Covid 19 And Pregnancy

1. Do preoxygenation with 100% oxygen during induction of general anesthesia

True

False

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

Explanation

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

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

True

False

True statement

Explanation

True statement

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

True

False

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

Explanation

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

4. Most covid positive pregnant are asymptomatic or have mild symptoms

True

False

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

Explanation

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

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

True

False

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

Explanation

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

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

True

False

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

Explanation

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

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

True

False

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

Explanation

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

8. Avoid positive pressure bag mask ventilation

True

False

True statement except in assisting spontaneous respiratory efforts

Explanation

True statement except in assisting spontaneous respiratory efforts

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

True

False

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

Explanation

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

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

True

False

Highest risk during doffing of PPE only

Explanation

Highest risk during doffing of PPE only

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

True

False

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

Explanation

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

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

True

False

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

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