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gyn > Multiple Gestations > Flashcards

Multiple Gestations Flashcards

1
Q

What is the term for conjoined twins united at the pelvis?

A

Ischiopagus

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2
Q

Which of the following would result from an intracranial intraparenchal hemorrhage in a twin?

A

Porencephaly

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3
Q

What is the median gest age normal age for delivery of twins?

A

35 weeks

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4
Q

Preterm twins, born with low birthweight or increased risk to suffer from which of the following

A

Pulmonary hypoplasia

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5
Q

If you observe that one fetus isn’t female and one is male then you can assume 

A

Dichorionic twinning

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6
Q

Which of the following is not a sonographic sign of a dichorionic diamniotic gestation

A

T sign

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7
Q

Twins that have the threat of being conjoined are

A

Monochroionic monoamniotic

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8
Q

Which of the following would a newborn most likely suffer from if they were born before 32 weeks as a result of multiple gestation complication

A

Pulmonary hypoplasia

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9
Q

The inner membrane surrounding the fetus is referred to as

A

Amnion

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10
Q

Twins that result from the fertilization of two separate ova are called

A

Dizygotic

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11
Q

What condition is pregnancy induced maternal high blood pressure and excessive protein in the urine after 20 weeks gestation

A

Preeclampsia

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12
Q

The outer membrane of the gestation is referred to as

A

Chorion

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13
Q

Which of the following would not increase the likelihood of multiple gestations?

A

Gestational diabetes

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14
Q

Twins whose bodies are connected at some point are

A

Conjoined

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15
Q

Ultrasound observance of fetal well-being is determined by all of the following except

A

Heart decelerations

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16
Q

Electronic the heart rate monitoring is performed by

A

OCT 

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17
Q

Afetak biophysical profile in utero observation includes all except

A

NST

18
Q

In order to pass the fetal breathing portion of a BPP the fetus must

A

At least one episode of sustained fetal breathing at least 30 seconds duration within a 30 minute span

19
Q

Fetal movements and pregnancy imply, normalcy of the fetal

A

CNS

20
Q

Fetal movements of the trunk, large limbs, swallowing face and hands are categorized as

A

Gross body movements

21
Q

AFI is determined by

A

Measuring four quadrants in the deepest vertical pocket and totaling the values

22
Q

Oligohydramnios is diagnosed when the amniotic fluid and four quadrants measures

A

5.0 cm or less

23
Q

A normal BPP score is eight or 10. And equivocal score is.

A

Six or less

24
Q

A cardiotachometer meter records 

A

Patterns of fetal heart rate, including baseline and changes 

25
Q

Acceleration is defined as

A

Increase of the fatal heart rate over the baseline of at least 15 bpm and lasting at least 15 seconds associated with fetal movement

26
Q

Startle means

A

Quick generalized movement, always initiated and limbs, and sometimes spreading to neck and trunk

27
Q

Normal fetal tone is

A

At least one episode of extension of extremities with return to position, reflection or extension of spine with return to position of election is visualized in the 30 minute observation.

28
Q

AFI plus an NST is known as

A

Modified BPP

29
Q

Regular patterns of fetal breathing are defined as

A

40 to 60 breaths per minute

30
Q

BPP, AFI and NST testing typically occurs

A

Once weekly

31
Q

Independently movements occur at

A

10 to 12 weeks

32
Q

Fetal movement is mostly related to

A

Maturation of the CNS

33
Q

Fetal breathing can be engaged with a real time scanner by viewing the fetal abdomen and longitudinal fashion as well as observing

A

Caudal cephalad kidney movement

34
Q

What is least related to twinning?

A

Choriocarcinoma

35
Q

Spontaneously occurring monozygotic twinning is noted to be influenced by

A

Random factors

36
Q

A large for uterus may be a result of all except

A

Oligohydramnios

37
Q

Increase maternal serum, alphabetic protein levels can be the result of all except

A

Uterine fibroids during pregnancy

38
Q

What is not a risk factor for more multiple pregnancy?

A

Decreased morbidity

39
Q

A monozygotic pregnancy with two spas into Amnions is labeled

A

DC/DA

40
Q

I’m pregnancy consisting of to Amnion one chorion and one placenta is

A

MC/DA

gyn (7 decks)

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