Covid 19 And Pregnancy

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| Written by Joy Ferrer

Joy Ferrer

Community Contributor

Quizzes Created: 2 | Total Attempts: 4,022

Questions: 12 | Attempts: 3,947 | Updated: Mar 22, 2023

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Questions and Answers

1.

Do preoxygenation with 100% oxygen during induction of general anesthesia
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Do preoxygenation with hepa filter and circuit extension to lessen the exposure

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2.

Avoid positive pressure bag mask ventilation
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
True statement except in assisting spontaneous respiratory efforts

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3.

Forceful exhalation during second stage of labor is consider as an aerosolizing procedure
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Currently, ACOG and CDC does not consider it as such but is continuously studying data regarding its potential. However they recommend the use of N95 during vaginal delivery

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4.

Most covid positive pregnant are asymptomatic or have mild symptoms
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Most are asymptomatic or reported only mild symptoms such as fever, cough and fatigue

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5.

Goals for management in covid pregnant patients include decreasing exposure of health care workers and avoiding exacerbation of respiratory status for the patients
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
True statement

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6.

Early epidural placement is undesirable because it can prolonged the labor and lead to an emergency caesarean procedure
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Early epidural is desirable because it decreases postoperative respiratory complications, decreased GA if CS becomes warranted and avoid respiratory symptoms of labor pains

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7.

Risk of transmission to health care workers is highest during donning and doffing of PPE
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Highest risk during doffing of PPE only

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8.

In stat CS under GA, patient is prepped, draped and surgical instruments laid out first simultaneously with preoxygenation prior to securing the airway
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Correct sequence under general anesthesia for covid or non-covid patients

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9.

Consider universal screening with PCR for all pregnant patients even if asymptomatic
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Yes because PCR allows identification of asymptomatic patients and initiate infection control precaution if warranted

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10.

Changes in the hormonal milieu causing increased cytokines offer protection during pregnancy resulting in lesser severity of symptoms
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Immunologic changes in pregnancy favors the Increased anti inflammatory cytokines IL-4 and IL-10 protecting the pregnant patients

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11.

Covid positive mother can transfer the virus to the fetus through the placenta
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Although there are reported cases of covid positive newborns, there is little evidence for vertical transmission

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12.

ARDS is one of the most frequent complication in covid positive pregnant patients
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
It is safe to decrease the tidal volume, decrease the peak pressure

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Covid 19 And Pregnancy

Do preoxygenation with 100% oxygen during induction of general anesthesia

Avoid positive pressure bag mask ventilation

Forceful exhalation during second stage of labor is consider as an aerosolizing procedure

Most covid positive pregnant are asymptomatic or have mild symptoms

Goals for management in covid pregnant patients include decreasing exposure of health care workers and avoiding exacerbation of respiratory status for the patients

Early epidural placement is undesirable because it can prolonged the labor and lead to an emergency caesarean procedure

Risk of transmission to health care workers is highest during donning and doffing of PPE

In stat CS under GA, patient is prepped, draped and surgical instruments laid out first simultaneously with preoxygenation prior to securing the airway

Consider universal screening with PCR for all pregnant patients even if asymptomatic

Changes in the hormonal milieu causing increased cytokines offer protection during pregnancy resulting in lesser severity of symptoms

Covid positive mother can transfer the virus to the fetus through the placenta

ARDS is one of the most frequent complication in covid positive pregnant patients