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Critical Care and Trauma

Which of the following statements is true of obstetrical patients who require intensive care?

a. The highest use is before delivery.

b. The associated mortality rate can reach 10%.

c. Pulmonary embolus is the most common indication for intensive care.

d. All of the above

Which of the following is the most common complication in pregnancy that leads to an intensive care unit admission?

a. Sepsis

b. Hemorrhage

c. Pulmonary embolus

d. Hypertensive disease

All EXCEPT which of the following monitoring modalities should be routinely used when transporting a critically ill obstetrical patient to another hospital for care?

a. Electrocardiography

b. Regular vital signs

c. Tocodynamic monitoring

d. Continuous pulse oximetry

Which of the following physiological changes is typical of pregnancy?

a. Colloid oncotic pressure increases.

b. Systemic vascular resistance decreases.

c. Pulmonary vascular resistance increases.

d. Left ventricular stroke work index decreases.

Which of the following statements is true of pulmonary artery catheter monitoring in the acutely ill gravida?

a. It has been shown to improve survival.

b. It is essential for the care of patients with severe preeclampsia.

c. Its use in critically ill obstetrical patients is of limited value.

d. It aids in the management of patients with low injury-severity scores.

Which of the following is least likely to contribute to the development of noncardiogenic pulmonary edema in the obstetrical patient?

a. Sepsis syndrome

b. Magnesium sulfate administration


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