forms in the uterus instead of a placenta, known as a(n) ____.

A) hydatidiform mole
B) dysplastic nervi
C) angioma mole
D) congenital nevi

Question 21

If the patient has a ____, a small amount of pinkish or brown-tinged mucous discharge, it may be an indication of imminent delivery.

A) quickening
B) bloody show
C) rupture of waters
D) polyhydramnios hemorrhage

Question 22

The mechanism of injury in about 60% of blunt trauma cases in pregnancy is a ____.

A) rape
B) fall
C) domestic violence incident
D) motor vehicle collision

Question 23

Up to ____ of patients with premature rupture of membranes will go into labor within 24 hours.

A) 80%
B) 90%
C) 99%
D) 100%

Question 24

Around ____ of preterm births take place between 32 and 36 weeks' gestation, resulting in minimal fetal or neonatal morbidity in most cases.

A) 65%
B) 75%
C) 85%
D) 95%

Question 25

When a cervix is weak and unable to contain the products of conception, it is called a(n) ____________________.

Question 26

The combination of maternal hypertension, with bloody vaginal discharge, is suggestive of ____.

A) placental abruption
B) molar pregnancy
C) gestational trophoblastic disease
D) scotomata

Question 27

A(n) ____________________ is the death of the embryo or fetus before 20 weeks' gestation with no loss of any of the products of conception.

Question 28

A patient with suspected placental abruption should be placed in the ____ position.

A) prone
B) Fowler's
C) left lateral
D) supine

Question 29

The definition of ____________________ is uterine contractions resulting in cervical change prior to 37 weeks' gestation.

Question 30

____ are used to suppress labor and prevent premature delivery.

A) SSRIs
B) Cholinergic agonists
C) Tocolytic agents
D) Chelating agents

Question 31

HELLP stands for ____, Elevated Liver enzymes, and Low Platelet count syndrome.

A) Hypertension
B) Hemolytic anemia
C) Hypoxia
D) Hemorrhage

Question 32

With ____________________ some, but not all, of the products of conception are passed.

Question 33

____ is based on a triad of nondependent edema, proteinuria, and hypertension.

A) Polyhydramnios
B) Preeclampsia
C) Gestational diabetes
D) Scotoma

Question 34

____ is the termed used for excessive amniotic fluid.

A) Scotomata
B) Tocolysis
C) Toxemia
D) Polyhydramnios

Question 35

Bleeding before delivery is known as ____________________.