2024-2025 Complicated Pregnancy Disorders (PEARLS) (Smarty PANCE) with Answers (64 Solved Questions)

2024-2025 Complicated Pregnancy Disorders offers a collection of past exams to help you prepare effectively.

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Complicated Pregnancy
(PEARLS) Smarty PANCE
100% VERIFIED ANSWERS
2024/2025 CORRECT
What is the most likely disorder in a bleeding pregnant patient with an extremely
elevated beta HCG?
Gestational Trophoblastic Disease
Premature separation of the placenta from the uterine wall?
Abruptio placentae
Surgical incision of the abdominal wall and uterus to deliver a fetus
Cesarean section (C-section)
Failure of cervical dilation and fetal descent (difficult labor)
Dystocia
Rh incompatibility
If a mother is Rh- and the baby is Rh+, then the mother may develop antibodies against
the infant's blood
What does a snow storm pattern on US likely represent?
Gestational Trophoblastic Disease
What is the most likely disorder in a bleeding pregnant patient with a suboptimal
rise in beta HCG?
Abortion
What do a lecithin to sphingomyelin ratio > 2:1 and the presence of the
pulmonary surfactant phosphatidylglycerol represent?
Fetal lung maturity
List 4 antihypertensive drugs used in pregnancy
Alpha-methyldopa - Hydralazine - beta blockers - Calcium channel blockers
Risk factors for shoulder dystocia?
Fetal Macrosomia - Diabetic mother - Maternal obesity - Postdate pregnancy
What is McRobert's Maneuver?
Used to manage shoulder dystocia during delivery of the infant. Maternal legs are
removed from stirrups and sharply flexed upon the abdomen.
When is APGAR score assessed?
At 1 min and 5 min after birth (Normal score is 7-10 - Score of < 7 needs to be
evaluated further)
What are the 5 APGAR assessments in the newborn?
Activity (muscle tone) - Pulse - Grimace (reflex irritability) - Appearance (skin color) -
Respirations
What medication is used for seizure prophylaxis in preeclampsia and seizure
treatment in eclampsia?
Magnesium
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