Chapter 32 Fetal face and neck Flashcards

1
Q

The maternal contribution to the placenta is the ?

A

Decidua basalis

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2
Q

The placenta releases_______ to maintain the corpus luteum?

A

Human chorionic gonadotropin

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3
Q

An anechoic mass is noted within the umbilical cord during a routine sonographic examination. What is the most likely diagnosis?

A

Allantoic cyst

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4
Q

Mothers with pregestational diabetes, as opposed to gestational diabetes, have an increased risk of a fetus with?

A

Neural tube Defects

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5
Q

A succenturiate lobe of the placenta refers to as?

A

accessory lobe

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6
Q

Pools of maternal blood noted withing the placental substance are referred to as?

A

maternal lakes

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7
Q

The fetal contribution to the placenta is the

A

Chorion frondosum

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8
Q

The placenta is considered too thick when it measures?

A

> 4cm

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9
Q
All of the following are associated with a thin placenta except?
A) preeclampsia
B) intrauterine growth restriction
C) fetal hydrops
D) long standing diabetes
A

fetal hydrops

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10
Q

When the placental edge extends into the lower uterine segment but ends more than 2 cm away from the internal os, it is referred to as?

A

low lying previa

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11
Q

One of the most common causes of painless vaginal bleeding in the second and third trimester is?

A

placenta previa

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12
Q
All of the following are associated with a thick placenta except?
A) fetal infections
B) RH isoimmunization
C) placental insuffieicney
D)Multiple gestations
A

Placental insufficiency

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13
Q

Placenta accreta denotes?

A

the abnormal attachment of the placenta to the myometrium

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14
Q

Doppler sonography reveals vascular structures coursing over the internal os of the cervix. This finding is indicative of?

A

Vasa previa

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15
Q
All of the following are clinical features of placental abruption except?
A) vaginal bleeding
B) uterine tenderness
C) abdominal pain
D) funneling of the cervix
A

funneling of the cervix

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16
Q

The most common placental tumor is the ?

A

Chorioangioma

17
Q
All of the following are associated with oligohydraminos except?
A) bilateral renal agenesis
B) Infantile polycystic kidney disease
C) premature rupture of membranes
D) duodenal atresia
A

duodenal atresia

18
Q

the normal umbilical cord has?

A

two arteries and one vein

19
Q

Insertion of the umbilical cord a the edge of the placenta is referred to as?

A

marginal cord insertion

20
Q
increased S/D ration is associated with all of the following except?
A) intrauterine growth restriction
B) Placental insufficiency
C) Allantoic cysts
D) perinatal mortality
A

allantoic cyst

21
Q

A velamentous cord insertion is associated with?

A

Vasa previa

22
Q

normally the S/D ratio?

A

decreases with advancing gestation

23
Q

Fetal TORCH is frequently associated with?

A

intracranial calcification

24
Q

Evidence of polyhydramnios should warrant a careful investication of the fetal?

A

gastrointestional system

25
Q

All of the following are associated with polyhydraminios except?
A) omphalocele
B) gastroschisis
C) esophageal atresia
C) bilateral multicystic dysplastic kidney disease

A

bilateral multicystic dysplastic kidney disease

26
Q

IUGR is evident when the EFW is?

A

below the 10th percentile

27
Q

The cervix should measure at least ____ in length.

A

3 cm

28
Q

The measurement that should be carefully scrutinized in cases of IUGR is the?

A

abdominal circumference

29
Q

Doppler assessment of the middle cerebral artery?

A

can evaluate the fetus for hypoxia

30
Q

Mothers with gestation diabetes run the risk of?

A

macrosomic