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Author Question: Which is a reason a low transverse (Kerr) incision is made during a cesarean section? a. Bladder ... (Read 173 times)

ashley

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on: Jul 18, 2018
Which is a reason a low transverse (Kerr) incision is made during a cesarean section?
 
  a. Bladder is not dissected off the uterus
  b. Low anterior placenta is present
  c. Cervical cancer is diagnosed
  d. Less chance of rupture in future pregnancies

Question 2

Define cervical incompetence.
 
  a. Early painless dilation and effacement of cervix
  b. Any pregnancy involving a prior cesarean section
  c. Any pregnancy with previous elective termination of pregnancy
  d. Early diagnosed ectopic pregnancy


matt

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Reply #1 on: Jul 18, 2018
Answer to Question 1

ANS: D
When using a Kerr incision, the bladder is dissected off the uterus and retracted gently downward. The lower uterine segment is entered through a low horizontal curvilinear incision. This approach causes less intraoperative blood loss and decreased chance of rupture with subsequent pregnancies. Some patients will be able to have vaginal deliveries in future pregnancies.

Answer to Question 2

ANS: A
Patients with cervical incompetence are seen with painless dilation and effacement of the cervix during the second trimester and may have a history of previous preterm rupture or spontaneous abortion.


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