Inpatient OB Certification || with Error-free Solutions

Pain during the first stage of labor is caused by a. cervical and lower uterine segment stretching and traction on ovaries, fallopian tubes, and uterine ligaments. b. pressure on the urethra, bladder, and rectum by the descending fetal presenting part c. uterine muscle hypoxia, lactic acid accumulation, and distention of the pelvic floor muscles. correct answers a. cervical and lower uterine segment stretching and traction on ovaries, fallopian tubes, and uterine ligaments. A class of antihypertensive drugs that should be avoided in pregnancy is: a. ACE inhibitors b. adrenergic blocking agents c. calcium channel blockers correct answers a. ACE inhibitors Gestational diabetes places a woman at increased risk of: a. a birth with a congenital defect b. oligohydramnios with resultant fetal growth restriction c. overt diabetes in later life correct answers Overt diabetes in later life A sign of symptom that indicates a progression of preeclampsia to eclampsia and warrants a consideration for delivery is: a. epigastric pain b. nausea or vomiting c. persistent proteinuria correct answers epigastric pain A predisposing factor for preeclampsia is: a. nulliparity b. obesity prior to pregnancy c. previous history of preeclampsia correct answers A, B, and C A women is receiving magnesium sulfate. A sign that the magnesium sulfate is reaching a toxic level is: a. decreased appetite b. difficulty in swallowing c. slurring of speech correct answers Slurring of the speech A positive ankle clonus that occurs with preeclampsia is usually a result of a. cerebral edema b. decreased colloid osmotic pressure