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Cesarean Delivery and Peripartum Hysterectomy

Of the following indications for primary cesarean delivery, which is least common?

a. Fetal jeopardy

b. Labor dystocia

c. Placenta previa

d. Malpresentation

Which of the following indications for primary cesarean delivery is most inappropriate?

a. Malpresentation

b. Prior cesarean delivery

c. Unknown uterine scar type

d. Early-onset severe preeclampsia

Which of the following is least likely to have contributed to the rising rate of primary cesarean delivery between 1970 and 2009?

a. Abnormal placentation

b. Electronic fetal monitoring

c. Decrease in rates of vaginal birth after cesarean delivery

d. Decrease in vaginal delivery rates for breech presentation

A 34-year-old primigravida at 39 weeks’ gestation undergoes primary cesarean delivery on maternal request. Compared to a woman with a vaginal delivery, which of the following adverse neonatal outcomes is more likely to occur?

a. Infection

b. Birth trauma

c. Respiratory distress syndrome

d. Hypoxic ischemic encephalopathy

Which of the following maternal obstetrical complications is increased with cesarean delivery as compared to vaginal delivery?

a. Infection

b. Hemorrhage

c. Thromboembolism

d. All of the above

A 22-year-old G1 at 39 weeks’ gestation with no prenatal care arrives on labor and delivery in active labor. When completing her delivery consents she declines all blood products due to religious beliefs. Which of the following interventions would be most helpful at this time?

a. Minimize blood draws

b. Erythropoietin administration

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