Ch. 55,56,57,58 Flashcards
Chorionic villus sampling (CVS) may include all of the following advantages except:
a. It is performed in the first trimester.
b. The results are available within 48 hours.
c. The results are available within 1 week.
d. Early results allow more options for parents.
b. The results are available within 48 hours.
Cordocentesis is more commonly used for which one of the following procedures?
a. Chromosomal analysis
b. Analysis of fetal lung maturity
c. Cardiovascular analysis
d. Guidance for transfusions to treat fetal isoimmunization
d. Guidance for transfusions to treat fetal isoimmunization
Amniocentesis may be used for all of the following except:
a. Analysis of fetal chromosomes
b. Prediction of Rh isoimmunization
c. Documentation of lung maturity
d. Prediction of cardiac abnormalities
d. Prediction of cardiac abnormalities
Reasons to perform an amniocentesis include all of the following except:
a. Maternal age
b. Multiple gestations
c. Previous child with chromosomal abnormality
d. Abnormal alpha-fetoprotein (AFP) level
b. Multiple gestations
Sonographic findings that may suggest a chromosomal anomaly include all of the following except:
a. Reduced movement
b. Hand clenching
c. Thickened nuchal fold
d. Omphalocele
a. Reduced movement
AFP is found in all of the following fetal structures except:
a. Spine
b. Liver and gastrointestinal tract
c. Brain
d. Kidneys
c. Brain
High levels of AFP indicate all of the following except:
a. Anencephaly
b. Down syndrome
c. Open spina bifida
d. Gastroschisis
b. Down syndrome
The quadruple screen evaluates all of the following markers except:
a. AFP
b. Human chorionic gonadotropin (hCG)
c. Unconjugated estriol
d. Fetal lung maturity
d. Fetal lung maturity
An abnormality in the number of chromosomes is called which one of the following?
a. Aneuploidy
b. X-linked disorder
c. Multifactorial
d. Mosaicism
a. Aneuploidy
Anencephaly is an example of which one of the following conditions?
a. Aneuploidy
b. X-linked disorder
c. Multifactorial
d. Mosaicism
c. Multifactorial
An early noninvasive means of assessing the risk of aneuploidy is which one of the following?
a. Facial analysis
b. Nuchal translucency
c. Fetal position
d. Biophysical profile
b. Nuchal translucency
he following sonographic findings of increased nuchal thickening, shortened femurs, cardiac anomalies, and pyelectasis may be found in which one of the following?
a. Trisomy 13
b. Trisomy 18
c. Trisomy 21
d. Turner syndrome
c. Trisomy 21
The sonographic findings of cranial anomalies, choroid plexus cysts, facial abnormalities, and rocker bottom feet may be found in which one of the following?
a. Trisomy 13
b. Trisomy 18
c. Trisomy 21
d. Turner syndrome
b. Trisomy 18
Holoprosencephaly and proboscis are most likely to be found in a fetus with which one of the following?
a. Trisomy 13
b. Trisomy 18
c. Trisomy 21
d. Turner syndrome
a. Trisomy 13
A large cystic hygroma, hydrops, and coarctation of the aorta may be seen in a fetus with which one of the following?
a. Trisomy 13
b. Trisomy 18
c. Trisomy 21
d.Turner syndrome
d. Turner syndrome
Pregnancy-associated plasma protein A (PAPP-A) levels:
a. Peak from 16 to 20 weeks’ gestation.
b. Increase throughout pregnancy.
c. Decline after 24 weeks’ gestation.
d. Peak from 15 to 18 weeks’ gestation.
b. Increase throughout pregnancy.
AFP is produced in early gestation by which one of the following structures?
a. Liver
b. Brain
c. Yolk sac
d. Placenta
c. Yolk sac
A common reason for an elevated level of maternal serum AFP (MSAFP) is which one of the following?
a. Neural tube defect
b. Abdominal wall defect
c. Chromosomal abnormality
d. Incorrect dates
d. Incorrect dates
The most common aneuploid condition is which one of the following?
a. Trisomy 13
b. Trisomy 18
c. Trisomy 21
d. Turner syndrome
c. Trisomy 21
The optimal collection site in an amniocentesis includes all of the following except:
a. Away from the maternal midline
b. Away from the fetus
c. Away from the umbilical cord
d. Away from the central portion of the placenta
a. Away from the maternal midline
MSAFP levels increase with advancing gestational age and peak _____ weeks’ gestation.
a. 14 to 16
b. 15 to 18
c. 18 to 20
d. 16 to 20
b. 15 to 18
Free beta-hCG can be assessed in maternal serum in the first trimester to evaluate for an increased risk of which one of the following anomalies?
a. Triploidy
b. Turner syndrome
c. Down syndrome
d. Meckel-Gruber syndrome
c. Down syndrome
After amniocentesis, the sonographer should demonstrate and document which one of the following?
a. Amniotic fluid volume
b. Cervical length
c. Placenta location
d. Fetal cardiac activity
d. Fetal cardiac activity
Continuous monitoring during an amniocentesis with ultrasound is invaluable in patients with which one of the following abnormalities?
a. Posterior placenta location
b. Polyhydramnios
c. Placenta previa
d. Premature rupture of membranes
d. Premature rupture of membranes