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51 Cards in this Set
- Front
- Back
Q100. why is supplemental vitamin K given to newborns?
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A100. b/c of their fetal liver immaturity in the immediate newborn
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Q101. what is the change in serum bicarb levels during pregnancy?
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A101. significantly lower
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Q102. the umbilical blood flow represents about what percent of the combined output of both fetal ventricles?
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A102. 0.4
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Q103. the fetal kidney forms urine at what rate?
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A103. 400 - 1200 mL/day
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Q104. in the later half of pregnancy, umbilical blood flow is what?
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A104. 300 mL/mg/minute
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Q105. what is the normal constant fetal heart rate?
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A105. 120 - 180 bmp
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Q106. maternal diastolic BP and Mean Arterial volume nadir when?
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A106. 16 - 20 weeks
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Q107. an increase in breast volume of what percent is common in pregnancy?
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A107. 25 - 50%
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Q108. Definition:; the patient's initial perception of fetal movement; at how many weeks gestation is it normally felt?
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A108. Quickening; felt at 20 weeks
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Q109. Definition:; congestion and a bluish color of the vagina
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A109. Chadwick sign
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Q110. Definition:; a softening of the cervix on physical exam
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A110. Hegar sign
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Q111. when are fetal heart tones in a normal pregnancy hear by simple auscultation?
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A111. 18 - 20 weeks
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Q112. commonly used electronic Doppler devices will detect fetal heart tones at how many weeks?
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A112. 12 weeks gestation
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Q113. home urine preg tests become positive approx how many weeks following the first day of the last menstrural period?
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A113. 4 weeks
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Q114. how high should progesterone be for a viable uterine pregnancy?
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A114. > 25 ng/mL
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Q115. intrauterine pregnancy is detectable by transvaginal US when the beta-HCG is greater then what?
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A115. 1000 - 2000 mIU/mL
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Q116. in what percent of pregnant women is rubella titer positive?
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A116. 0.85
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Q117. specific screening for treponema is required following what positive test?
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A117. Rapid Plasma reagin
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Q118. when can maternal alpha-fetoprotein testing be done?
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A118. 15 - 18 weeks
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Q119. in a normal singleton pregnancy, from approx 16 - 18 weeks gestation until 36 weeks, the fundal height in cm is equal to what?
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A119. the number of weeks gestational age
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Q120. what is the prescribed recommendation for weight gain during pregnancy?
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A120. 25 - 35 pounds
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Q121. Definition:; when the patient reports a change in the shape of her abdomen and that the baby has gotten less heavy
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A121. Lightening
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Q122. what is the direct result of "lightening"?
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A122. decreased fundal height
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Q123. a breech presentation occurs in what percent of deliveries?
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A123. 0.035
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Q124. estimation of gestional age by US is least accurate at what time during pregnancy?
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A124. 36 - 38 weeks
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Q125. what is the normal fetal heart rate at term?
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A125. 120 - 160 bpm
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Q126. a reactive nonstress test is characterized by a fetal heart rate increase of how many beats per minute?
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A126. 15
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Q127. what is an abnormal contraction stress test?
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A127. fetal heart rate decreases in response to uterine contraction
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Q128. what is the number of contractions in a ten minute window that must occur for a contraction stress test to be measurable?
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A128. 3
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Q129. a biophysical profile in which there is one or more episodes of fetal breathing in 30 min, 3 or more descrete movements in 30 min, opening/closing of the fetal hand, a nonreactive nonstress test and no pockets of amnioticfluid greater then 1 cm would have a total score of what?
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A129. 6
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Q130. exclusive of the fetal HR reactivity, what is the biophysical profile considered most important?
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A130. qualitative amniotic fluid volume
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Q131. repetative decelerations following each contraction when three contractions occur in a 10-min window is an indication of what?
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A131. nonreassuring fetal status
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Q132. tests of fetal lung maturity are generally used when delivery of a fetus is contemplated at a gestational age of less then how many weeks?
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A132. 36
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Q133. at how many weeks does phospholipid production increase resulting in a positive phosphatidyl-glycerol test?
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A133. 32 - 33 weeks
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Q134. during a normal pregnancy, the patient should be encouraged to engage in non-weight-bearing activity at what interval?
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A134. three times a week
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Q135. in pregnancy, psyllium hydrophilic mucilloid is used to manage what?
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A135. constipation
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Q136. because of the position of the fetus, round ligament pain is more pronounced where?
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A136. on the right side
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Q137. which Pregnancy Risk Factor indicates that human controlled studies do not exist?
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A137. PRF B
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Q138. which Pregnancy Risk Factor means that the drug should only be given if the benefits outweigh the risks?
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A138. PRF C
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Q139. which Pregnancy Risk Factor means that there is evidence that the fetus is at risk?
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A139. PRF D
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Q140. which Pregnancy Risk Factor indicates that animal and human studies demonstrate fetal abnormalities, such that the risk outweighs any possible benefit?
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A140. PRF X
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Q141. Definition:; progressive effacement and dilation of the cervix, resulting from rhythmic contractions of the uterine musculature
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A141. Labor
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Q142. Definition:; Uterine contractions without cervical dilation
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A142. False Labor; (Braxton-Hicks contractions)
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Q143. what is "bloody show" associated with at term?
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A143. extrusion of endocervical gland mucous
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Q144. lower abdominal and groin pain are usually assoc with what type of labor?
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A144. False labor
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Q145. Definition:; the descent of the fetal head into the pelvis and the changing contour of the abdomen late in pregnancy
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A145. Lightening
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Q146. what is the definition od "fetal lie"?
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A146. relationship of the long axis of the fetus with the maternal long axis
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Q147. what is the "Presentation" determined by?
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A147. portion of the fetus lowest in the birth canal
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Q148. what is "Position" defined as?
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A148. relationship of the fetal presenting part of the right and left side of the pelvis
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Q149. the descent of the presenting part is identified by which Leopold maneuver?
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A149. Third maneuver
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Q150. the location of the small parts is determined by which Leopold maneuver?
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A150. Second maneuver
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