Today’s Quiz 12/5/22 Leave a Comment / Blog / By obgninja /2 Preterm Prelabor Rupture of Membranes Z5 PPROM 1 / 2 1. Q9 PPROM A woman presents at 30 weeks gestation with preterm prelabor membrane rupture. She is not in labor. She receives injection Betamethasone 2 doses, 24 hours apart. She is discharged home and is called for routine follow up after 5 days. On her follow up visit, her white blood count is found to be high. What could be a possible reason for the raised white cell count? She is afebrile. A. Steroid administration causing rise in WBC count B. Possible infection C. Routine rise in WBC count after 5 days of PPROM The white cell count will rise 24 hours following administration of corticosteroids and should return to baseline 3 days following administration of steroids. Given her history of PPROM, this patient should be investigated for infection. 2 / 2 2. Q10 PPROM Which of the following should be used to diagnose clinical infection a woman with PPROM at 31 week gestation? ( Select ALL that apply) A. CRP B. White cell count C. Maternal pulse rate D. Maternal Blood Pressure E. Maternal white cell count F. Maternal general condition When cared for as an inpatient, women with PPROM should have their vital signs, including pulse, blood pressure, respiratory rate and temperature, recorded on an obstetric early warning chart. A combination of clinical assessment (pulse, blood pressure, temperature and symptoms), maternal blood tests (C-reactive protein and white cell count) and fetal heart rate using cardiotocography, should be employed to diagnose clinical infection. Your score is The average score is 53% Facebook Twitter Restart quiz
