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52 Cards in this Set
- Front
- Back
Which of the following is NOT an early sign of pregnancy?
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Urinary retention
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Quickening (patient's initial perception of fetal movement) is generally first felt by how many weeks of gestation?
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20 weeks
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A positive pregnancy test may be associated with
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All of the above (spontaneous abortion, intrauterine pregnancy, ectopic pregnancy, trophoblastic disease)
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Congestion and a bluish color of the vagina is called
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Chadwick sign
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A softening of the cervix on physical examination is referred to as
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Hegar sign
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Fetal heart tones in a normal, viable pregnancy may routinely be heard by simple auscultation at or beyond how many week' gestational age?
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18 to 20 weeks
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Commonly used electronic Doppler devices will detect fetal heart tones at approximately how many weeks of gestation?
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12 weeks
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Most urine pregnancy tests typically become positive approximately how many weeks following the first day of the last normal menstrual period?
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4 weeks
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A serum progesterone level of >25 ng/mL is usually consistent with
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viable intrauterine pregnancy
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Intrauterine pregnancy is generally detectable by transvaginal ultrasonography when the beta-human chorionic gonadotropin concentration is greater than
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1,000 to 2,000 mIU/mL
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Which of the following tests is done as part of routine prenatal care?
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All of the above (blood group/Rh, antibody screen, complete blood count)
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In approximately what percent of pregnant women is rubella titer positive?
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85%
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Specific screening for treponema is required following a positive
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rapid plasma reagin
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Maternal serum alpha-fetoprotein testing is best done at
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15 to 18 weeks
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"Normal" pregnancy lasts 40 weeks from the first day of the last menstrual period with a margin of error of how many weeks?
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2 weeks
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The fertilization age or conception age is how many weeks less than the menstrual or gestational age?
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2 weeks
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Data from wheich of the following is NOT used in the final determination of the expected date of delivery?
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Maternal alpha-protein level
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In a normal singleton pregnancy, from approximately 16 to 18 weeks' gestation until approximately 36 weeks' gestation, the fundal height in centimeters is roughly equal to
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the number of weeks' gestational age
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The generally prescribed recommendation for weight gain during pregnancy is
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25 to 35 pounds
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Which of the following is a direct result of "lightening"?
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Decreased fundal height
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A cephalic presentation occurs in what percentage of deliveries?
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95%
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A breech presentation occurs in what percentage of deliveries?
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3.5%
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A shoulder presentation occurs in what percentage of deliveries?
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1%
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Estimation of gestational age by ultrasound is least accurate at which of the following times during pregnancy?
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36 to 38 weeks
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The normal fetal heart rate at term is
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120 to 160
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A reactive nonstress test is characterized by a fetal heart rate increase of how many beats per minute?
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15 beats per minute
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Which of the following statements correctly describes an abnormal contraction stress test?
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Fetal heart rate decreases in response to a uterine contraction
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The number of contractions in a 10-minute window that must occur for a contraction stress test to be measurable is
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3 contractions
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A biophysical profile in which there is one or more episodes of fetal breathing in 30 minutes, three or more descrete movements in 30 minutes, opening/closing of the fetal hand, a nonreactive nonstress test, and no pockets of amniotic fluid greater than 1 cm would have a total score of
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6
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Exclusive of the fetal heart rate reactivity, which of the following elements of the biophysical profile is generally considered most important?
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Qualitative amniotic fluid volume
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Repetitive deceleratioins following each contraction when three contractions occur in a 10-minute window is generally an indication of
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nonreassuring fetal status
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Further evaluation of fetal well-being should follow which answer to the question, "Is your baby moving more, less, or the same this week compared to last week"?
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moving less
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Tests of fetal lung maturity are generally used when delivery of a fetus is contemplated at a gestational age of less than how many weeks?
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36 weeks
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At how many weeks' gestatinoal age does phospholipid production increase, resulting in a positive phosphatidylglycerol test?
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32 to 33 weeks
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What percent of correctly performed positive tests of fetal lung maturity are associated with a subsequent development of respiratory distress syndrome?
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2%
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Which of the following activities is CONTRAINDICATED during pregnancy?
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Supine exercises
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During a normal pregnancy, the patient should be encouraged to engage in non-weight-bearing activity at what interval?
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Three times a week
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Which of the following information is NOT included in antepartum infant feeding (breast feeding, bottle feeding) counseling?
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Breast feeding is inferior in nutritional value to other methods
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Which of the following is NOT included in the list of "high risk" situations for which sexual activity is generally proscribed?
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Uterine leiomyoma
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"Physiologic" constipation in pregnancy is NOT associated with
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decreased blood flow to the gut
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Which of the following statements about low back pain in pregnancy is INCORRECT?
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Platform shoes can readjust the center of gravity reducing the severity of low back pain
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In pregnancy, psyllium hydrophilic mucilloid is useful in the management of
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constipation
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Because of the posistion of the fetus, round ligament pain is often more pronounced
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on the right side
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The neonatal mortality rate is
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the number of neonatal deaths per 1,000 live births
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The maternal mortality rate is
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the number of deaths in pregnant women per 100,000 live births
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PRF (pregnancy risk factor) A suggests that the risk of fetal harm is
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remote
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PRF (pregnancy risk factor) B indicates that human controlled studies
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do not exist
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PRF (pregnancy risk factor) C means that
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the drug should only be given if the potential benefits outweigh the risks
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PRF (pregnancy risk factor) D suggests what type of evidence exists for human fetal risk?
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Positive evidence for human fetal risk
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PRF X carries what important clinical implication?
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Animal-reproduction and human studies demonstrate fetal abnormalities such that the risk of use of drugs in this PRF in pregnant women clearly outweighs any possible benefit
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Factors to be considered in the selection of medications during pregnancy include
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all of the above (whether the drug is contraindicated in pregnancy, drug interactions, physiologic parameters such as renal or hepatic function)
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Which pregnancy risk factor category is characterized by the presence of human studies hwere there is no demonstrable fetal risk during pregnancy?
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A
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