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Flashcards in 2017 Sarap Deck (65)
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1

The main portion of the uterine wall is composed of

muscle fibers

2

After 12 wks AOG, uterine size related to

mechanical distension

3

AOG uterus ceases to be a pelvic organ

12 weeks

4

Results in increased uterine placental blood flow

reduced elastin content

5

Inversion of the cervix is caused by

marked proliferation of cervical glands

6

Cervical mucus caused by

progesterone

7

Violet color of VAGINA

Chadwick’s sign

8

Hegar’s sign

Softening of the ISTHMUS

9

Goodell's sign

Softening of the CERVIX

10

Average weight gain during pregnancy

27.5

11

Causes bipedal edema in normal pregnant women

increased venous pressure below level of uterus due to partial aortocaval occlusion

12

Normal in pregnant patients
A. Mild fasting hyperglycemia
B. Postprandial hypoglycemia
C. Hypoinsulinemia
D. Greater suppression of glucagon

D

13

Ensures steady supply of glucose to fetus

peripheral insulin resistance

14

Correct regarding protein metabolism
A. low amounts of protein during pregnancy is added to the uterus, breasts, and maternal blood
B.1kg increase in protein all goes to the fetus
C. 1 kg increase in protein: 500 g from fetus and placenta and 500 g to mother

C

15

T/F Cholesterol is increased in pregnancy

T

16

T/F A hemoglobin of 10.5 at 32 weeks AOG is normal and iron supplementation is not necessary

F; 11 is considered anemic. All pregnant women needs supplementation

17

How much iron is needed for normal pregnancy?

1000mg

18

Amount of blood lost in a normal spontaneous vaginal delivery

500mL

19

Increased during pregnancy EXCEPT
A. T-helper 1
B. T-helper 2
C. CD-8
D. IL4,6,13
E. IgA, IgG

A

20

Decreased during pregnancy EXCEPT
A. T-cytotoxic cell 1
B. CD-4
C. interferon
D. TNF-B
E. Interleukin 1-B

E

21

T/F CBC 14,000 leukocyte count is normal

T

22

Effect of supine position on Cardiac Output

Decrease

23

Normal cardiac findings EXCEPT
A. Inc cardiac silhouette
B. severe cardiomegaly
C. Mild pericardial effusion
D. Straightened Left heart border
E. prominence of lateral outflow track

B

24

Best position a laboring patient can assume for better fetal oxygenation

Left Lateral Recumbent

25

Pelvic veins and IVC in enlarged uterus may cause the following except
A. Hemorrhoids
B. Lower Ex. Pitting Edema
C. Lower Ex. Varicosities
E. Vascular Spiders

E

26

True in pregnancy
A. transverse diameter of thoracic atrium is increased by 2 cm
B. Subcostal angle increased
C. Thoracic circumference inc by 6cm
D. AOTA

D

27

decreased functional residual capacity is due to

upward displacement of diaphragm

28

T/F In pregnancy, compensatory decrease in plasma bicarbonate levels resulting in slight increase in blood pH can be observed

T

29

Date of Consult: 12 Feb 2013 LNMP: 8 Dec 2012
AOG?
A. 7 weeks & 1 day
B. 8 weeks & 0 days
C. 9 weeks & 3 days
D. 10 weeks & 6 days

C

30

33. Date of Consult: 12 Feb 2013 LNMP: 8 Dec 2012
EDD?

September 15, 2013

31

First pregnancy: abortion at 8 weeks AOG
Second pregnancy: twins, delivered abdominally at 30 weeks AOG due to malpresentation but only one survived
Third: delivered at 39 weeks
Is currently pregnant
What is the obstetric score?

G4P2 (1,2,1,2)

32

What is the determining point for vertex presentation?
A. occiput
B. vertex
C. shoulder
D. sacrum

A

33

What do you call the relation of the longitudinal axis of the fetus to that of the mother?
A. Lie
B. Presentation
C. Attitude
D. Position

A

34

Pigmentary changes common among pregnant women presumed to be primarily due to

Increased melanocyte stimulation

35

Vascular angiomas and palmar erythema are caused by

Hyperestrogenism

36

Musculoskeletal change during pregnancy to compensate for anterior load

Exaggerated lumbar lordosis

37

The increase in joint laxity is due to an increase in which levels of which hormone during pregnancy?
A. Progesterone
B. Estrogen
C. Relaxin
D. None of the above

D

38

Memory related memory decline is experienced during
A. First trimester
B. Second trimester
C. Third trimester
D. Labor

C

39

Caused by reflux of something secretions into lower esophagus

Pyrosis

40

Contributes to frequent pyrosis in pregnant women

low intraesophageal pressure, low intraesophageal sphincter tone, high gastric pressure. fluid goes from high to low pressure area, therefore reflux.

41

Focal highly vascular swelling of the gums

Epulis of pregnancy

42

Impairs gallbladder contraction by inhibiting CCK-mediated smooth muscle contraction

Progesterone

43

T/F hydronephrosis in pregnancy is pathologic

F

44

Abnormal radiographic finding in the kidney in pregnancy confirmed no earlier than

12 wks

45

Normal urinalysis finding in pregnancy
A. hematuria
B. proteinuria
C. glucosuria
D. AOTA

C

46

T/F Vitamin C is lost in great amounts during pregnancy

T

47

Not included in the WHO definition of Maternal Health Care System
A. Monetary Source
B. Transpo and Communication
C. caregivers
D. Patients

D. Patients

48

Case Payment by PHIC for normal spontaneous vaginal delivery in a Level 2 hospital is
A. P18,000
B. P9,000
C. P6,500
D. None of the above

C

49

In the latest reforms for maternal health delivery systems, neonatal care can be provided by

CeMONC

50

Which hospital level is emergency hospital

Level 1

51

T/F The pituitary gland is not essential for maintenance of pregnancy

T

52

Its regulation and physiological effects are incompletely understood but may be related to birth weight and development of preeclampsia

Placental growth hormone

53

Sustains increased plasma volume in late pregnancy
A. Prolactin
B. Parathyroid hormone
C. Placental growth hormone
D. Cortisol

D

54

Mrs. Rodriguez on 20th week of pregnancy, consult for neck mass, on PE: thyroid enlargement

further work-up

55

Greatest disruption of sleep occurs

postpartum

56

Transient state of heightened emotional reactivity experienced 1st week after parturition

postpartum blues

57

Risk factors for development of mental illness during pregnancy except

smoking

58

Mrs. Cruz has postpartum blues, what to do?

reassure with support of family

59

Most important supplement that can be given at this time

Folic Acid

60

At each return prenatal visit, the following fetal parameters are assessed except:
A. Fetal heart rate
B. Fetal size
C. Fetal breathing
D. Fetal movement

C

61

The following fetal parameters are always be checked at each return prenatal checkup except:
A. BP
B. weight
C. danger signs and symptoms
D. vaginal exam

D

62

What prenatal lab test is best done between 24 and 28 weeks?

glucose tolerance test

63

Parameters assessed at gestational age are the following except:
A. fundal height
B. thickening
C. ultrasound
D. cervical consistency

D

64

Gravid woman, single pregnancy, pre-pregnant BMI of 18 should have a total weight gain of

12-18 kg

65

Choose the correct statement regarding vitamin and mineral supplementation for pregnancy:
A. A diet with adequate calories and proper weight gain will be enough to cover for all...
B. Mid-pregnancy iron requirements imposed by pregnancy and maternal excretion total approximately 7 mg/day
C. Iron supplement best taken after meal to lessen nauseous side effect
D. Iron supplement should be started during pre-conception to maximize benefits for both mother and fetus

B