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OBGYN REGISTRY PRACTICE > Fetal Environment and Maternal Complications > Flashcards

Fetal Environment and Maternal Complications Flashcards

1
Q

Nonimmune hydrops is associated with all of the following except:
A. RH isoimmunization
B. Pleural effusion
C. Turner syndrome
D. Fetal infections

A

A. RH isoimmunization

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2
Q

The maternal contribution to the placenta is the:
A. Chorionic vera
B. Decidua vera
C. Decidua basalis
D. Chorion frondosum

A

C. Decidua basalis

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3
Q

The placenta releases _____ to maintain the corpus luteum.
A. human chorionic gonadotropin
B. follicle-stimulating hormone
C. luteinizing hormone
D. gonadotropin-stimulating hormone

A

A. human chorionic gonadotropin

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4
Q

An anechoic mass is noted within the umbilical cord during a routine
sonographic examination. What is the most likely diagnosis?
A. Hemangioma
B. Vasa previa
C. Chorioangioma
D. Allantoic cyst

A

D. Allantoic cyst

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5
Q

With Rh isoimmunization, the maternal antibodies cross the placenta and
destroy the fetal:
A. Spleen
B. Red blood cells
C. Liver
D. White blood cells

A

B. Red blood cells

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6
Q

Mothers with pregestational diabetes, as opposed to gestational diabetes,
have an increased risk of a fetus with:
A. Neural tube defects
B. Proteinuria
C. TORCH
D. Diethylstilbestrol

A

A. Neural tube defects

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7
Q

A succenturiate lobe of the placenta refers to a:
A. Bilobed placental lobe
B. Circumvallate placental lobe
C. Accessory lobe
D. Circummarginate placental lobe

A

C. Accessory lobe

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8
Q

Pools of maternal blood noted within the placental substance are referred
to as:
A. Accessory lobes
B. Decidual casts
C. Chorioangiomas
D. Maternal lakes

A

D. Maternal lakes

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9
Q

The fetal contribution of the placenta is the:
A. Chorionic vera
B. Decidua vera
C. Decidua basalis
D. Chorion frondosum

A

D. Chorion frondosum

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10
Q

Which of the following would be least likely associated with immune
hydrops?
A. Fetal hepatomegaly
B. Fetal splenomegaly
C. Anasarca
D. Leiomyoma

A

D. Leiomyoma

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11
Q

The placenta is considered too thick when it measures:
A. >4 mm
B. >4 cm
C. >8 mm
D. >3.5 cm

A

B. >4 cm

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12
Q

All of the following are associated with a thin placenta except:
A. Preeclampsia
B. IUGR
C. Fetal hydrops
D. Long-standing diabetes

A

C. Fetal hydrops

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13
Q

What would be most likely confused for a uterine leiomyoma?
A. Placental infarct
B. Chorioangioma
C. Myometrial contraction
D. Placenta previa

A

C. Myometrial contraction

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14
Q

When the placenta completely covers the internal os, it is referred to as:
A. Low-lying previa
B. Marginal previa
C. Partial previa
D. Total previa

A

D. Total previa

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15
Q

One of the most common causes of painless vaginal bleeding in the second and third trimesters is:
A. Spontaneous abortion
B. Abruptio placentae
C. Placenta previa
D. Placenta accrete

A

C. Placenta previa

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16
Q

All of the following are associated with a thick placenta except:
A. Fetal infections
B. Rh isoimmunization
C. Placental insufficiency
D. Multiple gestations

A

C. Placental insufficiency

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17
Q

Placenta accrete denotes:
A. The abnormal attachment of the placenta to the myometrium
B. The premature separation of the placenta from the uterine wall
C. The invasion of the placenta into the myometrium
D. The condition of having the fetal vessels rest over the internal os

A

A. The abnormal attachment of the placenta to the myometrium

18
Q

Doppler sonography reveals vascular structures coursing over the internal
os of the cervix. This finding is indicative of:
A. Vasa previa
B. Placenta previa
C. Placenta increta
D. Abruptio placentae

A

A. Vasa previa

19
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

D. Funneling of the cervix

20
Q

Penetration of the placenta beyond the uterine wall would be referred to
as:
A. Placenta accrete
B. Placenta increta
C. Placenta previa
D. Placenta percreta

A

D. Placenta percreta

21
Q

All of the following are associated with oligohydramnios except:
A. Bilateral renal agenesis
B. Infantile polycystic kidney disease
C. Premature rupture of membranes
D. Duodenal atresia

A

D. Duodenal atresia

22
Q

The most common placental tumor is the:
A. Choriocarcinoma
B. Maternal lake
C. Chorioangioma
D. Allantoic cyst

A

C. Chorioangioma

23
Q

Pregnancy-induced maternal high blood pressure and excess protein in
the urine after 20 weeks’ gestation is termed:
A. Preeclampsia
B. Gestational diabetes
C. Eclampsia
D. Gestational trophoblastic disease

A

A. Preeclampsia

24
Q

The normal umbilical cord has:
A. One vein and one artery
B. Two veins and two arteries
C. Two veins and one artery
D. Two arteries and one vein

A

D. Two arteries and one vein

25
Q

Insertion of the umbilical cord at the edge of the placenta is referred to
as:
A. Velamentous cord insertion
B. Partial cord insertion
C. Marginal cord insertion
D. Nuchal cord insertion

A

C. Marginal cord insertion

26
Q

Increased S/D ratio is associated with all of the following except:
A. IUGR
B. Placental insufficiency
C. Allantoic cysts
D. Perinatal mortality

A

C. Allantoic cysts

27
Q

A velamentous cord insertion is associated with which of the following?
A. Placenta increta
B. Placental abruption
C. Vasa previa
D. Circumvallate placenta

A

C. Vasa previa

28
Q

The normal umbilical cord insertion point into the placenta is:
A. Central
B. Superior margin
C. Inferior margin
D. Lateral margin

A

A. Central

29
Q

Normally, the S/D ratio:
A. Increases with advancing gestation
B. Decreases with advancing gestation
C. Reverses occasionally during a normal pregnancy
D. Has an absent diastolic component

A

B. Decreases with advancing gestation

30
Q

Fetal TORCH is frequently associated with:
A. Maternal hypertension
B. Twin–twin transfusion syndrome
C. Intracranial calcifications
D. Renal cystic disease

A

C. Intracranial calcifications

31
Q

Evidence of polyhydramnios should warrant a careful investigation of the
fetal:
A. Genitourinary system
B. Gastrointestinal system
C. Extremities
D. Cerebrovascular system

A

B. Gastrointestinal system

32
Q

All of the following are associated with polyhydramnios except:
A. Omphalocele
B. Gastroschisis
C. Esophageal atresia
D. Bilateral multicystic dysplastic kidney disease

A

D. Bilateral multicystic dysplastic kidney disease

33
Q

IUGR is evident when the EFW is:
A. Above the 90th percentile
B. Below the 90th percentile
C. Above the 10th percentile
D. Below the 10th percentile

A

D. Below the 10th percentile

34
Q

The cervix should measure at least _____ in length.
A. 4 cm
B. 5 cm
C. 3 cm
D. 8 mm

A

C. 3 cm

35
Q

The abnormal insertion of the umbilical cord into the membranes beyond
the placental edge is termed:
A. Placenta previa
B. Placental abruption
C. Marginal insertion
D. Velamentous insertion

A

D. Velamentous insertion

36
Q

The measurement that should be carefully scrutinized in cases of IUGR is
the:
A. AC
B. Femur length
C. Biparietal diameter
D. Head circumference

A

A. AC

37
Q

Doppler assessment of the middle cerebral artery:
A. Helps to determine whether fetal anorexia is occurring
B. Is valuable in diagnosing the extent of ventriculomegaly
C. Can evaluate the fetus for hypoxia
D. Is important to determine whether TORCH complications are present

A

C. Can evaluate the fetus for hypoxia

38
Q

Mothers with gestational diabetes run the risk of having fetuses that are
considered:
A. Nutritionally deficient
B. Acromegalic
C. Microsomic
D. Macrosomic

A

D. Macrosomic

39
Q

Which of the following is described as the situation in which the placental edge extends into the lower uterine segment but ends more than 2 cm away from the internal os?
A. Low-lying placenta
B. Marginal previa
C. Partial previa
D. Total previa

A

A. Low-lying placenta

40
Q

Which of the following would increase the likelihood of developing
placenta previa?
A. Vaginal bleeding
B. Previous cesarean section
C. Corpus albicans
D. Chorioangioma

A

B. Previous cesarean section

OBGYN REGISTRY PRACTICE (17 decks)

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