Obgyn Ch 5 Antepartum Care

Front 1

Which of the following is NOT an early sign of pregnancy?

Back 1

Urinary retention

Front 2

Quickening (patient's initial perception of fetal movement) is generally first felt by how many weeks of gestation?

Back 2

20 weeks

Front 3

A positive pregnancy test may be associated with

Back 3

All of the above (spontaneous abortion, intrauterine pregnancy, ectopic pregnancy, trophoblastic disease)

Front 4

Congestion and a bluish color of the vagina is called

Back 4

Chadwick sign

Front 5

A softening of the cervix on physical examination is referred to as

Back 5

Hegar sign

Front 6

Fetal heart tones in a normal, viable pregnancy may routinely be heard by simple auscultation at or beyond how many week' gestational age?

Back 6

18 to 20 weeks

Front 7

Commonly used electronic Doppler devices will detect fetal heart tones at approximately how many weeks of gestation?

Back 7

12 weeks

Front 8

Most urine pregnancy tests typically become positive approximately how many weeks following the first day of the last normal menstrual period?

Back 8

4 weeks

Front 9

A serum progesterone level of >25 ng/mL is usually consistent with

Back 9

viable intrauterine pregnancy

Front 10

Intrauterine pregnancy is generally detectable by transvaginal ultrasonography when the beta-human chorionic gonadotropin concentration is greater than

Back 10

1,000 to 2,000 mIU/mL

Front 11

Which of the following tests is done as part of routine prenatal care?

Back 11

All of the above (blood group/Rh, antibody screen, complete blood count)

Front 12

In approximately what percent of pregnant women is rubella titer positive?

Back 12

85%

Front 13

Specific screening for treponema is required following a positive

Back 13

rapid plasma reagin

Front 14

Maternal serum alpha-fetoprotein testing is best done at

Back 14

15 to 18 weeks

Front 15

"Normal" pregnancy lasts 40 weeks from the first day of the last menstrual period with a margin of error of how many weeks?

Back 15

2 weeks

Front 16

The fertilization age or conception age is how many weeks less than the menstrual or gestational age?

Back 16

2 weeks

Front 17

Data from wheich of the following is NOT used in the final determination of the expected date of delivery?

Back 17

Maternal alpha-protein level

Front 18

In a normal singleton pregnancy, from approximately 16 to 18 weeks' gestation until approximately 36 weeks' gestation, the fundal height in centimeters is roughly equal to

Back 18

the number of weeks' gestational age

Front 19

The generally prescribed recommendation for weight gain during pregnancy is

Back 19

25 to 35 pounds

Front 20

Which of the following is a direct result of "lightening"?

Back 20

Decreased fundal height

Front 21

A cephalic presentation occurs in what percentage of deliveries?

Back 21

95%

Front 22

A breech presentation occurs in what percentage of deliveries?

Back 22

3.5%

Front 23

A shoulder presentation occurs in what percentage of deliveries?

Back 23

1%

Front 24

Estimation of gestational age by ultrasound is least accurate at which of the following times during pregnancy?

Back 24

36 to 38 weeks

Front 25

The normal fetal heart rate at term is

Back 25

120 to 160

Front 26

A reactive nonstress test is characterized by a fetal heart rate increase of how many beats per minute?

Back 26

15 beats per minute

Front 27

Which of the following statements correctly describes an abnormal contraction stress test?

Back 27

Fetal heart rate decreases in response to a uterine contraction

Front 28

The number of contractions in a 10-minute window that must occur for a contraction stress test to be measurable is

Back 28

3 contractions

Front 29

A biophysical profile in which there is one or more episodes of fetal breathing in 30 minutes, three or more descrete movements in 30 minutes, opening/closing of the fetal hand, a nonreactive nonstress test, and no pockets of amniotic fluid greater than 1 cm would have a total score of

Back 29

6

Front 30

Exclusive of the fetal heart rate reactivity, which of the following elements of the biophysical profile is generally considered most important?

Back 30

Qualitative amniotic fluid volume

Front 31

Repetitive deceleratioins following each contraction when three contractions occur in a 10-minute window is generally an indication of

Back 31

nonreassuring fetal status

Front 32

Further evaluation of fetal well-being should follow which answer to the question, "Is your baby moving more, less, or the same this week compared to last week"?

Back 32

moving less

Front 33

Tests of fetal lung maturity are generally used when delivery of a fetus is contemplated at a gestational age of less than how many weeks?

Back 33

36 weeks

Front 34

At how many weeks' gestatinoal age does phospholipid production increase, resulting in a positive phosphatidylglycerol test?

Back 34

32 to 33 weeks

Front 35

What percent of correctly performed positive tests of fetal lung maturity are associated with a subsequent development of respiratory distress syndrome?

Back 35

2%

Front 36

Which of the following activities is CONTRAINDICATED during pregnancy?

Back 36

Supine exercises

Front 37

During a normal pregnancy, the patient should be encouraged to engage in non-weight-bearing activity at what interval?

Back 37

Three times a week

Front 38

Which of the following information is NOT included in antepartum infant feeding (breast feeding, bottle feeding) counseling?

Back 38

Breast feeding is inferior in nutritional value to other methods

Front 39

Which of the following is NOT included in the list of "high risk" situations for which sexual activity is generally proscribed?

Back 39

Uterine leiomyoma

Front 40

"Physiologic" constipation in pregnancy is NOT associated with

Back 40

decreased blood flow to the gut

Front 41

Which of the following statements about low back pain in pregnancy is INCORRECT?

Back 41

Platform shoes can readjust the center of gravity reducing the severity of low back pain

Front 42

In pregnancy, psyllium hydrophilic mucilloid is useful in the management of

Back 42

constipation

Front 43

Because of the posistion of the fetus, round ligament pain is often more pronounced

Back 43

on the right side

Front 44

The neonatal mortality rate is

Back 44

the number of neonatal deaths per 1,000 live births

Front 45

The maternal mortality rate is

Back 45

the number of deaths in pregnant women per 100,000 live births

Front 46

PRF (pregnancy risk factor) A suggests that the risk of fetal harm is

Back 46

remote

Front 47

PRF (pregnancy risk factor) B indicates that human controlled studies

Back 47

do not exist

Front 48

PRF (pregnancy risk factor) C means that

Back 48

the drug should only be given if the potential benefits outweigh the risks

Front 49

PRF (pregnancy risk factor) D suggests what type of evidence exists for human fetal risk?

Back 49

Positive evidence for human fetal risk

Front 50

PRF X carries what important clinical implication?

Back 50

Animal-reproduction and human studies demonstrate fetal abnormalities such that the risk of use of drugs in this PRF in pregnant women clearly outweighs any possible benefit

Front 51

Factors to be considered in the selection of medications during pregnancy include

Back 51

all of the above (whether the drug is contraindicated in pregnancy, drug interactions, physiologic parameters such as renal or hepatic function)

Front 52

Which pregnancy risk factor category is characterized by the presence of human studies hwere there is no demonstrable fetal risk during pregnancy?

Back 52

A