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Puerperal Complications

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Infection causes what percentage of pregnancy-related deaths?

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a. 1%

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b. 6%

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c. 11%

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d. 22%

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Which of the following is the most significant risk factor for the development of puerperal uterine infection?

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a. Use of epidural

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b. Length of labor

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c. Route of delivery

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d. Number of vaginal examinations

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As a new, young obstetrician-gynecologist, you strive to avoid postcesarean infection in your patients. Which of the following interventions would be most helpful in this pursuit?

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a. Changing scalpels after skin incision

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b. Changing gloves after delivery of the fetal head

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c. Single dose of antibiotics prior to skin incision

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d. Copious irrigation of the abdomen before incision closure

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Which of the following is NOT a risk factor for puerperal pelvic infection?

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a. Obesity

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b. General anesthesia

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c. Advanced maternal age

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d. Meconium-stained amnionic fluid

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Organisms from which group have been implicated in late-onset, indolent metritis?

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a. Chlamydia

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b. Pseudomonas

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c. Clostridium

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d. Staphylococcus

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You are called to the bedside of a 16-year-old primipara who underwent a cesarean delivery 28 hours ago for nonreassuring fetal status. She is complaining of abdominal cramps and chills. She has a fever of 38.7°C and is not tolerating oral intake. During examination, her lungs are clear, and breasts are soft. She does, however, have uterine and parametrial tenderness. Her hematocrit is stable, white blood cell count is 15,000 cells/µL, and urinalysis is unremarkable. Which of the following is the likely diagnosis?

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a. Atelectasis

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b. Postpartum metritis

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