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ALL APGO UWISE Exam Questions with 100% Correct Answers | Latest Version (2024/2025) Expert Verified $18.99   Add to cart

Exam (elaborations)

ALL APGO UWISE Exam Questions with 100% Correct Answers | Latest Version (2024/2025) Expert Verified

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  • APGO UWISE

ALL APGO UWISE Exam Questions with 100% Correct Answers | Latest Version (2024/2025) Expert Verified

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  • November 6, 2024
  • 813
  • 2024/2025
  • Exam (elaborations)
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  • APGO UWISE
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ALL APGO UWISE Exam Questions with 100%
Correct Answers | Latest Version (2024/2025)
Expert Verified

Ai32-year-
oldiG1P0iwomanicomesitoiyouriofficeiforiherifirstiprenatalicareivisit.iShei
hasirecentlyireadianiarticleiaboutitheirisingiCesareanisectionirateiinithei
UnitediStatesiandiasksiyouiaboutitheirateiiniyourihospital.iWhatidoiyouie
xplainiasitheimajoricauseiofihigheriCesareanideliveryirates?


A.iTheirateiofibreechipresentationsihasiincreased
i


B.iLessiwomeniareihavingivaginalibirthsiafteriCesarean
i


C.iObstetricians'ireluctanceitoiperformiforcepsidelivery
i


D.iIncreasedirateiofifetalimacrosomiaidueitoiuncontrolledigestationalidi
i

abetes
iE.iRateiofitwinsihasiincreasedi-iCorrectiAnswer-
B.iTheirateiofivaginalibirthiafteriCesareani(VBAC)ihasidecreasediinirecent
iyearsidueitoistudiesithatishowedianiincreasediriskioficomplications,iesp

eciallyiuterineirupture.iThisiisioneifactorithatihasileditoitheiincreasediCes
areanisectionirate.iIniaddition,ialthoughitheirateiofibreechipresentationi
isistable,ithereiareisignificantlyifeweriobstetriciansiwhoiareiwillingitoipe
rformivaginalibreechideliveries.iManyiobstetriciansidoinotiperformiinstr
umentalivaginalideliveries,isuchiasiforcepsiandivacuumiextractions,ifurt
hericontributingitoitheirisingirate.iGestationalidiabetesiisiaiwell-
knownipregnancyicomplicationiwithicleariclinicaliguidelines.

,Ai23-year-
oldiG1P0iwomaniati40iweeksigestationipresentsitoilaboriandideliveryiwi
thicontractions.iAti10:00iam,ihericervicaliexamiisi2icentimetersidilated,i7
0%ieffacedianditheivertexiati0istation.iClinicalipelvimetryirevealsianiade
quateipelvisiandimembranesiareiintact.iTheifetusiisiiniaicephalicipresent
ationiandiEFWiisi3500igms.iContractionsiareioccurringieveryi3-
4iminutes,ibasedionitheiexternalimonitor.iHerilaborislowlyiprogressesia
nd,iati1:00ipm,itheipatientihasispontaneousiruptureiofimembranes.iFeta
lisurveillanceiremainsireassuring.iHericervicaliexamiisi5icentimetersidilat
ed,i100%ieffaced,iandi0istation.iAti4:00ipm,itheipatient'sicervicaliexamiis
iunchanged.iContractionsiareioccurringieveryi5-

6iminutes.iWhichiofitheifollowingiisitheimostiappropriateinextistepiinith
eimanagementiofithisipatient?


A.iPerformiaibiophysicaliprofile
i


B.iHaveitheipatientiambulate
i


iC.iConsentitheipatientiforiaiCesareanisectionisecondaryitoi-
iCorrectiAnswer-E.




Ai34-year-
oldiG2P1iwomaniati40iweeksigestation,iwithiaihistoryiofioneipriorivagin
alidelivery,istronglyidesiresianiinductioniofilabor,iasisheiisiunableitoislee
pisecondaryitoisevereibackipain.iHericervicaliexamiisiclosed,i20%ieffaced
iandi-

2istation.iTheicervixiisifirmiandiposterior.iWhichiofitheifollowingiisitheim
ostiappropriateinextistepiinitheimanagementiofithisipatient?
A.iWaitiuntili42iweeksiforiinduction
i

,B.iAdministericytotec
i


C.iInsertiaifoleyibulbiinitheicervix
i


D.iPerformiartificialiruptureiofimembranes
i


iE.iPerformiaiCesareanideliveryi-iCorrectiAnswer-
B.iTheipatientiisimultiparousiatitermiandiwaitingiuntilisheireachesi42iwe
eksimayiincreaseitheiriskiofiperinatalimortality.iSinceisheiisiuncomforta
bleiwithibackipain,iitiisireasonableitoiinduceilabor.iHericervixiisiunfavora
ble;itherefore,icytoteciadministrationiisiappropriateiprioritoipitociniind
uction.iAifoleyibulbioriartificialiruptureiofimembranesicannotibeiachieve
diiniaipatientiwithiaiclosedicervix.iAtithisitime,ithereiareinoiindicationsito
iperformiaiCesareanideliveryiinithisipatient.




Ai22-year-oldiG1P0iwomaniati39-
weeksigestationipresentsiiniactiveilabor.iHeripregnancyiisicomplicatedib
yidieticontrolledigestationalidiabetes.iSheihasiaihistoryiofiuterineifibroid
s.iOniexamination,isheiisifounditoibei4icmidilatediinibreechipresentation
.iAniultrasoundiconfirmsitheibreechipresentation,iamnioticifluidiindexiisi
5,ianditheiestimatedifetaliweightiisi3900ig.iWhichiofitheifollowingiisithei
mostilikelyicauseiofitheibreechipresentationiinithisipatient?
A.iGestationalidiabetes
i


B.iUterineifibroids
i


C.iOligohydramnios
i


D.iMacrosomia
i


E.iGravidityi-iCorrectiAnswer-
i

B.iPrematurity,imultipleigestation,igeneticidisorders,ipolyhydramnios,ih
ydrocephaly,ianencephaly,iplacentaiprevia,iuterineianomaliesiandiuteri
neifibroidsiareialliassociatediwithibreechipresentation.

, Ai20-year-
oldiG1iwomaniati40iweeksigestationipresentsitoilaboriandideliveryicom
plainingiofipainfulicontractionsieveryi3-
4iminutesisinceimidnight.iHeriexaminationioniadmissioniwasi2icentimet
ersidilated,i90%ieffacediandi0istation.iThreeihoursilater,iheriexamiisiunc
hanged.iTheipatientiisistillihavingicontractionsieveryi3-
4iminutes.iSheiisidiscouragediaboutiherilackiofiprogress.iWhichiofitheifol
lowingiisitheimostiappropriateinextistepiinitheimanagementiofithisipatie
nt?
A.iLaminariaiplacement
i


B.iArtificialiruptureiofimembranes
i


C.iCounselingiaboutilatentiphaseiofilaboriandirest
i


D.iManualicervicalidilation
i


E.iCesareanisectioniforiarrestiofilabori-iCorrectiAnswer-
i

C.iTheipatientiisiinitheilatentiphaseiofilaboriandihasinotiyetireacheditheia
ctiveiphasei(moreithani4icm).iAiprolongedilatentiphaseiisidefinediasi>20i
hoursiforinulliparasiandi>14ihoursiforimultiparas,iandimayibeitreatediwi
thirestioriaugmentationiofilabor.iArtificialiruptureiofimembranesiisinotir
ecommendediinitheilatentiphaseiasiitiplacesitheipatientiatiincreasediriski
ofiinfection.iCervicalidilationiorilaminariaiplacementiareinotiindicated.


Ai29-year-
oldiG1P0iwomaniati28iweeksigestationiwhoiisitheiwifeiofibasketballiplay
eriisidiagnosediwithigestationalidiabetes.iHerimotherihadiaideliveryicom
plicatedibyishoulderidystociaiandisheiisiconcernediaboutiheriownirisk.iW
hichiofitheifollowingiisiheribiggestiriskifactoriforishoulderidystocia?

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