Author Question: An indication for a mediolateral episiotomy would be a woman who: a. has had a previous midline ... (Read 87 times)

daltonest1984 · **on:** Jun 27, 2018

An indication for a mediolateral episiotomy would be a woman who:

a. has had a previous midline episiotomy.
b. has a short perineum.
c. is delivering a preterm infant.
d. has a history of rapid deliveries.

Question 2

A laboratory finding indicative of disseminated intravascular coagulation (DIC) is:

a. Decreased fibrinogen.
b. Increased platelets.
c. Increased hematocrit.
d. Decreased thromboplastin time.

miss.ashley · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
A woman who has a short perineum may experience extension of a midline episiotomy into the rectum. A mediolateral episiotomy does not extend into the rectum.

Answer to Question 2

A
DIC develops when the blood-clotting factor thromboplastin is released into the maternal bloodstream as a result of placental bleeding. Thromboplastin activates widespread clotting, which uses the available fibrinogen, resulting in a decreased fibrinogen level.
The platelet count will decrease.
The hematocrit may decrease if bleeding is pronounced.
The thromboplastin time is prolonged.