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OB GYN > Pre Natal Care > Flashcards

Pre Natal Care Flashcards

0
Q

Fern pattern is seen on ____ days of the menstrual cycle

A

7-18th day

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1
Q

This is not a reliable indication of pregnancy until 10 days or more after the time if expected onset of ____

A

Cessation of menstruation

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2
Q

Fern pattern is dependent on the increase concentration of ___

A

Sodium chloride

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3
Q

Fern pattern indicates the presence of ___

A

Estrogen

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4
Q

Beaded pattern is found on _____

A

After 21st day

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5
Q

Beaded pattern is usually encountered during ____

A

Pregnancy

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6
Q

Beaded pattern indicates presence of ____

A

Progesterone

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7
Q

Characteristic during the first pregnancy

A

Changes in breast

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8
Q

The vaginal mucosa appears dark blue and congested

A

Chadwick sign

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9
Q

What are the skin changes in time of pregnancy

A

Increase in pigmentation

Abdominal striae

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10
Q

In what week does the uterus increase in size limited to AP diameter

A

1st few weeks

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11
Q

In what week does the uterus appears globular

A

12 weeks

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12
Q

In what week does hegar sign appears

A

6-8 weeks

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13
Q

This is the softening of the isthmus

A

Hegar sign

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14
Q

Soft blowing sign synchronous to the maternal pulse

A

Uterine souffle

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15
Q

Whistling sound synchronous with the fetal pulse

A

Funic souffle

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16
Q

What is the cervix change as pregnancy advance

A

Increased cervical softening

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17
Q

Perception of fetal movement in primigravid

A

18-20 weeks

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18
Q

Perception of fetal movement in multigravid

A

16-18 weeks

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19
Q

Fetal heart action in standard non-amplified stethoscope

A

17-19 weeks

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20
Q

Fetal heart action in doppler equipment

A

10 weeks

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21
Q

Fetal heart action in transvaginal

A

5 weeks

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22
Q

What are the sounds perceived by the examiner beside the fetal heart tone?

A 
Uterine souffle
Funic souffle
Sounds from fetal movement
Maternal pulse
Sounds from maternal intestinal peristalsis
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23
Q

The ___ subunit of HCG is similar to:

A

Alpha
LH
FSH
TSH

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24
Q

HCG prevents the involution of corpus luteum as kt is the principal site of progesterone production during the ____

A

First 6 weeks

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25
Q

HCG is detectable in maternal plasma or urine by ____ after ovulation

A

8-9 days

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26
Q

The doubling time for HCG

A

1.4-2 days

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27
Q

The peak levels of HCG

A

60-70 days

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28
Q

Nadir of HCG

A

16 weeks

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29
Q

This can cause a false positive result in women testing for HCG

A

Heterophile antibody

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30
Q

Gestational sac can be detected by transabdominal sonography in __ weeks

A

4-5 weeks

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31
Q

Heartbeat can be detected by __ weeks

A

6 weeks

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32
Q

___ is predictive of gestational age within 4 days

A

CRL

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33
Q

CRL can be detected in utlrasound by __ weeks

A

12

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34
Q

Prenantal care should be initiated as soon as there is reasonable likelihood of pregnancy. T/F

A

True

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35
Q

What are the goals of prenatal care?

A

To determine the health satus of the mother and the fetus
To estimate the gestational age of the fetus
To initiate a plan for continuing obestetrical care

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36
Q

A woman who is not now or never has been pregnant

A

Nulligravid

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37
Q

A woman who is or has been pregnant, irrespective of the pregnancy outcome

A

Gravida

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38
Q

A woman who has never completed a pregnancy beyond 20 weeks age of gestation

A

Nullipara

39
Q

A woman who has been delivered only once a fetus or fetuses born alive or dead with an estimated length of gestation of 20 or more

A

Primipara

40
Q

Complete 2 or more pregnancies to 20 weeks or more

A

Multipara

41
Q

Number of pregnancies reaching 20 weeks and not by number of fetuses delivered

A

Parity

42
Q

Normal pregnancy duration: Mean duration from last menstrual period

A

280 days or 40 weeks

43
Q

Expected date of delivery (NAEGELE’s rule)

A

LMP+7 days then count back 3 months

44
Q

Normal pregnancy duration: Ovulatory age or fertilization age

A

2 weeks short of the menstrual age

45
Q

3 trimesters:
1st trimester
2nd trimester
3rd trimester

A

Completion of 14 weeks
28 weeks
29-42 weeks

46
Q

Prior pregnancy complications tend to recur in subsequent pregnancies

A

Obstetrical history

47
Q

Ovulatory cycles important for accurate dating of pregnancy by history and PE

A

Menstrual history

48
Q

Ovulation may not have resumed 2 weeks after onset of the last withdrawal bleeding may indicate ___

A

OCP use

49
Q

The adverse outcomes of cigarette smoking:

A

☑️ Spontaneous abortion
☑️ Low birthweight due to either preterm delivery or fetal growth restriction
☑️ Infant and fetal death
☑️ Placental abruption

50
Q

Potent teratogen that can cause fetal alcohol syndrome

A

Ethanol

51
Q

Fetal alcohol syndrome involves:

A

Growth restriction
Facial abnormalities
CNS dysfunction

52
Q

Illicit drugs can cause the following:

A

Fetal distress

Low birthweight

53
Q

More prevalent than any major medical condition detectable through routine prenatal screening

A

Domestic violence

54
Q 
Laboratory test of the following:
Maternal serum
Pap smear
GBS culture
Gonococcal culture
Chlamydia culture
A 
15-20 weeks
24-28 weeks
35-37 weeks
1st visit and third trimester
1st visit and third trimester
55
Q

Initial laboratory examination for high risk pregnancy:

A

HIV
CDE (Rh) of ither blood group isoimmunization
Initial examination of condylomata

56
Q

Subsequent prenatal visits:

A

Every 4 weeks until 28 weeks
Every 2 weeks until 36 weeks
Weekly thereafter
Every 1-2 weeks interval for complicated pregnancies

57
Q

Prenatal surveillance in fetus:

A 
Heart rate
Size
Amount of amniotci fluid
Presenting part or station
Activity
58
Q

Prenatal surveillance in maternal:

A 
Blood pressure
Weight
Symptoms
Fundic height
Vaginal examination
    - Presenting part
    - Station
    - Pelvimetry
    - Consistency, effacement and dilation of the cervix
59
Q

Fundic height is measured in ___ weeks

A

20-34 weeks

60
Q

The height of the dundus correlates with the ___ in weeks

A

AOG

61
Q

With the DeLee fetal stethoscope, fetal heart sounds can be heard in ___ weeks

A

16-19 weeks

62
Q

Fetal heart sound is audible in all by ___

A

22 weeks

63
Q

Fetal heart sound id detectable by doppler in __ weeks, by TVS in ___ weeks

A

10 weeks

5 weeks

64
Q

If ultrasound is performed in between ____ weeks was accurate by __ days for predicting actual date of delivery

A

8-16 weeks

65
Q

The screening for GDM is at ___

A

24-28 weeks

66
Q

The detection of these protein in vaginal fluid has been used to forecast preterm delivery in women with contractions

A

Fibronectin

67
Q

This is the week where in vaginal and rectal GBS culture is made

A

35-37 weeks

68
Q

Intrapartum prophylaxus is given to:

A

Positive culture
GSB bacteriuria
Previous infant with invasive disease

69
Q 
BMI for the following:
Low
Normal
High
Obese
A

29

70
Q 
Recommended total weight gain for the following: KILOGRAMS
Low
Normal
High
Obese
A

12.5-18
11.5-16
7-11.5
>/= 7

71
Q

Nutrients that can potentially exert toxic effects:

A 
Iron 
Zinc
Selenium
Vitamin A
Vitamin B6, C, D
72
Q

Calories that is required:

A

8000Kcal

73
Q

There will be an imcreased intake:

A

100-300Kcal/day

74
Q

Concetrations of most amino acids in maternal plasam fall markedly except for ____ and ___ which rises in concentration

A

Glutamic acid

Alanine

75
Q

Iron requirement by mid-pregnancy:

A

7mg/day

76
Q

Recommended daily ferrous iron supplement is ___

A

27 mg

77
Q

Increase iron intake by 60-100mg/day

A 
Large woman
Twin fetuses
Late iron supplementaion
Irregular intake
Deoressed hgb levels
78
Q

___ grams of calcium is retained, most of which is deposited in the fetus late in pregnancy

A

30 grams

79
Q

Recommended daily intake of zinc:

A

12 mg

80
Q

Zinc deficiency can cause the following:

A 
Poor appetite
Suboptimal growth
Impaired wound healing
Dwarfism and hypogonadism
Acrodermatitis enterohepathica
81
Q

Severe deficiency can cause offspring cretinism

A

Iodine

82
Q

Essential component of glutathione peroxidase which catalyzes hydorgen peroxide to water

A

Selenium

83
Q

Deficiency of which is manifested by fatal cardiomyopathy in children and women of child bearing age

A

Selenium

84
Q

Cofactor by insulin by faacilitating attachment to peripheral receptors

A

Chromium

85
Q

Cofactor for enzymes glycotransferases which are necessary for synthesis of polysaccharides and glycoproteins

A

Manganese

86
Q

Daily supplementation of ___ will decrease recurrence rate of NTD BY 70%

A

Folic acid 4mg

87
Q

Daily intake of folic acid by ___ throughout periconceptional period

A

400mcg

88
Q

Vitamin A associated with birth defects at doses of _____

A

10,000-50,000 IU daily

89
Q

Potent vitamin A component which is a teratogen in humans

A

Isotretinoin

90
Q

Deficiency of vitamin A is associated with an increased risk of :

A

Maternal anemia

Preterm birth

91
Q

Daily recommendation of vitamin B6

A

2mg

92
Q

RDA of vitamin C

A

80-85 mg/day

93
Q

In excercising: 4 components will increase

A

Oxygen output
Heart rate
Stroke volume
Cardiac output

94
Q

Vaccines contraindicated in pregnancy:

A

MMR
Yellow fever
Varicella

OB GYN (11 decks)

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