Preconceptional and Prenatal Care

Question 1

Cervical mucus pattern on day 7 to 18 of menses due to increased NaCl when estrogen is produced

Answer 1

Ferning

Question 2

Clinical finding described as separation of the rectus andominis at midline

Answer 2

Diastasis recti

Question 3

Softening of the cervix

Answer 3

Gooddell’s sign

Question 4

Triad of fetal alcohol syndrome

Answer 4

Dysmorphic facial features
Central nervous system abnormalities
Prenatal and/or postnatal growth impairment

Question 5

Cutoff of hemoglobin levels for anemia (per trimester):

Answer 5

1 st : 0-12 weeks : 11.0 g/dL
2nd : 13-28 weeks :10.5 g/dL
3rd : 29 weeks to term : 11.0 g/dL

Question 6

Very severe anemia in pregnancy is defined as hemoglobin values of:

Question 7

Diagnosis of gestational diabetes mellitus is confirmed if these cutoff values are met after a 75-g OGTT:

Answer 7

FBS: >92 mg/dL (ADA/IADPSG/POGS)
1 hour: >180 mg/dL
2 hour: >153 mg/dl (ADA/IADPSG) or >140 mg/dl (WHO/POGS)

Question 8

Traditional follow-up schedule of prenatal visits:

Answer 8

Every 4 weeks until 28 weeks
Every 2 weeks until 36 weeks
Every week until term
High-risk: every week or as indicated

Question 9

Fundic height in cm correlates with the age of gestation in weeks at:

Answer 9

20-34 weeks

Williams 24th ed.

Question 10

The uterine fundus is situated midway between symphysis pubis and umbilicus at [age of gestation]:

Answer 10

16 weeks

Question 11

Fetal heart sounds are detectable by Doppler ultrasound as early as ___ in the absence of maternal obesity

Answer 11

10 weeks

Question 12

Fetal heart sounds can be heard using a standard nonamplified stethoscope as early as:

Answer 12

16 weeks

Question 13

Recommended daily allowance of ascorbic acid during pregnancy

Answer 13

80-85 mg

Question 14

It is recommended that caffeine be restricted to less than 300 mg per day during pregnancy. This is equivalent to how many cups of 5-oz percolated coffee?

Answer 14

Three

Question 15

The crown-rump length, when performed before 12 weeks, is accurate for estimating the gestational age with a variance of:

Answer 15

3 to 5 days

Question 16

Biparietal diameter is the recommended basis for aging at how many weeks’ gestation?

Answer 16

12-20 weeks

Question 17

The femoral length, when performed beyond 20 weeks, is accurate for estimating the gestational age with a variance of:

Answer 17

7-11 days

Question 18

A woman with a prior child with a neural tube defect can reduce the 2-5% recurrence risk by more than 70% with ___ [mg] daily folic acid supplements the month before conception and during the first trimester.

Answer 18

4 mg

Question 19

Maneuver to determine the fetal part lying in the fundus

Answer 19

First Leopold’s maneuver / Fundal grip

Question 20

The most accurate biometric predictor of gestational age

Answer 20

First-trimester crown-rump length

Question 21

Triad of congenital toxoplasmosis

Answer 21

Chorioretinitis
Hydrocephalus
Intracranial calcifications

Question 22

The bluish discoloration of the cervix in pregnancy is due to ___ within the cervical stroma.

Answer 22

Increased vascularity

Question 23

Recommendation for fluoride supplementation during pregnancy

Answer 23

No evidence of benefit

Question 24

At what dose is vitamin A associated with congenital malformations?

Answer 24

> 10,000 IU/day