Deck 22: Pregnancy, childbirth, and the Puerperium

Question 1

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 1

A

Question 2

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

Answer 2

C

Question 3

A woman is admitted at 20 weeks for insertion of a laminaria for termination of pregnancy.She delivers a liveborn fetus.

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

Answer 3

D

Question 4

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 endometritis.

A)O76,Z37.0,O34.211,O99.02,D50.9,O99.214,O86.12,O09.523,E66.9,Z3A.39,10D00Z
B)Z37.0,O76,O34.212,O99.02,D50.9,649.11,E66.9,O86.12,Z3A.39,10D00Z1
C)O34.211,O76,Z37.0,O99.02,O99.214,O86.12,Z3A.39,10D00Z1
D)O76,O34.219,O99.02,D50.9,O99.214,O86.12,Z3A.39,10D00Z1

Question 5

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 postoperative 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 6

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 7

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 8

A 38-week primigravida spontaneously delivers a small for gestational age (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 9

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

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

Question 10

Molar pregnancies occur in 1 in ____ pregnancies.

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

Question 11

Ectopic pregnancies occur in 1 in ____ pregnancies.

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

Question 12

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

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

Question 13

Patient is admitted to the hospital 3 weeks postpartum.She is having pain in her right calf 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 14

A pregnant woman at 39 weeks presents to the hospital for delivery of known quadruplets.She is taken to the operating room for a low transverse cesarean section (LTCS).As the babies are delivered,it is discovered that fetus number 1 has died in utero.

A)O30.203,O36.4xx1,Z3A.39,Z37.62,1ODOOZ1
B)O30.209,O36.4xx0,Z3A.39,Z37.52,1ODOOZ1
C)O30.203,O36.4xx1,Z3A.39,Z37.52,1ODOOZ1
D)O30.209,O36.4xx2,Z3A.39,Z37.62,1ODOOZ1

Question 15

What drug could be given to inhibit labor?

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

Question 16

What drug could be given to induce labor?

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

Question 17

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

Question 18

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 19

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 20

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 21

A type of abortion with fetal demise before 20 weeks but no products of conception are expelled is a(n)______________ abortion.

Question 22

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

Question 23

A term that means before delivery is _____________________.

Question 24

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

Question 25

MATCHING
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 26

MATCHING
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

The process of milk production is ______________________.

Question 28

MATCHING
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 29

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

Question 30

MATCHING
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 31

MATCHING
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 32

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

Question 33

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

Question 34

MATCHING
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 35

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

Question 36

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

Question 37

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 38

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

Question 39

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

Question 40

A pregnancy in which the egg is implanted outside the cavity of the uterus is an __________ pregnancy.

Question 41

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

Question 42

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

Question 43

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 44

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

Question 45

What happens in a molar pregnancy?

Question 46

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

Question 47

Missed abortion: __________

Question 48

Suppressed lactation postpartum: __________

Question 49

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

Question 50

What does postpartum mean?

Question 51

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

Question 52

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

Question 53

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

Question 54

What is an ectopic pregnancy?

Question 55

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

Question 56

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

Question 57

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

Question 58

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? __________