Fi

Question 1

patient presents with a single nodule in the right breast that is round, well delineated, soft, very mobile, and non-tender.. The nodule does not change over the course of the menstrual cycle.

Answer 1

• fibroadenoma
• well deliniated and mobile= not cancer
• no changes over course of month = not fibrocystic

Question 2

60 yo patient presents witha single lesion in the left breast. the lesion is stellate, hard, and not clearly delineated from surrounding tissues. it feels like the lesion is fived to the skin and is non-tender. the lesion does not change with the menstrual cycle.

Answer 2

• hard lesion**
• does not change with the menstrual cycle = not cyclic

this is cancer

Question 3

patient presents with multiple breast nodules that are found bilaterally and are round soft well delineated, mobile, and tender. it is more painful just prior to menses.

Answer 3

• cyclical therefore fibrocystic

- decrease caffiene

Question 4

Effacement is a process that involves the:

Answer 4

cervix

Question 5

gestational trophoblastic neoplasm is another name for:

Answer 5

molar pregnancy

Question 6

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

Answer 6

6.5-7.5

Question 7

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

Answer 7

caput succedaneum

Question 8

pseudocyesis is a

Answer 8

false pregnancy

Question 9

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

Answer 9

amniotomy

Question 10

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

Answer 10

cervi is blocked by the placenta

Question 11

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

Answer 11

piskacek’s sign

Question 12

average total maternal weight gain (including fetus) in normal singleton pregnancy is ____ lbs

Answer 12

27

Question 13

erythromycin is used by some hospitals for:

Answer 13

preventing blindness in newborns with chlamydial infected mothers

Question 14

an ectopic pregnacy is an implantation outside the uterine cavity. where do the majority of ectopic pregnancies occur?

Answer 14

ampulla of fallopian tubes

Question 15

at the end of the first stage of labor, the cervix is dilated to ____ cm:

Answer 15

10

Question 16

patient presents with vaginal bleeding in the 3rd month of pregnancy, hyperemesis gravidarum, and abdominal pain. patient has uterine enlargemnt, but no doppler detectable fetal heart sounds. ultrasound reveals “snowstorm” appearance. what is the most likely diagnosis?

Answer 16

molar pregnancy

Question 17

PAP smear classification “IV” is :

Answer 17

carcinoma in situ

Question 18

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

Answer 18

abortuses

Question 19

one of the many probable signs of pregnancy, “chadwick’s sign”, is characterized by:

Answer 19

bluish discoloration of vagina and cervix

Question 20

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

Answer 20

gastrocele

Question 21

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

Answer 21

puerperium

Question 22

what percentage of fetuses arrives at the introitus with a vertex presentation?

Answer 22

95

Question 23

a molar pregnancy has a significant probability of initiating a malignancy known as ________.

Answer 23

choriocarcinoma

Question 24

newborns in most hospital settings are routinely given vitamin K for the purpose of preventing:

Answer 24

clotting difficulties

Question 25

typical birth protocol in most american hospitals would include all of the following except:

Answer 25

cut cord 30 minutes after parturition

Question 26

the interval between the onset of labor and full vervical dilation is called Stage ____ of labor.

Answer 26

1

Question 27

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

Answer 27

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

Question 28

episiotomy, if it is utilized during a child birth, is performed:

Answer 28

when the perineum is fully stretched and birth imminent

Question 29

if amniotic fluid is colored the most likely contaminant is:

Answer 29

meconium

Question 30

the delivery of the fetal head by extending it upward and forward through the vulva, between contractions, by pressing wiht the tips of the fingers upon the perineum is known as _______.

Answer 30

ritgen's maneuver

Question 31

which of the following is not a positive manifestatoin of pregnancy?

Answer 31

chadwick's sign

Question 32

ballottement could be defined as:

Answer 32

examiner lightly taps uterus, feels movement of fetus

Question 33

the estimated incidence of spontaneous abortion in the US is ____

Answer 33

50%

Question 34

dystocia is a term used to describe _______

Answer 34

difficult labor

Question 35

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

Answer 35

molding

Question 36

the first perception of fetal movement is known as:

Answer 36

quickening

Question 37

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

Answer 37

chloasma

Question 38

typical lochia would include all of the following except:

Answer 38

cyano

Question 39

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

Answer 39

a horizontal slit

Question 40

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

Answer 40

abruptio placentae

Question 41

occurrence is 1 per 50,000 births. complete invasion of hte placenta through the thickness of the uterine muscle. the best describes:

Answer 41

placenta percreta

Question 42

a 25 yo female patient presents with abnormal vaginal bleeding, abdominal pain, abdominal tenderness, amenorrhea and shoulder pain. which of the following is the most likely possibility?

Answer 42

ectopic pregnancy

Question 43

procidentia is a term describing

Answer 43

severe uterine prolapse

Question 44

spontaneous placenta delivery most often occurs about _____ after the birth.

Answer 44

30 minutes

Question 45

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.

Answer 45

2.5-6

Question 46

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

Answer 46

cradle cap

Question 47

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

Answer 47

1-2

Question 48

as the infant exits the vaginal canal it is often covered with a whitish, slippery oily substance. this is known as __________.

Answer 48

vernix caseosa

Question 49

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 the brief history, the most likely condition would be:

Answer 49

breast cancer

Question 50

a 27 year old female patient presents with multiple breast noduels that are found bilaterally and are round, soft, well delineated, mobile, and tinder. this problem is usually more painful just prior to menses. based on this brief history, the most likely condition would be:

Answer 50

fibrocystic disease

Question 51

looping of the umbilical cord around the neck of the fetus occurs in about _____% of pregnancies

Answer 51

25

Question 52

in a woman with a normal 28 day cycle, the highest LH levels would most likely occur on day ______.

Answer 52

14

Question 53

the estrogen that plays the larges role during pregnancy is:

Answer 53

estriol

Question 54

spinnbarkheit

Answer 54

the stickiness/stretchiness of the cervical mucus prior to ovulation

Question 55

preeclampsia

Answer 55

pregnancy induced hypertension

Question 56

bloody show

Answer 56

is thick vaginal discharge that contains mucus and blood from the cervix. It usually occurs in late pregnancy, as the body prepares for labor.

Question 57

eclampsia

Answer 57

- high BP - seizures - protein in urine

Question 58

cryptomenorrhea

Answer 58

- aka hematocolpos, is a condition where menstruation occurs but is not visible due to an obstruction of the - vaginal septum or hymen prevents outflow of uterine lining

Question 59

tocolytics

Answer 59

-anti-contraction medications or labor suppressants

Question 60

kegel

Answer 60

exercises to strengthen pelvic floor muscles

Question 61

nagele's rule. what is it used for and what is the formula?

Answer 61

- way to calculate due date | - 1 yr-3mo+7 days since womens last menstrual period

Question 62

5 signs and symptoms that might appear in a case of ectopic pregnancy would be?

Answer 62

1) vaginal bleeding 2) abdominal cramping 3) pain in shoulder 4) nausea and vomitting 5) dizziness

Question 63

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

Answer 63

5