A women at 12 weeks' gestation is informed what to expect during labor and delivery. The patient is diagnosed with spinal cord injury affecting T11. The patient is informed that the following is more likely to occur during birth except:
Answer: 3
Autonomic hyperreflexia concomitant uterine contractions occurs in women with SCIs above T6. SCI above T10, effective uterine contractions are normal; labor progression is expected. Afferent innervation of the uterus arises from T10 to L1. so labor is painless for women with and SCI above T10.
Autonomic hyperreflexia: 自律神経過反射
Innervation: 神経伝達、神経支配
日本の国試ではこういう問題って出ないですよね。北米の試験はなぜか妊婦とか避妊とかあまりPTに関わりがない問題がやたらと多い気が。。。まだテキストのはじめの方だからそういう問題が固まっているのでしょうか。。。
- A painful birth
- Ineffective uterine contractions
- Autonomic hyperreflexia
- Abnormal progression of labor
Answer: 3
Autonomic hyperreflexia concomitant uterine contractions occurs in women with SCIs above T6. SCI above T10, effective uterine contractions are normal; labor progression is expected. Afferent innervation of the uterus arises from T10 to L1. so labor is painless for women with and SCI above T10.
Autonomic hyperreflexia: 自律神経過反射
Innervation: 神経伝達、神経支配
日本の国試ではこういう問題って出ないですよね。北米の試験はなぜか妊婦とか避妊とかあまりPTに関わりがない問題がやたらと多い気が。。。まだテキストのはじめの方だからそういう問題が固まっているのでしょうか。。。