Suspected Test Questions

Question 1

Clinical and/or lab findings that suggest gestational trophoblastic d/z?
A. decr risk of hyperemesis gravidarum
B. fetal bradycardia
C. preeclampsia prior to 20w gestation
D. hypothyroidism w/ decr TSH
E. hCG less than expected for gestation

Answer 1

C. preeclampsia prior to 20w gestation

Question 2

How to plan for multiple gestation delivery?

Answer 2

• experienced obstetrician
• blood available
• IV access
• anesthesia and pedi available
• OR notified

Question 3

What are the 4 causes of maternal death?

Answer 3

• preeclampsia/eclampsia
• hemorrhage
• CV conditions
• thromboembolism

Question 4

What constitutes a cure for preeclampsia?
A. anticonvulants
B. magnesium sulfate
C. antiHTN
D. tocolytics
E. delivery of fetus

Answer 4

E. delivery of fetus

Question 5

Rh incompatability during pregnancy is a/w which of the following?
A. direct hyperbilirubinemia in the infant
B. affects fetus typically in 1st trimester
C. Rh+ mother, Rh- fetus
D. anemia leading to fetal hydrops
E. can only occur if husband is RH-

Answer 5

D. anemia leading to fetal hydrops

Question 6

Which of the following factors are NOT a/w gestational DM?
A. fasting serum glucose >95 during gestation
B. fetal demise prior to term in GDM requiring insulin therapy
C. shoulder dystocia w/ fetal macrosomia
D. more likely to require an operative delivery
E. all require insulin tx for hyperglycemia

Answer 6

E. all require insulin tx for hyperglycemia

Question 7

Which of the following is NOT a/w PROM?
A. singleton pregnancy
B. previous PROM
C. genital tract infx
D. antepartum bleeding
E. smoking

Answer 7

A. singleton pregnancy

Question 8

Placenta previa is ddx’d from placental abruption by which of the following?
A. bright red vaginal bleeding
B. painless vaginal bleeding

Answer 8

B. painless vaginal bleeding

Question 9

Most common reason for c-section is?
A. cephalopelvic disproportion
B. fetal distress
C. chorioamnionitis
D. uterine rupture
E. placenta previa

Answer 9

A. cephalopelvic disproportion

Question 10

FHR monitoring shows which of the following?
A. excellent intra-observer concordance in interpretation
B. need for emergent delivery for early FHR decelerations
C. expectant care w/ any bradycardia that eventually returns to baseline
D. sinusoidal FHR patterns are reassuring for fetal outcomes
E. emergent delivery is recommended for severe late FHR decelerations

Answer 10

E. emergent delivery is recommended for severe late FHR decelerations

Question 11

What is a risk in subsequent pregnancy where the women had a classical c-section d/t low lying fibroid?

Answer 11

rupture of uterus even prior to onset of labor

Question 12

VBAC requirements

Answer 12

• vertex
• only 1 prior c-sec
• previous c-sec >18m
• full consent of pt
• available OR for emergency c-sec
• blood available
• no pitocin, no prostaglandins

Question 13

Major cause of maternal M&M?
A. postpartum hemorrhage
B. cervical lacerations
C. chorioamnionitis
D. placental abrutpion
E. uterine rupture

Answer 13

A. postpartum hemorrhage