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HD201 Exam 2 Reviewer > 2017 Sarap > Flashcards

2017 Sarap Flashcards

1
Q

The main portion of the uterine wall is composed of

A

muscle fibers

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2
Q

After 12 wks AOG, uterine size related to

A

mechanical distension

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3
Q

AOG uterus ceases to be a pelvic organ

A

12 weeks

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4
Q

Results in increased uterine placental blood flow

A

reduced elastin content

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5
Q

Inversion of the cervix is caused by

A

marked proliferation of cervical glands

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6
Q

Cervical mucus caused by

A

progesterone

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7
Q

Violet color of VAGINA

A

Chadwick’s sign

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8
Q

Hegar’s sign

A

Softening of the ISTHMUS

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9
Q

Goodell’s sign

A

Softening of the CERVIX

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10
Q

Average weight gain during pregnancy

A

27.5

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11
Q

Causes bipedal edema in normal pregnant women

A

increased venous pressure below level of uterus due to partial aortocaval occlusion

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12
Q 
Normal in pregnant patients
A. Mild fasting hyperglycemia
B. Postprandial hypoglycemia
C. Hypoinsulinemia
D. Greater suppression of glucagon
A

D

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13
Q

Ensures steady supply of glucose to fetus

A

peripheral insulin resistance

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14
Q

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

A

C

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15
Q

T/F Cholesterol is increased in pregnancy

A

T

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16
Q

T/F A hemoglobin of 10.5 at 32 weeks AOG is normal and iron supplementation is not necessary

A

F; 11 is considered anemic. All pregnant women needs supplementation

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17
Q

How much iron is needed for normal pregnancy?

A

1000mg

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18
Q

Amount of blood lost in a normal spontaneous vaginal delivery

A

500mL

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19
Q 
Increased during pregnancy EXCEPT
A. T-helper 1
B. T-helper 2
C. CD-8
D. IL4,6,13
E. IgA, IgG
A

A

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20
Q 
Decreased during pregnancy EXCEPT
A. T-cytotoxic cell 1
B. CD-4
C. interferon
D. TNF-B
E. Interleukin 1-B
A

E

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21
Q

T/F CBC 14,000 leukocyte count is normal

A

T

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22
Q

Effect of supine position on Cardiac Output

A

Decrease

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23
Q 
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
A

B

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24
Q

Best position a laboring patient can assume for better fetal oxygenation

A

Left Lateral Recumbent

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25
Q 
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
A

E

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26
Q 
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
A

D

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27
Q

decreased functional residual capacity is due to

A

upward displacement of diaphragm

28
Q

T/F In pregnancy, compensatory decrease in plasma bicarbonate levels resulting in slight increase in blood pH can be observed

A

T

29
Q 
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
A

C

30
Q
  1. Date of Consult: 12 Feb 2013 LNMP: 8 Dec 2012

EDD?

A

September 15, 2013

31
Q 
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?
A

G4P2 (1,2,1,2)

32
Q 
What is the determining point for vertex presentation? 
A. occiput
B. vertex
C. shoulder
D. sacrum
A

A

33
Q 
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

A

34
Q

Pigmentary changes common among pregnant women presumed to be primarily due to

A

Increased melanocyte stimulation

35
Q

Vascular angiomas and palmar erythema are caused by

A

Hyperestrogenism

36
Q

Musculoskeletal change during pregnancy to compensate for anterior load

A

Exaggerated lumbar lordosis

37
Q 
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
A

D

38
Q 
Memory related memory decline is experienced during
A. First trimester
B. Second trimester
C. Third trimester
D. Labor
A

C

39
Q

Caused by reflux of something secretions into lower esophagus

A

Pyrosis

40
Q

Contributes to frequent pyrosis in pregnant women

A

low intraesophageal pressure, low intraesophageal sphincter tone, high gastric pressure. fluid goes from high to low pressure area, therefore reflux.

41
Q

Focal highly vascular swelling of the gums

A

Epulis of pregnancy

42
Q

Impairs gallbladder contraction by inhibiting CCK-mediated smooth muscle contraction

A

Progesterone

43
Q

T/F hydronephrosis in pregnancy is pathologic

A

F

44
Q

Abnormal radiographic finding in the kidney in pregnancy confirmed no earlier than

A

12 wks

45
Q 
Normal urinalysis finding in pregnancy
A. hematuria
B. proteinuria
C. glucosuria
D. AOTA
A

C

46
Q

T/F Vitamin C is lost in great amounts during pregnancy

A

T

47
Q 
Not included in the WHO definition of Maternal Health Care System
A. Monetary Source
B. Transpo and Communication
C. caregivers
D. Patients
A

D. Patients

48
Q 
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
A

C

49
Q

In the latest reforms for maternal health delivery systems, neonatal care can be provided by

A

CeMONC

50
Q

Which hospital level is emergency hospital

A

Level 1

51
Q

T/F The pituitary gland is not essential for maintenance of pregnancy

A

T

52
Q

Its regulation and physiological effects are incompletely understood but may be related to birth weight and development of preeclampsia

A

Placental growth hormone

53
Q 
Sustains increased plasma volume in late pregnancy
A. Prolactin
B. Parathyroid hormone
C. Placental growth hormone
D. Cortisol
A

D

54
Q

Mrs. Rodriguez on 20th week of pregnancy, consult for neck mass, on PE: thyroid enlargement

A

further work-up

55
Q

Greatest disruption of sleep occurs

A

postpartum

56
Q

Transient state of heightened emotional reactivity experienced 1st week after parturition

A

postpartum blues

57
Q

Risk factors for development of mental illness during pregnancy except

A

smoking

58
Q

Mrs. Cruz has postpartum blues, what to do?

A

reassure with support of family

59
Q

Most important supplement that can be given at this time

A

Folic Acid

60
Q 
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
A

C

61
Q 
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
A

D

62
Q

What prenatal lab test is best done between 24 and 28 weeks?

A

glucose tolerance test

63
Q 
Parameters assessed at gestational age are the following except:
A. fundal height
B. thickening
C. ultrasound
D. cervical consistency
A

D

64
Q

Gravid woman, single pregnancy, pre-pregnant BMI of 18 should have a total weight gain of

A

12-18 kg

65
Q

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

A

B

HD201 Exam 2 Reviewer (5 decks)

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