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Obstetrical Analgesia and Anesthesia

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Approximately what percentage of maternal deaths are attributable to anesthetic complications?

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a. 1.2%

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b. 2.4%

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c. 3.6%

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d. 4.8%

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Which of the following statements is true regarding the American College of Obstetricians and Gynecologists opinion on which patients should receive anesthesia in labor?

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a. All patients with heart disease

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b. All patients with severe preeclampsia

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c. All patients with gestational diabetes

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d. Any woman who requests it and has no contraindication to its administration

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Which parenteral anesthetic agent has the shortest neonatal half-life?

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a. Morphine

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b. Nalbuphine

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c. Meperidine

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d. Butorphanol

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What is the half-life of meperidine in the newborn?

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a. 4 hr

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b. 9 hr

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c. 13 hr

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d. 21 hr

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What percentage of newborns will need naloxone treatment in the delivery room if their mother has received meperidine in labor?

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a. 1%

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b. 3%

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c. 5%

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d. 10%

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Which patient should not receive naloxone while in labor?

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a. A patient with severe preeclampsia

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b. A patient with respiratory depression

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c. A newborn of a narcotic-addicted mother

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d. A patient who has just received intravenous morphine

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What is the direct cause of most maternal deaths involving regional anesthesia?

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a. Drug reaction

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