ALSO PRE TEST 2024|25 | 55+ ACTUAL QUESTIONS AND ANSWERS | GRADED A+| NEW DEAL !!!
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ALSO PRE TEST 2024|25 | 55+ ACTUAL QUESTIONS AND ANSWERS | GRADED A+| NEW DEAL !!!
1. A 26 year-old gravida 2 para 1 female at 9 weeks' estimated gestational age (by last normal menstrual period) presents to the Emergency Department complaining of heavy vaginal bleeding which began two hours...
1. A 26 year-old gravida 2 para 1 female at 9 weeks' estimated gestational
age (by last normal menstrual period) presents to the Emergency Department
complaining of heavy vaginal bleeding which began two hours earlier. She
denies having any sexual intercourse in the past seven days. Her vital signs
are stable. A quantitative serum hCG returns at a value of 3200 mIU/mL and
a transvaginal ultrasound reveals a mean gestational sac diameter of 30mm
and no embryo. She reports passing no tissue and a speculum examination
reveals the cervix is visually closed. In counseling the patient about her
options, which of the following statements is true?: ÿMedical management with
misoprostol is more effective than expectant management Correct
2. Which of the following is a contraindication for medical management of an
ectopic pregnancy with methotrexate?: Presence of embryonic cardiac activity
Correct
3. A 19-yo primigravida at approximately 40 weeks' estimated gestational age
comes to the hospital with painful contractions. She has received no prenatal
care. Examination: Cervix is 4 cm dilated and 80% effaced at station -1. Blood
pressure is 164/111 mm Hg, and a urine dipstick shows 3+ protein. She reports
having had severe headaches for three days and has noticed swelling in her
hands and feet. Moments after her blood is drawn and IV access is obtained,
she has a generalized tonic-clonic seizure. Which of the following is the
most appropriate immediate course of action?: Administer magnesium sulfate
six grams IV over 15-20 minutes Correct
4. A 29 year-old gravida 3 para 2 female at 28 weeks' estimated gestational
age is found to have a pulmonary embolus. She is hemodynamically stable
and you are discussing therapeutic anticoagulation with her. According to
the 2012 American College of Chest Physicians Guidelines, the treatment
of choice for venous thromboembolism in pregnancy is which one of the
following?: Low-molecular weight heparin Correct
5. According to the NICHD Fetal Heart Rate Classification System, which
category tracing requires prompt evaluation and expedient interventions to
address the pattern (as the tracing in this category is considered abnormal
and predictive of abnormal fetal acid-base status at the time of observation)?-
: Category III electronic fetal monitoring tracing Correct
6. A cesarean delivery may be considered due to failed induction after arrest
1/8
, of labor in which of the following primiparous labor scenarios?: After maximum
oxytocin dosing for six hours with ruptured membranes, there is failure to generate
adequate contractions or progress at 7 cm Correct
7. Which of the following defines an occiput posterior position?: Fetal occiput
toward the maternal spine Correct
2/8
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