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Vaginal Delivery

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Compared with cesarean delivery, spontaneous vaginal delivery has lower associated rates of which of the following?

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a. Hemorrhage

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b. Maternal infection

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c. Anesthesia-related complications

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d. All of the above

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In 2006, a National Institutes of Health (NIH) State-of-the-Science Conference summarized the associations between stress urinary incontinence and delivery route. Which of the following reflects their findings?

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a. There is no pelvic floor protection from cesarean delivery.

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b. The pelvic floor receives substantive durable protection from cesarean delivery.

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c. The duration of pelvic floor protection from cesarean delivery is clearly defined.

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d. The evidence implicating vaginal delivery as the main putative agent in stress urinary incontinence and other pelvic floor disorders is weak and fails to favor either delivery route.

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Antibiotic prophylaxis against infective endocarditis is recommended if the mother has which of the following?

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a. Mitral valve prolapse

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b. Cyanotic heart disease

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c. Prosthetic heart valve

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d. B and C

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Regarding patient positioning during second-stage labor, which of the following is true?

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a. Dorsal lithotomy position is the most widely used.

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b. The legs should not be strapped, and this allows quick flexion of the thighs should shoulder dystocia develop.

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c. Within the leg holder, the popliteal region should rest comfortably in the proximal portion and the heel in the distal portion.

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d. All of the above

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At the end of second-stage labor, the most likely position of the fetal occiput at the time of perineal distention is which of the following?

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a. Occiput anterior

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b. Occiput posterior

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c. Occiput transverse, anterior asynclitic

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d. Occiput transverse, posterior asynclitic

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