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Flashcards in FINALLY Deck (59)
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1
Q

Effacement is a process that involves the:

A. fallopian tubes
B. cervix
C. ovaries
D. placenta
E. fimbria
A

B. cervix

2
Q

Gastrointestinal trophoblastic neoplasm is another name for:

A. pseudocyesis 
B. cervical tumor
C. uterine cancer
D. ovarian cancer
E. molar pregnancy
A

E. molar pregnancy

3
Q

Whether or not the amniotic sac has ruptured can sometimes be determined by measuring measuring the pH of the escaped fluid. Amniotic fluid typically has a pH of:

A. 2.5-3.5
B. 4.5-5.5
C. 5.5-6.5
D. 6.5-7.5

A

D. 6.5-7.5

4
Q

If the cervix is not fully dilated and the labor prolonged, the infant might then develop a circular swelling on the top of the skull, crossing the midline, a condition known as:

A. cephalhematoma
B. caput succedaneum
C. holding
D. cerclage
D. ringworm
A

B. caput succendaneum

5
Q

Pseudocyesis is a:

A. false uterine prolapse
B. false abortion
C. false uterine dysplasia
D. false pregnancy
E. false positive biopsy
A

D. false pregnancy

6
Q

In an attempt to induce or accelerate the labor, physicians sometime puncture the amniotic sac. This procedure is called:

A. Amniocentesis
B. Amniotomy
C. Pudendal puncture
D. Chorionic villus sampling

A

B. amniotomy

7
Q

A “total placenta previa” would be a condition where the:

A. fallopian tube is blocked by the placenta
B. cervix is blocked by the placenta
C. placenta consists of trophoblastic tissue
D. placenta has become detached from the uterus

A

B. cervix is blocked by the placenta

8
Q

Asymmetrical enlargement and softening at the implantation site of the uterus is known as:

A. allotment
B. Ladin's sign
C. Piskacek's sign
D. Hegar's sign
E. Goodell's sign
A

C. Piskacek’s sign

9
Q

Average total maternal weight gain (including fetus) in a normal singleton pregnancy is ___ lbs:

A. 7
B. 17
C. 27
D. 37

A

C. 27

10
Q

Erythromycin is used by some hospitals for:

A. Increasing clotting capability
B. Preventing blindness in newborns with chlaymidial infected mothers
C. Increasing immunity of the newborn
D. Screening for rare metabolic disease

A

B. preventing blindness in newborns with chlaymidial infected mothers

11
Q

An ectopic pregnancy is an implantation outside the uterine cavity. Where do the majority of ectopic pregnancies occur?

A. Ovaries
B. isthmus of fallopian tubes
C. fimbria of fallopian tubes
D. rectouterine pouch
E. ampulla of fallopian tubes
A

E. ampullae of fallopian tubes

12
Q

At the end of the first stage of labor, the cervix is dilated to ___ cm.

A. 2
B. 4
C. 6
D. 8
E. 10
A

E. 10

13
Q

Patient presents with vaginal bleeding in the 3rd month of pregnancy, hyperemesis gravidarum, and abdominal pain. Patient has uterine enlargement, but no Doppler detectable fetal heart sounds. Ultrasound reveals “snowstorm” appearance. What is the most likely diagnosis?

A. ectopic pregnancy
B. molar pregnancy
C. placenta abruptio
D. pseudocyesis
E. placenta previa
A

B. molar pregnancy

14
Q

PAP smear classification “IV” is:

A. normal
B. malignancy
C. dysplasia
D. carcinoma in situ
E. atypical or benign
A

D. carcinoma in situ

15
Q

The number of pregnancies for a particular patient that have ended at gestational age(s) less than 20 weeks in the definition of:

A. gravidity
B. molar pregnancy
C. abortuses
D. premature gestation

A

C. abortuses

16
Q

One of the many probably signs of pregnancy, “Chadwick’s Sign,” is characterized by:

A. irregular softening of the uterus
B. increased flexibility of the uterus
C. bluish discolouration of vagina and cervix
D. increased striae of the abdomen

A

C. bluish discolouration of vagina and cervix

17
Q

Herniations into the vaginal canal are more common in older women and would include all of the following except:

A. Cystocele
B. rectocele
C. enterocoele
D. gastrocele

A

D. gastrocele

18
Q

The 6-8 weeks time period following parturition during which the reproductive tract returns to its normal, nonpregnant state (ie. involution of the uterus) is called:

A. lochia
B. Hegar’s sign
C. hydatidiform
D. puerperinum

A

D. puerperinum

19
Q

What percentage of fetuses arrives at the introitus with a vertex presentation:

A. 15
B. 95
C. 45
D. 65

A

B. 95

20
Q

A molar pregnancy has a significant probability of initiating a malignancy known as:

A. sarcoma
B. choriocarcinoma
C. Wilm’s tumor
D. adenocarcinoma

A

B. choriocarcinoma

21
Q

Newborns in most hospital settings are routinely given Vitamin K for the purpose of preventing:

A. Neisseria blindness
B. clotting difficulties
C. respiratory distress
D. SIDS
E. seizures
A

B. clotting difficulties

22
Q

Typical birth protocol in most American hospitals would include all of the following except:

A. oral and nasal suction of infant
B. cut cord 30 minutes after parturition
C. antiseptic eye drops
D. heel stick to screen for rare metabolic diseases
E. Apgar evaluation at 1 and 5 minutes after birth

A

B. cut cord 30 minutes after parturition

23
Q

The interval between the onset of labor and full cervical dilation is called stage ___ of labor:

A. 1
B. 2
C. 3
D. 4

A

A. 1

24
Q

Which of the following statements regarding the umbilical cord is incorrect:

A. scientific terminology for the umbilical cord is “funds”
B. cord must be cut within 3 minutes, even with normal uncomplicated births
C. mainstream doctors usually cut the cord immediately so the baby can be taken away for evaluation
D. cord stumps usually fall off within a few days

A

B. cord must be cut within 3 minutes, even with normal uncomplicated births

25
Q

Episiotomy, if utilized during childbirth, is performed:

A. before full dilation
B. immediately after the water breaks
C. shortly after the placenta exits
D. when the perineum is fully stretched and birth imminent

A

D. when the perineum is fully stretched and birth imminent

26
Q

If amniotic fluid is coloured, the most likely contaminant is:

A. bacteria
B. meconium
C. urine
D. bilirubin

A

B. meconium

27
Q

The delivery of the fetal head by extending it upward and forward through the vulva, between contractions, by pressing with the tips of the fingers upon the perineum is known as ____:

A. Leopold’s maneuver
B. Ritgen’s maneuver
C. mittelschmerz
D. Von Fernwald’s maneuver

A

B. Ritgen’s maneuver

28
Q

Which of the following is not a positive manifestation of pregnancy?

A. fetal heart tones present
B. palpation of fetus
C. Chadwick sign
D. ultrasound exam reveals fetal presence

A

C. Chadwick sign

29
Q

Ballotment could be defined as:

A. softening of the tip of the cervix
B. vascular sounds from the placenta
C. Softening at the site of implantation
D. examiner lightly taps uterus, feels movement of fetus

A

D. examiner lightly taps uterus, feels movement of fetus

30
Q

The estimated incidence of spontaneous abortion in the US is ___ %

A. 50
B. 60
C. 70
D. 80

A

A. 50

31
Q

Dystocia is a term used to describe ____

A. cephalhematoma
B. painful menses
C. difficult labor
D. striae gravidarum
E. caput succedaneum
A

C. difficult labor

32
Q

During the birth process, the infant skull often undergoes an “alteration in the relation of the fetal cranial bones, even resulting in partial bone overlap” this temporary deformation is known as:

A. caput succedaneum
B. molding
C. Mongolian spots
D. spontaneous rupture

A

B. molding

33
Q

The first perception of fetal movement is known as:

A. engagement
B. McDonald’s sign
C. quickening
D. Braxton Hicks

A

C. quickening

34
Q

Darkening of the skin over the bridge of the nose, cheeks, and forehead of a pregnant woman is known as:

A. linea nigra
B. chloasma
C. Hegar’s sign
D. lightening

A

B. chloasma

35
Q

Typical lochia would include all of the following except:

A. serosa
B. alba
C. rubra
D. cyano

A

D. cyano

36
Q

In a multiparous woman, the external os of the cervix is:

A. absent
B. a small circular pinpoint
C. a horizontal slit
D. coloured deep purple

A

C. a horizontal slit

37
Q

Of all the factors that increase the risk of fetal death; _____ is the greatest risk of those listed below.

A. amniocentesis
B. abruptio placentae
C. forceps utilization
D. history of toxemia

A

B. abruptio placentae

38
Q

Occurrence is 1 per 50,000 births. Complete invasion of the placenta through the thickness of the uterine muscle. This best describes:

A. placenta increta
B. placenta accreta
C. placenta percreta
D. placenta abruptio

A

C. placenta percreta

39
Q

A 25 y/o female patient presents with abnormal vaginal bleeding, abdominal pain, abdominal tenderness, amenorrhea and shoulder pain. Which of the following is the most likely possibility?

A. uterine fibroids
B. ectopic pregnancy
C. endometriosis
D. molar pregnancy

A

B. Ectopic pregnancy

40
Q

Procidentia is a term describing:

A. palpatory maneuvers
B. the pessary
C. severe uterine prolapse
D. mammalian lactation

A

C. severe uterine prolapse

41
Q

Spontaneous placenta delivery most often occurs about ____ after the birth:

A. 30 minutes
B. 1 hour
C. 2 hours
D. 3 hours

A

A. 30 minutes

42
Q

Anthropologists who have studied breast feeding patterns in primates and other mammals have concluded that humans might theoretically breastfeed their children from ____ years of age

A. 1 - 1.5
B. 1.5 - 2
C. 2 - 2.5
D. 2.5 - 6

A

D. 2.5 - 6

43
Q

A seborrheic dermatitis of the scalp often seen in babies is more commonly known as:

A. caput succedaneum
B. cephalhematoma
C. cradle cap
D. persistant fontanelles

A

C. cradle cap

44
Q

During a typical hospital birth it is within normal limits for the mother to lose between ___ cups of blood.

A. 1-2
B. 2-3
C. 3-4
D. 5-6

A

A. 1-2

45
Q

As the infant exits the vaginal canal it is often covered with a whitish, slippery, oily substance. This is known as:

A. chorionic fluid
B. peritoneal fluid
C. lanugo
D. vernix caseosa

A

D. vernix caseosa

46
Q

A 63 year old female patient presents with a breast nodule in the left breast. The nodule can be described as irregular or stellate, hard, not clearly delineated, fixed to underlying tissues, and non-tender. Based on this brief history, the most likely condition would be:

A. breast cancer
B. fibroadenoma
C. galactocele
D. fibrocystic disease

A

A. breast cancer

47
Q

A 27 year old female patient presents with multiple breast nodules that are found bilaterally and are round, soft, well delineated, mobile and tender. This problem is usually more painful just prior to menses. Based on this brief history, what is the most likely condition:

A. breast cancer
B. adenofibroma
C. fibroadenoma
D. fibrocystic disease

A

D. fibrocystic disease

48
Q

Looping of the umbilical cord around the neck of the fetus occurs in about ___% of pregnancies.

A. 0
B. 25
C. 50
D. 75

A

B. 25%

49
Q

In a woman with a normal 28 day cycle, the highest LH levels would be most likely to occur on day ____.

A. 12
B. 14
C. 16
D. 18

A

B. 14

50
Q

The estrogen that plays the largest role during pregnancy is:

A. estrone
B. estriol
C. estradiol
D. equilin

A

B. estriol

51
Q

Define: Spinnbarkheit

A

The stickiness/stretchiness of the cervical mucus prior to ovulation

52
Q

Define: Preeclampsia

A

Pregnancy induced hypertension

53
Q

Define: Bloody show

A

Mucus discharge that is tinged red or brown with blood signifying labor is imminent

54
Q

Define: Cryptomenorrhea

A

Menstruation occurs but isn’t visible

55
Q

Define: Tocolytics

A

Anti-contraction medication used to suppress premature labor

56
Q

Define: Kegel

A

Exercises used to strengthen the pelvic floor muscles

57
Q

Nagel’s rule. Write what it’s used for and the formula used for the calculation

A

A standard way of calculating the due date for a pregnancy.

+1 year -3 months +7 days since a woman’s last menstrual period

58
Q

List below 5 signs and symptoms that might appear in a case of ectopic pregnancy

A
1- vaginal bleeding
2- abdominal cramping
3- pain in shoulder
4- nausea and vomitting
5- dizziness
59
Q

Sperm can generally survive a maximum of ___ days in the fertile-quality cervical fluid that women can produce around the time of ovulation

A

5.