ALSO Retake Exam Question and Answers [100% Correct] 2025 Latest Version!!
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ALSO
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ALSO
ALSO Retake Exam Question and
Answers [100% Correct] 2025 Latest
Version!!
A 26-year-old woman (gravida 2, para 1) at 9 weeks' gestation, based on her last menstrual period, visits
the Emergency Department due to heavy vaginal bleeding that started two hours ago. She denies any
sexual act...
ALSO Retake Exam Question and
Answers [100% Correct] 2025 Latest
Version!!
A 26-year-old woman (gravida 2, para 1) at 9 weeks' gestation, based on her last menstrual period, visits
the Emergency Department due to heavy vaginal bleeding that started two hours ago. She denies any
sexual activity in the past week. Her vital signs are stable. A quantitative serum hCG test shows a level of
3200 mIU/mL, and a transvaginal ultrasound reveals a 30mm gestational sac without an embryo. She
reports no passage of tissue, and a speculum examination shows a closed cervix. In discussing her
treatment options, which of the following is true?
Medical management using misoprostol is more effective than expectant management.
Which condition contraindicates the use of methotrexate for managing an ectopic pregnancy?
The presence of embryonic cardiac activity.
A 19-year-old woman, pregnant with her first child and at about 40 weeks' gestation, comes to the
hospital with painful contractions but has not received prenatal care. Upon examination, the cervix is 4
cm dilated, 80% effaced, and at station -1. Her blood pressure is 164/111 mm Hg, and a urine dipstick
shows 3+ protein. She reports experiencing severe headaches for the past three days and swelling in her
hands and feet. Shortly after blood is drawn and IV access is obtained, she has a generalized tonic-clonic
seizure. What should be done immediately?
Administer 6 grams of magnesium sulfate IV over 15-20 minutes.
A 29-year-old woman (gravida 3, para 2) at 28 weeks' gestation is diagnosed with a pulmonary embolism
but remains hemodynamically stable. When discussing anticoagulation therapy, what is recommended
by the 2012 American College of Chest Physicians Guidelines?
Low-molecular-weight heparin.
According to the NICHD Fetal Heart Rate Classification System, which category indicates the need for
immediate evaluation and intervention due to its abnormal nature and potential for impaired fetal acid-
base status?
Category III electronic fetal monitoring tracing.
1
, When can a cesarean section be considered due to failed induction in a first-time mother during labor?
If, after six hours of maximum oxytocin dosing with ruptured membranes, there is inadequate
contraction progress or failure to progress beyond 7 cm dilation.
What defines an occiput posterior position in fetal presentation?
The fetal occiput is positioned toward the maternal spine.
Which statement about multiple pregnancies is false?
Congenital anomalies are less common in multiple gestations.
A 32-year-old woman (gravida 2, para 1) at 40 6/7 weeks' gestation has been fully dilated for four hours
and has been pushing for two hours. She is exhausted, both physically and emotionally. When discussing
the option of an assisted vaginal delivery, what is a key requirement?
There should be no suspicion of significant cephalopelvic disproportion.
What is a risk factor for shoulder dystocia during pregnancy?
Maternal obesity.
In the event of shoulder dystocia during delivery, why is accurate documentation important?
It should include the time from delivery of the fetal head to the full birth of the baby.
Postpartum hemorrhage is a common and increasing complication in high-resource countries. What is
the leading cause of postpartum hemorrhage?
Uterine atony.
A 36-year-old woman (gravida 6, para 5) with chronic hypertension, controlled with labetalol, has a
spontaneous vaginal delivery. After the placenta is delivered, there is significant vaginal bleeding. Which
uterotonic agent is not recommended in her case for postpartum hemorrhage?
Methylergonovine 0.2 mg IM.
2
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