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Vaginal Delivery

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

a. Hemorrhage

b. Maternal infection

c. Anesthesia-related complications

d. All of the above

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?

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

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

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

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.

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

a. Mitral valve prolapse

b. Cyanotic heart disease

c. Prosthetic heart valve

d. B and C

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

a. Dorsal lithotomy position is the most widely used.

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

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

d. All of the above

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?

a. Occiput anterior

b. Occiput posterior

c. Occiput transverse, anterior asynclitic

d. Occiput transverse, posterior asynclitic

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