Fetal Complications Of Pregnancy

Question 0

Proportionately small
Dec fetal growth potential
Insult <20 weeks
Fetal etiology

Answer 0

Symmetrical IUGR

Question 1

Growth restriction

Answer 1

LBW <10th percentile

IUGR

Question 2

Only AC is dec
N fetal growth potential
Insult >20 w
Inc head to abdomen ratio
Placental and maternal etiology

Answer 2

Asymmetrical IUGR

Question 3

RF IUGR pregnancy

Answer 3

Maternal weight less than 10th percentile
Prev IUGR infant
Maternal, vascular and cardiac disease

Question 4

Polydramnios

Answer 4

AFI >24
Caused by fetal malformations and maternal DM
Dyspnea and LE edema
Amniocentesis Amniotomy Indomethacin

Question 5

Oligohydramnios

Answer 5

AFI <5
Caused by obstruction of fetal urinary tract or renal agenesis
Amnioinfusion

Question 6

Gold std for confirming fetal death

Answer 6

Absence of fetal cardiac activity
Scalp edema
Fetal maceration
Gas bubbles

Question 7

Radiographic evidence to establish fetal death

Answer 7

Robert sign gas bubble in heart earliest
Spalding sign overlapping of fetal bones
Ball sign exaggeration of fetal spinal curvature

Question 8

DIC and Coagulopathy occurs to mother in with still birth

Answer 8

Fetus>14w AOG

Dead for >4w AOG

Question 9

Abnormal placental shapes

Multiple placenta with single fetus

Answer 9

Bipartite or bilobata

Question 10

Abnormal placental shapes

One or more small accessory lobes developed in membranes at a distance from periphery of main placenta

Answer 10

Succenturiate

Question 11

Abnormal placental shapes

Central portion of discoidal placenta is missing

Answer 11

Fenestrated

Question 12

Abnormal placental shapes

Central depression surrounded by thickened grayish white ring of membrane

Answer 12

Circumvallate

Question 13

Abnormal placental shapes

Thinner ring of membrane coincides with placental margin

Answer 13

Circummarginate

Question 14

Utz: no hypoechoic retroplacental zone

Color doppler: dilated vascular channels with diffuse lacunar flow

Answer 14

Placenta accreta

Question 15

Normal length of UC

Answer 15

55-60 cm

Question 16

Cord insertion at the placental margin

Answer 16

Battledore placenta

Question 17

Velamentous insertion

Answer 17

Cord inserts in the membrane at a distance from the placenta

Question 18

Knots from kinking of vessels to accommodate cord length

Knots from active movements

Answer 18

False

True

Question 19

Extreme focal deficiency of Wharton jelly

Answer 19

Stricture

Question 20

Rupture of varix usually from umbilical vein

Answer 20

Hematoma

Question 21

Cyst derived from remnant of umbilical vesicles or allantois

Cyst from liquefaction of Wharton jelly

Answer 21

True

False

Question 22

Multifetal gestation
Influenced by race
Spontaneous

Answer 22

Fraternal

Identical

Question 23

Structure formation
Day 3
Day 8
Day 12

Answer 23

Chorion
Amnion
Embryonic plate

Question 24

MC point where conjoined twins are fused

Answer 24

Thoracophagus

Question 25

Best outcome among monozygotic twins

Answer 25

Dichorionic diamniotic

Question 26

Most common type of multifetal gestation

Answer 26

Monochorionic diamniotic

Question 27

``` Highest mortality Cord entanglement Twin Twin Transfusion Fetal death Abn vascular connections ```

Answer 27

Monochorionic monoamnionic

Question 28

Fertility augmentation

Answer 28

Clomiphene citrate | Human menopausal gonadotropin

Question 29

MCC morbidity and mortality in multifetal gestation

Answer 29

PTL

Question 30

Utz findings in multifetal gestation

Answer 30

Multiple gestational sacs Twin peak sign for dichorionic twins T or hair like sign for monochorionic twins

Question 31

Discordancy

Answer 31

Hct difference >20% | Bt wt difference >20%

Question 32

MC route of delivery for multifetal gestation

Answer 32

Cephalic-cephalic