Quiz: How to perform an evidence-based cesarean

Cesarean section is the most commonly performed surgical procedure in the US. This quiz goes over some of the important takeaways on the issues covered in Drs. Eric A. Strand and Shelby M. Dickison's article, Cesarean sections - based on the evidence (April, 2018).

QUESTION 1

Correct answer: B. 1.3 million

Approximately 1/3 of all deliveries are by cesarean section.

QUESTION 2

Correct answer: D. 10

Surgical site infections can add significantly to a patient’s cost of care.

QUESTION 3

Correct answer: B. False

A 2016 randomized trial found significantly lower rates in the CHG group versus the PI group.

QUESTION 4

Correct answer: A. Cefazolin

Cefazolin is a first-generation cephalosporin. A combination of clindamycin and an aminoglycoside can be used for women with significant penicillin allergies.QUESTION 5

Correct answer: D. All of the above

The Joel-Cohen skin incision has also been shown to reduce postoperative pain medication requirements.Question 6

Correct answer: B. Women who wish to consider a future trial of labor after cesarean delivery

Single-layer closures increase the risk for uterine rupture during a future trial of labor, so the authors recommend double-layer closure in women who wish to consider vaginal delivery in the future.

QUESTION 7

Correct answer: C. Increased risk of infection

Although more study is needed, it appears that closure of the parietal peritoneum may play a role in adhesion prevention, as may use of adhesion barrier products.