Answers to the CME Quiz for "Trauma in Pregnancy" by Haywood L. Brown, MD (Obstet Gynecol 2009;114[1])

1. In the United States, major trauma occurs in approximately what percent of pregnancies?

D. 5%

2. In the United States, the most common cause of injury-related maternal death is:

C. Motor vehicle accidents

3. In the United States, what percent of trauma-associated hospital admissions during pregnancy end in delivery?

E. 38%

4. The most common cause of trauma-related fetal death is:

B. Placental abruption

5. When the homicide rates for white and black women are compared, the rate for black women is:

E. Three times higher than for whites

6. When a pregnant women is unrestrained during an automobile accident, the risk of perinatal death is increased approximately:

E. Fivefold

7. When the uterus is directly involved with a gunshot injury, the rate of fetal death may be as high as:

E. 70%

8. Gross or microscopic hematuria in a pregnant trauma patient suggests:

B. Pelvic fracture

9. The recommended minimal time for monitoring fetal status after a traumatic event is:

B. 4 hours

10. Fetal outcome from perimortem cesarean delivery as measured by intact survival is best if delivery is accomplished within how many minutes of maternal arrest?

A. 5 minutes

ACCME Accreditation: The American College of Obstetricians and Gynecologists (ACOG) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. (Continuing medical education credit for "Trauma in Pregnancy" will be available through July 2012.)

AMA PRA Category 1 Credit^TM and ACOG Cognate Credit: The American College of Obstetricians and Gynecologists (ACOG) designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits^TM or up to a maximum of 2 Category 1 ACOG cognate credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Statement: Current guidelines state that continuing medical education (CME) providers must ensure that CME activities are free from the control of any commercial interest. All authors, reviewers, and contributors have disclosed to ACOG all relevant financial relationships with any commercial interests. The authors, reviewers, and contributors declare that neither they nor any business associate nor any member of their immediate families has financial interest or other relationships with any manufacturer of products or any providers of services discussed in this program. Any conflicts have been resolved through group and outside review of all content.

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