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ALL APGO UWISE Exam Questions with 100% Correct Answers | Latest Version (2024/2025) Expert Verified
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ALL APGO UWISE Exam Questions with 100%Correct Answers | Latest Version (2024/2025)
Expert Verified
Ai32-year-
oldiG1P0iwomanicomesitoiyouriofficeiforiherifirstiprenatalicareivisit.iShei
hasirecentlyireadianiarticleiaboutitheirisingiCesareanisectionirateiinithei
UnitediStatesiandiasksiyouiaboutitheirateiiniyourihospital.iWhatidoiyouie
xplainiasitheimajoricauseiofihigheriCesareanideliveryirates?
A.iTheirateiofibreechipresentationsihasiincreased
i
B.iLessiwomeniareihavingivaginalibirthsiafteriCesarean
i
C.iObstetricians'ireluctanceitoiperformiforcepsidelivery
i
D.iIncreasedirateiofifetalimacrosomiaidueitoiuncontrolledigestationalidi
i
abetes
iE.iRateiofitwinsihasiincreasedi-iCorrectiAnswer-
B.iTheirateiofivaginalibirthiafteriCesareani(VBAC)ihasidecreasediinirecent
iyearsidueitoistudiesithatishowedianiincreasediriskioficomplications,iesp
eciallyiuterineirupture.iThisiisioneifactorithatihasileditoitheiincreasediCes
areanisectionirate.iIniaddition,ialthoughitheirateiofibreechipresentationi
isistable,ithereiareisignificantlyifeweriobstetriciansiwhoiareiwillingitoipe
rformivaginalibreechideliveries.iManyiobstetriciansidoinotiperformiinstr
umentalivaginalideliveries,isuchiasiforcepsiandivacuumiextractions,ifurt
hericontributingitoitheirisingirate.iGestationalidiabetesiisiaiwell-
knownipregnancyicomplicationiwithicleariclinicaliguidelines.
,Ai23-year-
oldiG1P0iwomaniati40iweeksigestationipresentsitoilaboriandideliveryiwi
thicontractions.iAti10:00iam,ihericervicaliexamiisi2icentimetersidilated,i7
0%ieffacedianditheivertexiati0istation.iClinicalipelvimetryirevealsianiade
quateipelvisiandimembranesiareiintact.iTheifetusiisiiniaicephalicipresent
ationiandiEFWiisi3500igms.iContractionsiareioccurringieveryi3-
4iminutes,ibasedionitheiexternalimonitor.iHerilaborislowlyiprogressesia
nd,iati1:00ipm,itheipatientihasispontaneousiruptureiofimembranes.iFeta
lisurveillanceiremainsireassuring.iHericervicaliexamiisi5icentimetersidilat
ed,i100%ieffaced,iandi0istation.iAti4:00ipm,itheipatient'sicervicaliexamiis
iunchanged.iContractionsiareioccurringieveryi5-
6iminutes.iWhichiofitheifollowingiisitheimostiappropriateinextistepiinith
eimanagementiofithisipatient?
A.iPerformiaibiophysicaliprofile
i
B.iHaveitheipatientiambulate
i
iC.iConsentitheipatientiforiaiCesareanisectionisecondaryitoi-
iCorrectiAnswer-E.
Ai34-year-
oldiG2P1iwomaniati40iweeksigestation,iwithiaihistoryiofioneipriorivagin
alidelivery,istronglyidesiresianiinductioniofilabor,iasisheiisiunableitoislee
pisecondaryitoisevereibackipain.iHericervicaliexamiisiclosed,i20%ieffaced
iandi-
2istation.iTheicervixiisifirmiandiposterior.iWhichiofitheifollowingiisitheim
ostiappropriateinextistepiinitheimanagementiofithisipatient?
A.iWaitiuntili42iweeksiforiinduction
i
,B.iAdministericytotec
i
C.iInsertiaifoleyibulbiinitheicervix
i
D.iPerformiartificialiruptureiofimembranes
i
iE.iPerformiaiCesareanideliveryi-iCorrectiAnswer-
B.iTheipatientiisimultiparousiatitermiandiwaitingiuntilisheireachesi42iwe
eksimayiincreaseitheiriskiofiperinatalimortality.iSinceisheiisiuncomforta
bleiwithibackipain,iitiisireasonableitoiinduceilabor.iHericervixiisiunfavora
ble;itherefore,icytoteciadministrationiisiappropriateiprioritoipitociniind
uction.iAifoleyibulbioriartificialiruptureiofimembranesicannotibeiachieve
diiniaipatientiwithiaiclosedicervix.iAtithisitime,ithereiareinoiindicationsito
iperformiaiCesareanideliveryiinithisipatient.
Ai22-year-oldiG1P0iwomaniati39-
weeksigestationipresentsiiniactiveilabor.iHeripregnancyiisicomplicatedib
yidieticontrolledigestationalidiabetes.iSheihasiaihistoryiofiuterineifibroid
s.iOniexamination,isheiisifounditoibei4icmidilatediinibreechipresentation
.iAniultrasoundiconfirmsitheibreechipresentation,iamnioticifluidiindexiisi
5,ianditheiestimatedifetaliweightiisi3900ig.iWhichiofitheifollowingiisithei
mostilikelyicauseiofitheibreechipresentationiinithisipatient?
A.iGestationalidiabetes
i
B.iUterineifibroids
i
C.iOligohydramnios
i
D.iMacrosomia
i
E.iGravidityi-iCorrectiAnswer-
i
B.iPrematurity,imultipleigestation,igeneticidisorders,ipolyhydramnios,ih
ydrocephaly,ianencephaly,iplacentaiprevia,iuterineianomaliesiandiuteri
neifibroidsiareialliassociatediwithibreechipresentation.
, Ai20-year-
oldiG1iwomaniati40iweeksigestationipresentsitoilaboriandideliveryicom
plainingiofipainfulicontractionsieveryi3-
4iminutesisinceimidnight.iHeriexaminationioniadmissioniwasi2icentimet
ersidilated,i90%ieffacediandi0istation.iThreeihoursilater,iheriexamiisiunc
hanged.iTheipatientiisistillihavingicontractionsieveryi3-
4iminutes.iSheiisidiscouragediaboutiherilackiofiprogress.iWhichiofitheifol
lowingiisitheimostiappropriateinextistepiinitheimanagementiofithisipatie
nt?
A.iLaminariaiplacement
i
B.iArtificialiruptureiofimembranes
i
C.iCounselingiaboutilatentiphaseiofilaboriandirest
i
D.iManualicervicalidilation
i
E.iCesareanisectioniforiarrestiofilabori-iCorrectiAnswer-
i
C.iTheipatientiisiinitheilatentiphaseiofilaboriandihasinotiyetireacheditheia
ctiveiphasei(moreithani4icm).iAiprolongedilatentiphaseiisidefinediasi>20i
hoursiforinulliparasiandi>14ihoursiforimultiparas,iandimayibeitreatediwi
thirestioriaugmentationiofilabor.iArtificialiruptureiofimembranesiisinotir
ecommendediinitheilatentiphaseiasiitiplacesitheipatientiatiincreasediriski
ofiinfection.iCervicalidilationiorilaminariaiplacementiareinotiindicated.
Ai29-year-
oldiG1P0iwomaniati28iweeksigestationiwhoiisitheiwifeiofibasketballiplay
eriisidiagnosediwithigestationalidiabetes.iHerimotherihadiaideliveryicom
plicatedibyishoulderidystociaiandisheiisiconcernediaboutiheriownirisk.iW
hichiofitheifollowingiisiheribiggestiriskifactoriforishoulderidystocia?
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