Obstetrics

Question 1

best indication of pregnancy

Answer 1

menses 3 wks late & presence of fetal heart beat

Question 2

___ sign: softening of the tip of the cervix

Answer 2

goodell’s sign

Question 3

___ sign: softening of the isthmus of the uterus

Answer 3

hegar’s sign

Question 4

____: sign: enlargement of the uterus near the uterine tube over the site of implantation

Answer 4

Piskacek’s sign

Question 5

___ sign: blueish discoloration of the vagina 6 to 8 wks after conception

Answer 5

chadwick’s sign

Question 6

alpha fetoprotein is high when there is ___ defects and low during __ syndrome

Answer 6

high: neural tube defects
low: downs sx

Question 7

breast milk is deficient in (2)

Answer 7

vit D and iron

Question 8

first breast milk

Answer 8

colostrum

Question 9

__: decent of the fetal skull to the level of the ischial spines

Answer 9

engagement

Question 10

__: excessive nausea and vomiting during preg

Answer 10

hyperemesis gravidarum

Question 11

when the baby drops to the pelvis 2 wks before delivery

Answer 11

lightening

Question 12

vaginal discharge after delivery

Answer 12

lochia

Question 13

1st perception by the mother of fetal life

Answer 13

quickening

Question 14

dymennorhea is caused by what autocrine/ paracrine hormone?

Answer 14

prostaglandin

fxn: regulate the contraction and relaxation of SM

Question 15

MC reason for post-partum hemorrhage

Answer 15

atonic uterus

Question 16

mask of pregnancy

Answer 16

chloasma aka melasma

Question 17

most common type of post partum infection

Answer 17

endometritis

Question 18

palpable nodules in breast after ovulation

Answer 18

fibrocystic breast disease

Question 19

numerous cysts along the ovaries that are caused by hormone inbalances

Answer 19

polycystic ovrian sx

Question 20

name the 4 stages of delivery

Answer 20

1. dilation – 10 cm dilation (longest)
2. delivery of the baby
3. placental delivery
4. stabilization: tone of the uterus is est.

Question 21

low lying placenta/ obstructs internal os

Answer 21

praevia

Question 22

placenta doesnt separate after delivery

Answer 22

accreta

Question 23

name the 5 classifications of a pap smear

Answer 23

I: Normal 
II: atypical or benign 
III: dysplasia/ pre-CA
IV: In Situ/ Non-invasive Carcinoma 
V: malignancy