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Ch 6 Beckmann OB/GYN
A 22-year old primigravida pt who is aprox. 3 months pregnant expresses concern that she has not felt the baby move yet. She should be informed that "quickening" generally occurs at how many weeks of gestation? - ANS>18-20 weeks Congestion and a bluish color of the vagina in early pregnancy is called a: Stoppard sign b: Newman sign c: Hegar sign d: Chadwick sign - ANS>d) Chadwick sign A softening of the cervix on physical exam in early pregnancy is referred to as a: Stoppard sign b: Newman sign c: Hegar sign d: Chadwick sign - ANS>c) Hegar sign
Fetal heart tones in a normal, viable pregnancy may routinely be heard by simple, nonelectrically amplified auscultation at or beyong how many weeks of gestational age? - ANS>18-20 weeks Commonly used electronic Doppler devices will usually detect fetal heart tones initially at approximately how many weeks of gestation - ANS> A 21-year old pt whose last menstrual period started 3 weeks ago calls the doctors office because she is concerned that she might be pregnant. She should be informed that home urine pregnancy test typically become positive aprox how many weeks after following the first day of last menstrual period? - ANS> A 30-year old pt with h/o ectopic pregnancy present with 5 weeks of amenorrhea and a positive home pregnancy test. Intrauterine pregnancy is generally detectable by transvaginal ultrasonography when the beta HCG concentration is greater than - ANS>1,000-2,000 mIU/mL "Normal" pregnancy lasts 40 weeks from the first day of the last menstrual period with a margin of error of how many weeks? - ANS> A women comes in for her initial prenatal visit and wants to know her estimated date of delivery. Her last menstrual period began January 14.
An abnormal contraction stress test includes which of the following fetal heart rate findings? - ANS>Decreases in response to a uterine contraction A biophysical profile in which there is one of more episodes of fetal breathing in 30 minutes, three or more discrete movements in 30 minutes, opening/cling of the fetal hand, a nonreactive nonstress test, and no pockets of amniotic fluid greater than 1 cm would have a totals score of: - ANS> Exclusive of the fetal heart rate reactivity, which of the following elements of the biophysical profile is generally considered most important? a: Fetal breathing b: Qualitative amniotic fluid volume c: Fetal tone d: Gross body movement - ANS>b) Qualitative amniotic fluid volume Repetitive decelerations following each contraction when three contractions occur in a 10-minute window is generally an indication of a: fetal well-being b: nonreassuring fetal status c: increased placental blood flow
d: reduced amniotic fluid - ANS>b) nonreassuring fetal status At how many weeks of gestational age does phopholipid production increase, resulting in a positive phosphatidyloglcyerol test? - ANS> In counseling a patient about activities during antepartum period, which of the following is generally contraindicated? - ANS>Supine exercises A 20-year old pregnant pt requests information about food cravings in pregnancy. She should be informed that PICA is often associated with the following? - ANS>Anemia At the initial prenatal visit, 30-year-old primigravida women asks about traveling for business purposes. Which of the following recommendations is appropriated? - ANS>Avoid extended periods of inactivity (r/f DVT) FDA Category X for Pregnancy - ANS>Adequate studies have demonstrated positive evidence of fetal risk; Highest risk; studies have shown significant risk to mother and fetus (ex: castor oil (Purge) A 24-year old pregnant women asks about the used of medications given prior to pregnancy by her other physician. Which FDA pregnancy
d: in the fundus - ANS>b) on the right side What condition should all pregnant women be tested? - ANS>HIV Supplemental folic acid is recommended for women attempting to conceive in order to prevent what condition? - ANS>Neural tube defect Which symptoms in a 23-year old multiparous patient at 32 weeks of gestation suggests that testing for fetal well-being is indicated? - ANS>Decreased fetal movement External cephalic version is appropriate in which of the following clinical setting at 38 weeks of gestation? - ANS>Breech presentation Ultrasound measurement of nuchal translucency improves the diagnosis of which of the following a: Gastroschisis b: Polycystic kidneys c: Sickle cell disease d: Turner syndrome - ANS>d) Turner syndrome At what gestational age should screening for gestational DM be performed in a routine pregnancy? - ANS>24-28 weeks
The screening test routinely ordered last in normal pregnancy? - ANS>Group B streptococcus Which aspect of amniotic fluid is used in calculating the score in performing a bipphysical profile? - ANS>Volume What is the most common teratogen of which the fetus is exposed? - ANS>Alcohol
