Surgery>>>>>Gynecology
Question 4#

Pregnancy-related surgical conditions include all of the following EXCEPT:

A) Trauma-related hypovolemia may be compounded by pregnancy-induced decreases in systemic vascular resistance
B) Gastric motility is decreased, leading to increased risk of aspiration
C) Increased likelihood of thromboembolic events due to increase in several coagulation factors induced by pregnancy
D) Fetal autoregulation of blood pressure during all three trimesters of pregnancy

Correct Answer is D

Comment:

Trauma-related hypovolemia may be compounded by pregnancy-induced decreases in systemic vascular resistance. Gastric motility is decreased, increasing the risk of aspiration. Several coagulation factors are also increased in pregnancy, increasing the likelihood for thromboembolic events. It should also be recognized that the fetus will be impacted significantly by maternal hypotension, as blood may be shunted away from the uterus. Only the third-trimester fetus has any ability to autoregulate in the context of decreased uterine blood flow and oxygen delivery.