Quiz: Normal pregnancy

1) 1.The term " Puerperium " describes:

A a) The first six postpartum weeks B b) The first tow postpartum weeks C c) The first four postpartum weeks D d) The period of lactation

2) Which of the following laboratory values is expected to increase during normal pregnancy

A a) Plasma fibrinogen B b) Serum albumin C c) Blood urea nitrogen D d) Fasting blood sugar

3) Which part of the following is sharing in the formation of the placenta?

A a) Decidua capsularis B b) Decidua Vera C c) Chorion leave D d) Chorion frondosum

woman who gave birth to an infant with a neural tubal defect The prophylactic dose of folic acid to prevent recurrence is

A a) 400 µg B b) 500 µg C c) 5000 µg D d) 1000 ug

According to Negele’s rule: the EDD for pregnant woman whose LMP was 25/9/2022, will be

A a) 2 July 2023 B b) 2 June 2023 C c) 25 Juge 2023 D d) 18 July 2023

Biophysical profile should be done

A a) As the first fetal assessment test when hypoxia is suspected B b) When oxytocin challenge test is negative C c) When fetal movement count less than 10 D d) When non stress test is non-reactive

If a pregnant woman delivered twice before and aborted three times, she will be

A a) G5 Para 2+3 B b) G6 Para 2+3 C c) G5 Para 5+0 D d) G6 Para 5+0

Regarding causes of fundal level less than the period of amenorrhea The following are true EXCEPT

A a) Transverse lie B b) Wrong calculation cause is the commonest C c) Pregnancy may be associated with uterine fibroid D d) Intrauterine growth restriction can be expected

Midline pigmentation of skin below umbilicus during pregnancy is called

A a) Striae gravidarum B b) Chloasma gravidarum C c) Linea nigra D d) Linea alba

The age of fetal maturity is

A a) 36 completed weeks B b) 37 completed weeks C c) 38 completed weeks D d) 40 completed weeks

In normal pregnancy, the most important item of supplementation is

A A. Iron B B. Amino acids C C. Phosphorous D D. Vitamin A

The most accurate ultrasonic gestational age estimator is

A a. Crown rump length (CRL) B b. BPD C c. Femur bone length D d. Abdominal circumference

The maternal cardiac output in normal pregnancy

A a. Increases up to 45% in the period 32-34 weeks. B b. Increases up to 20% in the period 34-36 weeks. C c. Does not change all-over pregnancy. D d. Decreases by 10% in the period from 28-32 weeks

Which of the following is correct in the diagnosis of placenta previa

A a) The commonest presentation is shock B b) Vaginal examination is needed to complete the diagnosis C c) The fetus is usually dead D d) Bleeding is recurrent and painless

The best timing for ultrasound diagnosis of fetal anomalies is

A a. Between 6-10 weeks B b. Between 12-16 weeks C c. Between 18-22 weeks D d. Between 26-30 weeks

Causes of hypofibrinogenemia in obstetrics include the following except

A a) Neglected missed abortion B b) Rh isoimmunization reaction C c) Severe preeclampsia D d) Amniotic fluid embolism

Which one of the following fetal anomalies should be screened for in the first trimester

A a) Spina bifida B b) Trisomy C c) Skeletal dysplasia D d) Cardiac anomalies

Pregnancy is usually associated with the following except

A A. Mastalgia B B. Appearance of the primary areola C C. The cervix become harder D D. Weight gain.

Ultrasound during pregnancy

A A. Ultrasound assessment is required at each antenatal visit for low-risk pregnancy. B B. Dating scan is done at 20 weeks C C. Anomaly scan is done at 20 weeks D D. Placental site is usually not assessed until 56 weeks

Which of the following is a risk factor for placenta accreta

A A. Young age B B. prim gravidity C C. fundal placenta D D. previous cesarean delivery

the value of US examination in mid pregnancy (around 20 weeks) basically

A a) Identification of fetal structural malformation B b) Exact determination of gestational age C c) Detection of cases of trisomy D d) Fetal biophysical profile

US estimation of fetal gestational age at 8-10 weeks of pregnancy is best achieved by

A a) Femur length B b) Crown rump length C c) Bi-parietal diameter D d) Abdominal circumference

Quickening

A a) Is the first fetal movement felt by the mother. B b) Is the first fetal movement detected by examination C c) Is the first fetal time to hear fetal heart sound D d) Is the first time to detect positive pregnancy test

In the 2nd trimester of pregnancy; which of the following replaces the ovary as the main source of progesterone production

A a) Chorion B b) Trophoblast. C c) Amnion D d) Myometrium

The basic components of placental formation include

A a) The chorion frundosum and decidua basalis. B b) The chorion frundosum and decidua vera C c) The chorion frundosum and decidua capsularis D d) The chorion leave and decidua basalis

A 27 years old woman, G2 P1, with regular cycle every 28 day, Her first day of last menstrual period April 1/ 2017 expected the date of delivery will be

A a) January 1/2018 B b) January 8/2018 C c) January 12/2018 D d) January 15/2018

The number of cornified vaginal cells is increase in

A a) Normal pregnancy B b) Threatened abortion C c) Ectopic pregnency D d) none of the above

Concerning the use of antibiotics in pregnancy all are true except

A a) Erythromycin dose not cross the placenta B b) Erythromycin is associated with the neonatal gray baby syndrome C c) Erythromycin is the drug of choice in patients with premature rupture of membranes D d) Streptomycin is associated with sensorineural deafness

Fertilization occur at

A a) Endometrium B b) Isthmical part of tube C c) Ampullary part of tube D d) intramural part of tube

Lower uterine segment

A a) Covered by adherent peritoneum B b) Decidua is poorly developed C c) Fetal membrane is firmly adherent D d) Active during labor

The decrease bladder tone during pregnancy caused by progesterone is associated with of the following

A a) Urinary stasis B b) Increase residual volume C c) Dilated collection system D d) All of the above

Quickening is generally first felt by how many weeks of gestation

A a) 24 B b) 12 C c) 16 D d) 20

A positive pregnancy test may be associated with

A a) Trophoblastic disease B b) Spontaneous abortion C c) Ectopic pregnancy D d) All of the above

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