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Flashcards in Quiz 1 Deck (37)
1

Transit time in the stomach and small bowel increases by what percent in the second and third trimesters?

15-30%

2

During pregnancy, total body O2 consumption...

increases by 20% from nonpregnant levels

3

By term in a normal singleton pregnancy, maternal blood volume

Increases by 35%

4

When does the increase in circulating maternal blood volume reach its peak during pregnancy?

Week 32

5

During a normal pregnancy, maternal BP...

initially decreases to a nadir at 24-32 weeks and then returns to nonpregnant levels by term

6

At the time of uterine contractions during labor, mean arterial pressure...

increases by approximately 10 mmHg

7

What is chloasma?

Change in facial pigmentation during pregnancy

8

The umbilical blood flow represents about what percent of the combined output of both fetal ventricles?

40%

9

The risk of PE increases by what factor during the puerperium?

5.5x

10

What is the fibrinogen concentration range during pregnancy?

300-600 mg/dL

11

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)

12

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

13

What is the most appropriate imaging study in an asymptomatic patient w/ 18-week size fibroids?

Transabdominal ultrasonography

14

A woman presents with signs consistent with leiomyomata uteri. Your next best step is to recommend what test?

Hysterosalpingogram

(HSG)

15

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

16

"Bloody show" is related to what?

Effacement of the cervix

17

What is the optimal time for fetal heart tones during labor?

Immediately following a contraction

18

The portion of the fetus that is lowest in the birth canal is defined by what term?

Presentation

19

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

20

Pain during the first stage of labor is due to which of the following events?

Dilation of the cervix

21

Best treatment for dyspareunia during the postpartum period

Topical estrogen

22

The incidence of postpartum psychosis is approximately...

.1-.2%

23

When is the endometrium re-established after delivery?

3 weeks

24

What is the weight of fluid lost thru diuresis and loss of Extravascular fluid?

5 kg

25

Lochia rapidly decreases after how many days postpartum?

2-3

-Can persist for weeks tho

26

Protraction disorders

A prolonged latent phase of pregnancy alongside a cervical dilation rate of

27

Which presentation usually converts to a vertex or face presentation?

Brow presentation

28

There has been a secondary arrest of dilation when cervical dilation during the active phase of labor stops for at least...

2 hours

29

Outlet forceps-assisted vaginal delivery is appropriately considered with the fetal head at what station?

At the pelvic floor

30

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

31

A cholesterol/lipid profile should be performed for women w/o risk factors at what interval?

Every 5 years after age 45 years

32

Bone marrow density testing is recommended for women w/o risk factors for osteoporosis beginning at what age?

65 years

33

What pulmonary measurement is decreased in pregnancy?

CO2 pressure

34

During pregnancy, what happens to total body O2 consumption?

Increases 20% from nonpregnant levels

35

During labor, what maternal cardiac output changes occur?

Increases by 40% from late pregnancy levels

36

When is the optimal time for auscultation of fetal heart tones during labor?

Immediately following a contraction

37

Pain during labor is associated with what?

Dilation of the cervix