Obstetrics

Question 1

Gravidity

Answer 1

Number of times a woman has been pregnant.

Question 2

Parity

Answer 2

Number of pregnancies that led to a birth beyond 20 weeks’ gestational age or an infant weighing more than 500g.

Question 3

TPAL

Answer 3

Number of Term delivery, Preterm delivery, Abortuses, Living children

Question 4

Developmental age(DA)

Answer 4

Times since fertilization: usually unknown

Question 5

Gestational age (GA)

Answer 5

The number of weeks and days measure from the first day of LMP

Question 6

GA determined by Fundal height

Answer 6

Umbilicus_ 20 weeks + 1 cm/weeks

Question 7

GA determined by Fetal heart tones (Doppler): Typically

Answer 7

10-12 weeks

Question 8

GA determined by Quickening or appreciation of fetal movement: Occurs ar

Answer 8

17-18 weeks at the earliest

Question 9

measures fetal crown-rump length(CRL) at? by U/S

Answer 9

6-12 weeks

Question 10

measures biparietal diameter(BPD), femur length(FL), abdominal circumference(AC) from? by U/S

Answer 10

13 weeks

Question 11

Ultrasound measurement of GA is most reliability during

Answer 11

1st trimester

Question 12

b-hCG for Dx pregnancy can be detected in

Answer 12

serum, urine

Question 13

??hCG is more sensitive and preferred if the menstrual period is less than 1 week.

Answer 13

Serum hCG

Question 14

hCG produces by…. ; peaks at … mIU/mL by … weeks ‘GA

Answer 14

placenta, 100,000 , 10 weeks’GA

Question 15

b-hCG status in second and third trimester

Answer 15

decrease, levels off

Question 16

In … pregnancy hCG levels double approximately every …hr

Answer 16

early, 48 hr

Question 17

If 48 hr b-hCG increase or decrease abnormally by less than 66%, the next thing to do is?

Answer 17

Repeat transvaginal ultrasound scan

Question 18

Gestational sac is visible on transvaginal ultrasonography at … GA, b-hCG in the range of …mIU/ml

Answer 18

5 weeks GA, 1000-1,500

Question 19

The third trimester commonly has… symptom…caused by increase pressure from the uterus and laxity of muscles and joints.

Answer 19

Low back pain

Question 20

Maternal failure to gain appropriate weight is associate with

Answer 20

Intrauterine growth restriction (IUGR)

Question 21

Maternal excess weight gain is associate with

Answer 21

diabetes

Question 22

Pregnancy cause … in coagulation

Answer 22

hypercoagulable state

Question 23

Pregnancy average increase in body weight average… kg

Answer 23

11 kg

Question 24

uterine weight increase from … to … during pregnancy

Answer 24

60-70 g —> 900-1,200 g

Question 25

Renal flow increased during pregnancy

Answer 25

increases 25-50%

Question 26

Glomerular filtration rate increased during pregnancy

Answer 26

increase early, then plateaus

Question 27

The exercise that suitable for the pregnant woman is

Answer 27

thirty minutes of moderate exercise daily, while avoiding contact sport.

Question 28

Nutritional supplement in pregnancy

Answer 28

Folic acid supplements(decrease the risk of neural tube defects for all reproductive age)
, Iron, calcium

If complete vegetarians add Vitamin D, Vitamin B12