2017 Sarap Flashcards
The main portion of the uterine wall is composed of
muscle fibers
After 12 wks AOG, uterine size related to
mechanical distension
AOG uterus ceases to be a pelvic organ
12 weeks
Results in increased uterine placental blood flow
reduced elastin content
Inversion of the cervix is caused by
marked proliferation of cervical glands
Cervical mucus caused by
progesterone
Violet color of VAGINA
Chadwick’s sign
Hegar’s sign
Softening of the ISTHMUS
Goodell’s sign
Softening of the CERVIX
Average weight gain during pregnancy
27.5
Causes bipedal edema in normal pregnant women
increased venous pressure below level of uterus due to partial aortocaval occlusion
Normal in pregnant patients A. Mild fasting hyperglycemia B. Postprandial hypoglycemia C. Hypoinsulinemia D. Greater suppression of glucagon
D
Ensures steady supply of glucose to fetus
peripheral insulin resistance
Correct regarding protein metabolism
A. low amounts of protein during pregnancy is added to the uterus, breasts, and maternal blood
B.1kg increase in protein all goes to the fetus
C. 1 kg increase in protein: 500 g from fetus and placenta and 500 g to mother
C
T/F Cholesterol is increased in pregnancy
T
T/F A hemoglobin of 10.5 at 32 weeks AOG is normal and iron supplementation is not necessary
F; 11 is considered anemic. All pregnant women needs supplementation
How much iron is needed for normal pregnancy?
1000mg
Amount of blood lost in a normal spontaneous vaginal delivery
500mL
Increased during pregnancy EXCEPT A. T-helper 1 B. T-helper 2 C. CD-8 D. IL4,6,13 E. IgA, IgG
A
Decreased during pregnancy EXCEPT A. T-cytotoxic cell 1 B. CD-4 C. interferon D. TNF-B E. Interleukin 1-B
E
T/F CBC 14,000 leukocyte count is normal
T
Effect of supine position on Cardiac Output
Decrease
Normal cardiac findings EXCEPT A. Inc cardiac silhouette B. severe cardiomegaly C. Mild pericardial effusion D. Straightened Left heart border E. prominence of lateral outflow track
B
Best position a laboring patient can assume for better fetal oxygenation
Left Lateral Recumbent
Pelvic veins and IVC in enlarged uterus may cause the following except A. Hemorrhoids B. Lower Ex. Pitting Edema C. Lower Ex. Varicosities E. Vascular Spiders
E
True in pregnancy A. transverse diameter of thoracic atrium is increased by 2 cm B. Subcostal angle increased C. Thoracic circumference inc by 6cm D. AOTA
D
decreased functional residual capacity is due to
upward displacement of diaphragm
T/F In pregnancy, compensatory decrease in plasma bicarbonate levels resulting in slight increase in blood pH can be observed
T
Date of Consult: 12 Feb 2013 LNMP: 8 Dec 2012 AOG? A. 7 weeks & 1 day B. 8 weeks & 0 days C. 9 weeks & 3 days D. 10 weeks & 6 days
C
- Date of Consult: 12 Feb 2013 LNMP: 8 Dec 2012
EDD?
September 15, 2013
First pregnancy: abortion at 8 weeks AOG Second pregnancy: twins, delivered abdominally at 30 weeks AOG due to malpresentation but only one survived Third: delivered at 39 weeks Is currently pregnant What is the obstetric score?
G4P2 (1,2,1,2)
What is the determining point for vertex presentation? A. occiput B. vertex C. shoulder D. sacrum
A
What do you call the relation of the longitudinal axis of the fetus to that of the mother? A. Lie B. Presentation C. Attitude D. Position
A
Pigmentary changes common among pregnant women presumed to be primarily due to
Increased melanocyte stimulation
Vascular angiomas and palmar erythema are caused by
Hyperestrogenism
Musculoskeletal change during pregnancy to compensate for anterior load
Exaggerated lumbar lordosis
The increase in joint laxity is due to an increase in which levels of which hormone during pregnancy? A. Progesterone B. Estrogen C. Relaxin D. None of the above
D
Memory related memory decline is experienced during A. First trimester B. Second trimester C. Third trimester D. Labor
C
Caused by reflux of something secretions into lower esophagus
Pyrosis
Contributes to frequent pyrosis in pregnant women
low intraesophageal pressure, low intraesophageal sphincter tone, high gastric pressure. fluid goes from high to low pressure area, therefore reflux.
Focal highly vascular swelling of the gums
Epulis of pregnancy
Impairs gallbladder contraction by inhibiting CCK-mediated smooth muscle contraction
Progesterone
T/F hydronephrosis in pregnancy is pathologic
F
Abnormal radiographic finding in the kidney in pregnancy confirmed no earlier than
12 wks
Normal urinalysis finding in pregnancy A. hematuria B. proteinuria C. glucosuria D. AOTA
C
T/F Vitamin C is lost in great amounts during pregnancy
T
Not included in the WHO definition of Maternal Health Care System A. Monetary Source B. Transpo and Communication C. caregivers D. Patients
D. Patients
Case Payment by PHIC for normal spontaneous vaginal delivery in a Level 2 hospital is A. P18,000 B. P9,000 C. P6,500 D. None of the above
C
In the latest reforms for maternal health delivery systems, neonatal care can be provided by
CeMONC
Which hospital level is emergency hospital
Level 1
T/F The pituitary gland is not essential for maintenance of pregnancy
T
Its regulation and physiological effects are incompletely understood but may be related to birth weight and development of preeclampsia
Placental growth hormone
Sustains increased plasma volume in late pregnancy A. Prolactin B. Parathyroid hormone C. Placental growth hormone D. Cortisol
D
Mrs. Rodriguez on 20th week of pregnancy, consult for neck mass, on PE: thyroid enlargement
further work-up
Greatest disruption of sleep occurs
postpartum
Transient state of heightened emotional reactivity experienced 1st week after parturition
postpartum blues
Risk factors for development of mental illness during pregnancy except
smoking
Mrs. Cruz has postpartum blues, what to do?
reassure with support of family
Most important supplement that can be given at this time
Folic Acid
At each return prenatal visit, the following fetal parameters are assessed except: A. Fetal heart rate B. Fetal size C. Fetal breathing D. Fetal movement
C
The following fetal parameters are always be checked at each return prenatal checkup except: A. BP B. weight C. danger signs and symptoms D. vaginal exam
D
What prenatal lab test is best done between 24 and 28 weeks?
glucose tolerance test
Parameters assessed at gestational age are the following except: A. fundal height B. thickening C. ultrasound D. cervical consistency
D
Gravid woman, single pregnancy, pre-pregnant BMI of 18 should have a total weight gain of
12-18 kg
Choose the correct statement regarding vitamin and mineral supplementation for pregnancy:
A. A diet with adequate calories and proper weight gain will be enough to cover for all…
B. Mid-pregnancy iron requirements imposed by pregnancy and maternal excretion total approximately 7 mg/day
C. Iron supplement best taken after meal to lessen nauseous side effect
D. Iron supplement should be started during pre-conception to maximize benefits for both mother and fetus
B
