Maternity and Newborn Quiz

This was a 29 year old female for live vaginal birth at 39 weeks gestation. Normal course of labor with membranes ruptured artificially at 5cm. Following the AROM the labor progressed nicely with natural birth plan and delivered spontaneously of live female intact over intact perineum.

Select the correct Diagnoses for this case:

This was a 29 year old female for live vaginal birth at 39 weeks gestation. Normal course of labor with membranes ruptured artificially at 5cm. Following the AROM the labor progressed nicely with natural birth plan and delivered spontaneously of live female intact over intact perineum.

Select the correct Procedures for this case:

This was a 21 one year old female with oligohydramnios at 38 weeks gestation. Patient has a hx of asthma and uses inhaler. The patient present to L&D with complaints of leaking fluid with no contractions. Fern test + for amniotic fluid.  Mom is GBS+ with antibiotic treatment antepartum.  Labor started and patient progressed, and after cervical dilation the patients labor stalled with inadequate contractions.  Fetal monitor showed good fetal heart rate but decreased fetal movement, and  failed attempts for induction of contractions. The decision  was made to perform low approach cesarean section.  Live birth baby boy apgar 8,9 7lbs 9 oz.  the patient had post partum anemia treated with iron supplement.

Select the correct Diagnoses for this case:

This is a 32 year old female admitted to L&D at 39 weeks gestation. She is in active labor with membranes rupture spontaneously at 3 cm dilation. The patient is status post tummy tuck 8 years ago with strong family history of heart failure and diabetes type II.  Patient had episodes of short  mild decelerations. Patient ready to push at 10 cm dilation and after 1 hour of active pushing delivers a 9 lb 10 oz baby boy with cord around the neck no compression.  Delivered over an intact perineum.

Select the correct Diagnosis for this case:

This is a 32 year old female admitted to L&D at 39 weeks gestation. She is in active labor with membranes rupture spontaneously at 3 cm dilation. The patient is status post tummy tuck 8 years ago with strong family history of heart failure and diabetes type II.  Mild heart decelerations when pushing. Patient ready to push at 10 cm dilation and after 1 hour of active pushing delivers a 9 lb 10 oz baby boy with cord around the neck no compression.  Delivered over an intact perineum.

Select the correct Diagnosis codes below:

This is a 32 year old female admitted to L&D at 39 weeks gestation. She is in active labor with membranes rupture spontaneously at 3 cm dilation. The patient is status post tummy tuck 8 years ago with strong family history of heart failure and diabetes type II.  Mild heart decelerations when pushing. Patient ready to push at 10 cm dilation and after 1 hour of active pushing delivers a 9 lb 10 oz baby boy with cord around the neck no compression.  Delivered over an intact perineum.

Select the correct Procedure codes below:

This was a 25 year old female that is admitted to L&D at 38 weeks,  in labor,  water broke when her contractions started, which are now 2 minutes apart.  On exam  the patient is 9 cm dilated and   feels she is ready to push. The patient delivers   a live baby girl, apgar 9/9 spontaneously over an intact perineum , with large shoulders resulting in  a second degree laceration. The left side  Perineum muscle laceration  was  repaired  under local anesthesia with 3 absorbable sutures.

Select the correct Diagnosis codes below:

This was a 25 year old female that is admitted to L&D at 38 weeks,  in labor,  water broke when her contractions started, which are now 2 minutes apart.  On exam  the patient is 9 cm dilated and   feels she is ready to push. The patient delivers a live baby girl, apgar 9/9 spontaneously over an intact perineum , with large shoulders resulting in  a second degree laceration. The left side  Perineum muscle laceration  was  repaired  under local anesthesia with 3 absorbable sutures.

Select the correct Procedure codes below:

This is a 38 year old female admitted at 38 weeks  from the OB clinic for a new onset of  pregnancy induced hypertension. Labs showed no significant proteinuria. Past surgical history of appendectomy and C-section x2.  Patient with antepartum complications of gestational diabetes, diet controlled  with Blood sugar controlled on admission. Will monitor finger sticks for sliding scale insulin coverage if needed. Blood sugar remined controlled thru the hospital stay. Labor essentially uneventful except for late decelerations of the fetal heart rate with contractions. Fetal heart rate monitoring stable up thru vaginal delivery.  Patient is for V-BAC, and has moderate risk factors. The labor was uneventful with a live male infant delivered over intact perineum.

Select the correct Diagnosis codes:

This is a 38 year old female admitted at 38 weeks  from the OB clinic for a new onset of  pregnancy induced hypertension. Labs showed no significant proteinuria. Past surgical history of appendectomy and C-section x2.  Patient with antepartum complications of gestational diabetes, diet controlled  with Blood sugar controlled on admission. Will monitor finger sticks for sliding scale insulin coverage if needed. Blood sugar remined controlled thru the hospital stay. Labor essentially uneventful except for late decelerations of the fetal heart rate with contractions. Fetal heart rate monitoring stable up thru vaginal delivery.  Patient is for V-BAC, and has moderate risk factors. The labor was uneventful with a live male infant delivered over intact perineum.

Select the correct Procedure codes:

Vaginally delivered live born female infant full term. Small skin tags noted over bilateral  Delivery resulting in Caput succedaneum.  Newborn immunizations and hearing screen performed.  Baby to be seen in pediatric clinic in 3 days.

Select the correct Diagnosis codes below:

Vaginally delivered live born female infant full term. Small skin tags noted over bilateral  Delivery resulting in Caput succedaneum.  Newborn immunizations and hearing screen performed.  Baby to be seen in pediatric clinic in 3 days.

Select the correct Procedure codes below:

Live vaginal delivered male infant full term. Skin peeling on palms. Delivery by vacuum assist resulting in  significant cephalhematoma.  Newborn immunizations and hearing screen performed.  Baby to be seen in pediatric clinic in 3 days.

Select the Diagnosis codes below:

Live vaginal delivered male infant full term. Skin peeling on palms. Delivery by vacuum assist resulting in  significant cephalhematoma.  Newborn immunizations and hearing screen performed.  Baby to be seen in pediatric clinic in 3 days.

Select the Procedure codes below:

Live born male infant delivered via c-section. Normal newborn course with good oral intake and normal ear exam. Newborn immunizations given. Circumcision on hospital day 2.  Newborn discharge exam showing small tongue tie, with referral given to mom for ENT clinic. Follow up in three days in pediatric clinic.

Select the correct Diagnosis codes below:

Live born male infant delivered via c-section. Normal newborn course with good oral intake and normal ear exam. Newborn immunizations given. Circumcision on hospital day 2.  Newborn discharge exam showing small tongue tie, with referral given to mom for ENT clinic. Follow up in three days in pediatric clinic.

Select the correct Procedure codes below: