Quiz 1 Flashcards
Transit time in the stomach and small bowel increases by what percent in the second and third trimesters?
15-30%
During pregnancy, total body O2 consumption…
increases by 20% from nonpregnant levels
By term in a normal singleton pregnancy, maternal blood volume
Increases by 35%
When does the increase in circulating maternal blood volume reach its peak during pregnancy?
Week 32
During a normal pregnancy, maternal BP…
initially decreases to a nadir at 24-32 weeks and then returns to nonpregnant levels by term
At the time of uterine contractions during labor, mean arterial pressure…
increases by approximately 10 mmHg
What is chloasma?
Change in facial pigmentation during pregnancy
The umbilical blood flow represents about what percent of the combined output of both fetal ventricles?
40%
The risk of PE increases by what factor during the puerperium?
5.5x
What is the fibrinogen concentration range during pregnancy?
300-600 mg/dL
What is the most appropriate biopsy location for a 45-year-old woman with abnormal vaginal bleeding for 5 days and a normal vaginal examination?
Endometrium (uterus)
A 25-year-old patient had an IUD inserted last year but no longer feels the string. Which of the following is the most appropriate next step in management?
Ultrasonography
What is the most appropriate imaging study in an asymptomatic patient w/ 18-week size fibroids?
Transabdominal ultrasonography
A woman presents with signs consistent with leiomyomata uteri. Your next best step is to recommend what test?
Hysterosalpingogram
HSG
A 63-year-old woman with 6 months of early satiety and increased abdominal girth has an abdominal fluid wave and a palpable 12 cm right adnexal mass. The next best step would be to perform what test?
Diagnostic laparoscopy
“Bloody show” is related to what?
Effacement of the cervix
What is the optimal time for fetal heart tones during labor?
Immediately following a contraction
The portion of the fetus that is lowest in the birth canal is defined by what term?
Presentation
Engagement definition
Descent of the bi parietal diameter of the head below the plane of the pelvic inlet
- ️Occurs days to weeks prior to labor in nulliparous women and at the onset of women in multiparous women
- ⭐️Suggests the bony pelvis is adequate to allow significant descent of the fetal head
Pain during the first stage of labor is due to which of the following events?
Dilation of the cervix
Best treatment for dyspareunia during the postpartum period
Topical estrogen
The incidence of postpartum psychosis is approximately…
.1-.2%
When is the endometrium re-established after delivery?
3 weeks
What is the weight of fluid lost thru diuresis and loss of Extravascular fluid?
5 kg
Lochia rapidly decreases after how many days postpartum?
2-3
-Can persist for weeks tho
Protraction disorders
A prolonged latent phase of pregnancy alongside a cervical dilation rate of
Which presentation usually converts to a vertex or face presentation?
Brow presentation
There has been a secondary arrest of dilation when cervical dilation during the active phase of labor stops for at least…
2 hours
Outlet forceps-assisted vaginal delivery is appropriately considered with the fetal head at what station?
At the pelvic floor
In high risk cases, intermittent FHR auscultation to monitor fetal well-being should be employed at least how often in the second stage of labor?
5 mins
A cholesterol/lipid profile should be performed for women w/o risk factors at what interval?
Every 5 years after age 45 years
Bone marrow density testing is recommended for women w/o risk factors for osteoporosis beginning at what age?
65 years
What pulmonary measurement is decreased in pregnancy?
CO2 pressure
During pregnancy, what happens to total body O2 consumption?
Increases 20% from nonpregnant levels
During labor, what maternal cardiac output changes occur?
Increases by 40% from late pregnancy levels
When is the optimal time for auscultation of fetal heart tones during labor?
Immediately following a contraction
Pain during labor is associated with what?
Dilation of the cervix
