Quiz 1

Question 1

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

Answer 1

15-30%

Question 2

During pregnancy, total body O2 consumption…

Answer 2

increases by 20% from nonpregnant levels

Question 3

By term in a normal singleton pregnancy, maternal blood volume

Answer 3

Increases by 35%

Question 4

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

Answer 4

Week 32

Question 5

During a normal pregnancy, maternal BP…

Answer 5

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

Question 6

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

Answer 6

increases by approximately 10 mmHg

Question 7

What is chloasma?

Answer 7

Change in facial pigmentation during pregnancy

Question 8

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

Answer 8

40%

Question 9

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

Answer 9

5.5x

Question 10

What is the fibrinogen concentration range during pregnancy?

Answer 10

300-600 mg/dL

Question 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?

Answer 11

Endometrium (uterus)

Question 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?

Answer 12

Ultrasonography

Question 13

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

Answer 13

Transabdominal ultrasonography

Question 14

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

Answer 14

Hysterosalpingogram

HSG

Question 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?

Answer 15

Diagnostic laparoscopy

Question 16

“Bloody show” is related to what?

Answer 16

Effacement of the cervix

Question 17

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

Answer 17

Immediately following a contraction

Question 18

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

Answer 18

Presentation

Question 19

Engagement definition

Answer 19

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

Question 20

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

Answer 20

Dilation of the cervix

Question 21

Best treatment for dyspareunia during the postpartum period

Answer 21

Topical estrogen

Question 22

The incidence of postpartum psychosis is approximately…

Answer 22

.1-.2%

Question 23

When is the endometrium re-established after delivery?

Answer 23

3 weeks

Question 24

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

Answer 24

5 kg

Question 25

Lochia rapidly decreases after how many days postpartum?

Answer 25

2-3 -Can persist for weeks tho

Question 26

Protraction disorders

Answer 26

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

Question 27

Which presentation usually converts to a vertex or face presentation?

Answer 27

Brow presentation

Question 28

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

Answer 28

2 hours

Question 29

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

Answer 29

At the pelvic floor

Question 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?

Answer 30

5 mins

Question 31

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

Answer 31

Every 5 years after age 45 years

Question 32

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

Answer 32

65 years

Question 33

What pulmonary measurement is decreased in pregnancy?

Answer 33

CO2 pressure

Question 34

During pregnancy, what happens to total body O2 consumption?

Answer 34

Increases 20% from nonpregnant levels

Question 35

During labor, what maternal cardiac output changes occur?

Answer 35

Increases by 40% from late pregnancy levels

Question 36

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

Answer 36

Immediately following a contraction

Question 37

Pain during labor is associated with what?

Answer 37

Dilation of the cervix