[OB2] LE1 Flashcards
What is the recommended antepartum surveillance test for term pregnancies to assess fetal well-being?
A. Contraction stress test
A. Contraction stress test
A pregnant patient with polyhydramnios is most likely to experience which of the following complications?
A. Abruptio placenta
A. Abruptio placenta
A 41-week AOG patient presents for a prenatal check-up with complaints of reduced fetal movement. As a medical attendant, what is the best course of action?
A. Subject the patient to a contraction stress test
A. Subject the patient to a contraction stress test
Pregnant patients with a BMI of 38 are most likely to develop which of the following conditions?
A. Cardio renal disease
A. Cardio renal disease
Placenta previa is most commonly observed in which type of pregnant patient?
A. Multiparous
A. Multiparous
What is the most common outcome in patients with an incompetent cervix?
A. Immature delivery
A. Immature delivery
In a biophysical profile (BPP), which parameter is the last to disappear in cases of fetal hypoxia?
A. Fetal tone
A. Fetal tone
A 28-year-old woman with regular menstruation presents for prenatal care. What is the estimated age of gestation (AOG)?
A. 10 weeks and 3 days
A. 10 weeks and 3 days
Thick meconium staining is noted during labor. What is the appropriate next step?
A. Closely monitor for abnormalities in fetal tracing
A. Closely monitor for abnormalities in fetal tracing
What does a reactive non-stress test indicate?
A. <2 accelerations in a 20-minute window with noted fetal movements
A. <2 accelerations in a 20-minute window with noted fetal movements
A 33-year-old primigravida at 38 weeks AOG presents with a biophysical profile score of 8/10. As the attending physician, what should be your next step?
A. Do a backup test like the Contraction Stress Test
A. Do a backup test like the Contraction Stress Test
Which vessel is most commonly assessed using Doppler velocimetry to evaluate the sufficiency of the uteroplacental unit?
A. Umbilical artery
A. Umbilical artery
When is variable fetal descent most likely to be observed?
A. Premature rupture of membranes (PROM)
A. Premature rupture of membranes (PROM)
What biophysical profile finding would result in a score of zero?
A. 2 gross movements of fetal count
A. 2 gross movements of fetal count
In a fetus with repetitive decelerations, what is the most important type of deceleration to consider?
A. Late deceleration
A. Late deceleration
What does the “Count to 10” fetal movement method involve?
A. Counting the number of minutes it takes for the baby to complete 10 movements
A. Counting the number of minutes it takes for the baby to complete 10 movements
Which statement is true regarding fetal scalp stimulation?
A. It has very limited use in cases of fetal tachycardia
A. It has very limited use in cases of fetal tachycardia
Uterine contractions occurring every 5-10 minutes are indicative of what condition?
A. Tachysystole
A. Tachysystole
Which antenatal test is used to perform a physical examination of the fetus?
A. Biophysical profile (BPS)
A. Biophysical profile (BPS)
Fetal Breathing Movements: At least one episode of rhythmic fetal breathing movements of 30 seconds or more within 30 minutes is considered normal.
Gross Fetal Movements: At least three discrete body or limb movements within 30 minutes are required.
Fetal Tone: At least one episode of active extension and return to flexion of the fetal limb(s) or trunk, including opening and closing of the hand, within 30 minutes is necessary.
Amniotic Fluid Volume: A single vertical pocket of amniotic fluid measuring at least 2 cm in depth is required, or an amniotic fluid index (AFI) of 5 cm or more.
Nonstress Test (NST): Reactive NST, which includes two or more fetal heart rate accelerations of 15 bpm or more above baseline lasting for at least 15 seconds, is considered normal.
A 25-year-old at 32 weeks pregnant with intrauterine growth restriction (IUGR) presents with abnormal Doppler waveform. What is the appropriate management?
A. Expectant management with complete bed rest
A. Expectant management with complete bed rest
What criteria must be met for auscultation using a stethoscope or Doppler to be comparable to velocimetry monitoring?
A. Fetal heart rate is assessed for a whole minute
A. Fetal heart rate is assessed for a whole minute
Which antepartum test assesses fetal breathing and heart rate reactivity?
A. Non-Stress Test (NST)
A. Non-Stress Test (NST)
A 39-year-old at 41 weeks AOG presents for a labor check-up. What valid concerns should be considered?
A. Meconium aspiration
A. Meconium aspiration
What is the appropriate management for a pregnant patient with Doppler velocimetry revealing notching?
A. Admit the patient for steroid administration
A. Admit the patient for steroid administration