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Thromboembolic Disease

What has led to a decrease in the frequency of venous thromboembolism in the puerperium?

a. Anticoagulation

b. Early ambulation

c. Decrease in cesarean deliveries

d. Sequential compression devices

What percentage of pregnancy-related deaths are due to pulmonary embolism?

a. 9%

b. 15%

c. 25%

d. 30%

Which of the following statements is accurate regarding the timing of venous thrombosis?

a. Deep-vein thrombosis is more common during the antepartum period.

b. An equal number occur during the antepartum period and puerperium.

c. Pulmonary embolism is more common in the first 6 weeks postpartum.

d. All of the above

All except which of the following is an aspect of Virchow’s triad?

a. Stasis

b. Local trauma

c. Immobilization

d. Hypercoagulability

Which of the following pregnancy-related factors contributes to an increased risk for venous thromboembolism?

a. Enhanced synthesis of clotting factors

b. Endothelial cell injury during delivery

c. Compression of the pelvic veins and inferior vena cava

d. All of the above

A 33-year-old G4P5 presents to the hospital on POD #15 from a cesarean delivery due to a twin gestation complaining of right lower extremity swelling. She reports the swelling started 2 days ago but has not improved with leg elevation. She reports she had a blood clot in her left leg 10 years ago. The only medication she is taking is iron because her hemoglobin was 8 mg/dL on discharge. Which of the following risk factors for venous thromboembolism is most important in pregnancy?

a. Anemia

b. Cesarean delivery

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