Week 6 practice questions Flashcards

(47 cards)

1
Q

Which of the following increase during pregnancy? Select all that apply
a) Heart rate
b) Blood pressure
c) SVR
d) Cardiac output

A

a) Heart rate
d) Cardiac output

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2
Q

Aortocaval compression/IVC compression becomes a concern when?
a) >25 wks gestation; prone position
b) >20 wks gestation; prone position
c) >20 wks gestation; supine position
d) >25 wks gestation; supine position

A

c) >20 wks gestation; supine position

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3
Q

Why were pregnancy pillows created? Choose the best answer.
a) Growing uterus compressing on IVC and/or aorta can threaten perfusion to the body only
b) Growing uterus compressing on IVC and/or aorta can threaten perfusion to the placenta only
c) Growing uterus compressing on IVC and/or aorta can threaten perfusion to the fetus only
d) Growing uterus compressing on IVC and/or aorta can threaten perfusion to the body and/or placenta

A

d) Growing uterus compressing on IVC and/or aorta can threaten perfusion to the body and/or placenta

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4
Q

What hormone is responsible for striae/ “stretch marks”?
a) Corticotropin releasing hormone (CRH)
b) Cortisol
c) Insulin
d) PRL (prolactin)

A

b) Cortisol

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5
Q

The only FDA approved med for N/V in pregnancy is what?
a) Diclegis
b) Zofran
c) Phenergan
d) Reglan

A
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6
Q

Which hormone is most responsible for constipation in pregnancy?
a) Estrogen
b) Progesterone
c) Relaxin
d) PRL

A

b) Progesterone
(vasodilator)

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7
Q

Which of the following hormones were mentioned in the powerpoint to be involved in breast enlargement? Select all that apply
PRL
Progesterone
Oxytocin
Estrogen
FSH
LH

A

PRL + Oxytocin

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8
Q

When does the blastocyst form after fertilization?
Days 1-2
Days 2-3
Days 3-4
Days 4-5
Days 5-6

A

Days 4-5

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9
Q

What does the extraembryonic mesoderm become?
a) Placenta
b) Yolk sac
c) Neonate
d) Amniotic fluid
e) Chorionic blood vessels

A

e) Chorionic blood vessels

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10
Q

Which allows oxygen-rich blood to bypass pulmonary circulation in the fetus?
a) Ductus arteriosus
b) Foramen ovale
c) Both of the above

A

a) Ductus arteriosus

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11
Q

Where does blood enter immediately after it goes through the foramen ovale?

A

Left atrium

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12
Q

Your patient gave birth to her 5 year old daughter at 37 weeks. She lost her second daughter at 18 weeks. She gave birth to her 1 year old twin boys at 28 weeks. She recently lost her third daughter at 21 weeks. What are her G&P and TPAL?

A

G4P3A1 & T1P2A1L3

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13
Q

Your patient lost a pregnancy at 20 weeks. She then lost another at 19 weeks. She has a 2 year old son who was delivered at 35 weeks. She had an ectopic pregnancy and subsequent abortion at 10 weeks. What is her GTPAL?

A

G4P0221

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14
Q

Up to which week can a healthy pregnancy have f/u appointments every 2 weeks?

A

36

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15
Q

Most airlines say flying is safe up until ________ weeks.

A

36

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16
Q

Routine oral glucose tolerance testing usually occurs between what weeks?
a) 18-22
b) 22-26
c) 24-28
d) 30-34

A

c) 24-28

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17
Q

Which of the following vitamins may help with mild morning sickness?
a) Vitamin B3
b) Vitamin B6
c) Vitamin B12
d) Vitamin D
e) Vitamin C

A

b) Vitamin B6

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18
Q

What does the Amnisure test look for?
a) Spontaneous rupture of the membranes
b) Bacterial vaginosis in pregnancy
c) Excessive vaginal discharge
d) Hemorrhoids in pregnancy

A

a) Spontaneous rupture of the membranes

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19
Q

Today is May 11th, 2025. A patient had her last menses on April 1st, 2025. Using Naegele’s Rule to date her pregnancy, what is her due date?

A

January 8th, 2026.

20
Q

Heart and heart rate (110-125 bpm) can be detected on TVUS at what week?

21
Q

Which of the following are NOT mentioned as teratogenic infections? Select 2
a) Toxoplasmosis
b) Syphilis
c) Varicella-Zoster
d) Pertussis
e) Parvovirus B19
f) Rubella
g) CMV
h) HPV
i) Herpes

A

d) Pertussis
h) HPV

22
Q

Short or absent limbs is the primary characteristic of which teratogen?

23
Q

What 2 epilepsy medications are mentioned to be safe in pregnancy?

A

Lamictal + Levetiracetam

24
Q

Which of the following is the second-line treatment for diabetes in pregnancy?
a) Insulin
b) Metformin
c) Glyburide
d) Metoprolol
e) Griseofulvin

A

b) Metformin

(Glyburide is also commonly used but is not called second-line)

25
Which of the following is NOT considered in Biophysical profile score (after the 28th wk)? a) Body movement b) Heart rate c) Blood pressure d) Breathing movement e) Muscle tone f) Amniotic fluid levels
c) Blood pressure
26
Biochemical testing from amniocentesis: Elevated AFP indicates what? a) High risk of neonatal respiratory distress b) Open foramen ovale c) Open ductus arteriosus d) Open dorsal/ventral wall
d) Open dorsal/ventral wall
27
Chorionic villus sampling (CVS) takes a sample of what? Choose the best answer. a) Amniotic fluid (composed of maternal tissue) b) Uterine lining (composed of maternal tissue) c) Placenta (composed of maternal and embryonic tissue) d) Placenta (composed of embryonic tissue)
c) Placenta (composed of maternal and embryonic tissue)
28
Which of the following is usually done between weeks 15 and 20? Choose the best answer a) Amniocentesis for genetic diagnosis b) Cordocentesis for genetic diagnosis c) TVUS for estimated due date d) CVS for genetic diagnosis
a) Amniocentesis for genetic diagnosis
29
A patient has cervical incompetence and an elongated cervix. When is the best time to perform Cervical Cerclage? a) 13-16 weeks b) 22-24 weeks c) 28-32 weeks d) 36-40 weeks
B (13-16 wks if normal cervix)
30
Beta HCG is most strongly correlated to what pregnancy symptom? a) Headaches b) Nausea/ vomiting c) Swollen ankles d) Fatigue e) Leg cramps
b
31
Beta HCG is most strongly correlated to what pregnancy symptom? a) Headaches b) Nausea/ vomiting c) Swollen ankles d) Fatigue e) Leg cramps
b) Nausea/ vomiting
32
What is the mnemonic for biophysical profile score?
33
What becomes the placenta? a) Trophoblast b) Hypoblast c) Epiblast
a) Trophoblast
34
What becomes the embryo and forms amniotic fluid? a) Trophoblast b) Hypoblast c) Epiblast
c) Epiblast
35
When does the zygote develop? Where?
Days 1-3; fallopian tubes
36
When does the blastocyst form?
Days 4-5
37
What connects placenta to fetus?
Extraembryonic mesoderm, which becomes chorionic blood vessels
38
When does implantation occur?
Days 5-11
39
One of first identifiable structures on US to confirm pregnancy develops when?
Days 12-13
40
Fluid-filled cavity forms as cavities converge, forming “chorionic cavity” or “gestational sac” which can be identified on ultrasound. This occurs when?
Days 12-13
41
Deoxygenated blood returns to placenta via what?
Umbilical arteries
42
Where is the ductus arteriosus between?
Pulmonary artery and aorta
43
List 4 vaccines safe in pregnancy
Flu, pertussis, COVID-19, RSV
44
List some teratogenic effects of warfarin
Hypoplastic nose, skeletal/ocular abnormalities, neonatal bleeding, cognitive impairment
45
Levetiracetam and Lamotrigine levels vary throughout pregnancy because _____________ effects their metabolism
estrogen
46
Glyburide is commonly used for what in pregnancy?
DM
47