Prenatal, Parturition

Question 1

Fetal movement can be felt by a multigravid as early as

Answer 1

16 weeks

Question 2

Fetal movement can be felt by a primigravid as early as

Answer 2

18 weeks

Question 3

HCG is produced by this cell

Answer 3

Syncytiotrophoblast

Question 4

Most accurate tool for gestational age assignment

Answer 4

Crown rump length

Question 5

Fetal heart sounds can be appreciated by doppler and stethoscope at what weeks AOG

Answer 5

6-8 weeks: TVS

10 weeks: Doppler

20 weeks: stethoscope

22 weeks: heart sounds are expected to be heard in all

Question 6

Normal weight gain per week in the 2nd and 3rd trimester

Answer 6

1 pound per week

Question 7

Folate supplement for all women

Answer 7

0.4-0.8 mg per day

Question 8

Folate supplement that can prevent NTD

Answer 8

400mcg

Question 9

Contraindicated vaccines in pregnancy

Answer 9

MMR Varicella HPV

Question 10

Normal amount of fetal movements

Answer 10

10 in 2 hours

Question 11

Components of biophysical profile

Answer 11

NB MAT Nonstress test Breathing Movement Tone Amniotic fluid volume

Question 12

Baseline change in acceleration occurs when acceleration lasts

Answer 12

>10 mins

Question 13

Prolonged acceleration occurs when acceleration lasts

Answer 13

>2 mins but <10mins

Question 14

Most common deceleration pattern

Answer 14

Variable

Question 15

What nerve is responsible for the decrease in FHR in late deceleration?

Answer 15

Vagal nerve

Question 16

What are the phases of parturition

Answer 16

Quiescence Activation Stimulation Involution

Question 17

Which phase of parturition corresponds to the stages of labor?

Answer 17

Phase 3

Question 18

Braxton Hicks contraction is in what phase of parturition

Answer 18

Phase 1

Question 19

Women with these syndromes have greater prevalence of cervical incompetence

Answer 19

Ehlers Danlos Marfan

Question 20

Myometrial changes in the 2nd phase of parturition include increase in uterine irritability and responsiveness to uterotonics due to expression of

Answer 20

Contraction associated proteins

Question 21

Formation of the lower uterine segment is brought about by this part of the uterus

Answer 21

Isthmus

Question 22

During cervical ripening, these glands occupy most of the cervix

Answer 22

Endocervical glands

Question 23

Cervical stretching during dilatation is called this reflex

Answer 23

Ferguson reflex

Question 24

More passive part of the uterus during labor

Answer 24

Lower segment

Question 25

Structure in the uterus where there is lower segment thinning and upper segment thickening

Answer 25

Physiologic retraction ring

Question 26

Also called the pathologic retraction ring where there is extreme lower segment thinning

Answer 26

Bandl ring

Question 27

Most important force in fetal expulsion

Answer 27

Maternal pushing

Question 28

This is the leading portion of fluid and amniotic sac, located in front of the presenting part Formed during the process of cervical effacement and dilatation

Answer 28

Forebag

Question 29

Curve/pattern of cervical dilation during the preparatory and dilatational division of labor

Answer 29

Sigmoid

Question 30

Curve/pattern formed when the station of the fetal head is plotted as a function of labor duration

Answer 30

Hyperbolic

Question 31

Station 0 corresponds to what anatomical part of the pelvis

Answer 31

Ischial spine

Question 32

Most important pelvic floor structure

Answer 32

Levator ani

Question 33

Weakest layer of the placenta that separates from the implantation site

Answer 33

Decidua spongiosa

Question 34

Terbutaline can cause uterine relaxation by

Answer 34

Increase cAMP levels- decreased calcium- relax uterus