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Category: Obstetrics & Gynecology--->Ethical and Legal Issues in Obstetrics and Gynecology
Page: 1

Question 1# Print Question

Which of the following is not a requirement for hospitals according to the Federal Patient Self-Determination Act? 

A. To provide all adults with information about their right to accept or refuse treatment in the event of life-threatening conditions
B. To state the institution’s policy on advanced directives
C. To prohibit discrimination in care provided to a patient on the basis of the patient’s advanced directive
D. To require donation of organs after death
E. To allow patients to decide who has the right to make decisions for them

Question 2# Print Question

A 31-year-old G3P3 Jehovah’s Witness begins to bleed heavily 2 days after a cesarean delivery. She refuses blood transfusion, and says that she would rather die than receive any blood or blood products. You personally feel that you cannot do anything and watch her die.

Appropriate actions that you can take under these circumstances include which of the following? 

A. Tell the patient to find another physician who will care for her
B. Transfuse her forcibly
C. Only provide supportive care
D. Obtain a court order for a blood transfusion
E. Have the patient’s husband sign a release to forcibly transfuse her

Question 3# Print Question

A physician is being sued for malpractice by the parents of a baby born with cerebral palsy.

Which of the following is not a prerequisite for finding the physician guilty of malpractice?

A. A doctor-patient relationship was established
B. The physician owed a duty to the patient
C. The physician breached a duty to the patient
D. The breach of duty caused damage to the plaintiff
E. The physician failed to give expert care to the patient

Question 4# Print Question

A 27-year-old woman who has previously received no prenatal care presents at term. On ultrasound, she is shown to have a placenta previa, but refuses to have a cesarean delivery under any circumstances.

Important points to consider in her management include which of the following?

A. The obstetrician’s obligation to the supposedly normal fetus supersedes the obligation to the healthy mother
B. The inclusion of several people in this complex situation raises the legal risk to the physician
C. Child abuse statutes require the physician to get a court order to force a cesarean delivery
D. Court-ordered cesarean deliveries have almost always been determined to achieve the best management
E. A hospital ethics committee should be convened to evaluate the situation

Question 5# Print Question

Your 36-year-old patient is admitted to the hospital for induction of labor at 42 weeks’ gestation. She provides the hospital with her living will at the time of her admission. She signed the will 5 years ago, but she says to her nurse that she still wants to abide by the will. She has also signed an organ donor card allowing the harvesting of her organs in the event of her death.

Why is her living will not valid for this hospitalization?

A. In the event that she becomes delirious during labor, she will be unable to change her mind
B. She is pregnant
C. It has been too many years since the signing of the will
D. Signing an organ donor card automatically invalidates a living will
E. Her husband may decide later on that he disagrees with her living will

Category: Obstetrics & Gynecology--->Ethical and Legal Issues in Obstetrics and Gynecology
Page: 1 of 5