Exam 22: Pregnancy, childbirth, and the Puerperium

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What is the Index term if the condition is affecting the pregnancy?

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Pregnancy

ICD-10-CM does NOT have separate categories for high-risk pregnant individuals.

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A patient at 12 weeks is admitted for a therapeutic abortion due to a chromosome abnormality in the fetus.A D&C is performed,resulting in a complete abortion.Her postoperative course is complicated by shock due to acute blood loss secondary to hemorrhage with resulting anemia.

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A

What is an ectopic pregnancy?

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What does postpartum mean?

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Cephalopelvic disproportion as cause of obstruction delivered single-term (40 weeks)liveborn via classical C-section this admit: __________

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Coding a normal pregnancy requires only three diagnostic codes and one or more procedure codes.

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A patient is an elderly multigravida at 39 weeks who has come in for trial labor following previous cesarean.The patient has been taking iron for iron deficiency anemia and is obese.Labor progresses,but fetal decelerations require repeat LTCS.On day 2,the patient develops a fever and is treated with antibiotics for endometritis.

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The patient is admitted in labor at 38 weeks.She labors for 24 hours,when it is noted that the baby is in fetal distress.The patient is taken to the OR for an emergency C-section (LTCS).She delivers a healthy baby.

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The patient is admitted to the hospital in preterm labor.She is 27 weeks pregnant.Terbutaline is administered,and the patient remains on bed rest.In the third week of bed rest,her water breaks,and she is taken to the delivery room.She vaginally delivers a baby girl.

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A patient delivered 1 week before admission.She now presents to the ER with SOB and chest pain.CT confirms small pulmonary embolism.Physician documents postpartum pulmonary embolism.Patient is treated with anticoagulants for this blood clot and is discharged in stable condition.What codes are applicable? __________

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The process of milk production is ______________________.

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Ectopic pregnancies occur in 1 in ____ pregnancies.

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A 40-week primigravida patient comes to the hospital in labor.Labor progresses,and she delivers a normal 7.6-pound infant.An episiotomy is performed and repaired.The patient had a UTI during the fourth month of pregnancy that was treated with antibiotics.She suffered from hyperemesis gravidarum early in the pregnancy.She is discharged on day 2 with no complaints.What codes are applicable? __________

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Missed abortion: __________

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What is the Index term if the condition is affecting the labor?

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A pregnancy in which the egg is implanted outside the cavity of the uterus is an __________ pregnancy.

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Acute gonococcal cervicitis in the second trimester of pregnancy (26 weeks): __________

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A gravid patient at 11 weeks presents for a routine prenatal visit.This patient had preeclampsia in her previous pregnancy,and the physician documents high-risk pregnancy.She has blood work done on this visit and is found to be anemic.The physician prescribes an iron supplement.

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If code O80 is assigned,other codes in the O00-O9A range should also be assigned,if applicable.

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