Large For Dates Pregnancy

Beschreibung

Large For Dates Pregnancy given on the Thursday of Week 3
Matthew Coulson
Quiz von Matthew Coulson, aktualisiert more than 1 year ago
Matthew Coulson
Erstellt von Matthew Coulson vor mehr als 5 Jahre
17
1

Zusammenfassung der Ressource

Frage 1

Frage
Babies are considered to be large for dates if their development is above the ...
Antworten
  • 50th centile
  • 75th centile
  • 90th centile
  • 95th centile
  • 100th centile

Frage 2

Frage
A large for dates baby has a fundal height of [blank_start]greater than 2cm[blank_end] above their expected gestational age
Antworten
  • greater than 2cm
  • greater than 1cm
  • greater than 3cm

Frage 3

Frage
The term "fetal [blank_start]macrosomia[blank_end]" is used to describe a newborn who's significantly larger than average
Antworten
  • macrosomia

Frage 4

Frage
One method of predicting foetal weight is by measuring the length of which foetal bone? The [blank_start]Femur[blank_end]
Antworten
  • Femur

Frage 5

Frage
When a mother is found to have a macrosomic baby, which of the following conditions is it most important to rule out?
Antworten
  • Maternal Diabetes
  • Hypertension
  • Cardiac Arrhythmia
  • Hyperthyroidism
  • Hyperprolactinaemia

Frage 6

Frage
The medical condition describing an excess of amniotic fluid in the amniotic sac is known as [blank_start]Polyhydramnios[blank_end]
Antworten
  • Polyhydramnios

Frage 7

Frage
Obstructed labour, also known as labour [blank_start]dystocia[blank_end], is when, even though the uterus is contracting normally, the baby does not exit the pelvis during childbirth due to being physically blocked
Antworten
  • dystocia

Frage 8

Frage
On ultrasound, an amniotic fluid index (AFI) of greater than [blank_start]25[blank_end]cm is diagnostic of polyhydramnios
Antworten
  • 25

Frage 9

Frage
What is the depth of amniotic fluid diagnostic of polyhydramnios on ultrasound? Deepest pool = ...
Antworten
  • 5cm
  • 8cm
  • 12cm
  • 15cm

Frage 10

Frage
Which endocrine condition is a common cause of polyhydramnios? Maternal [blank_start]Diabetes[blank_end]
Antworten
  • Diabetes

Frage 11

Frage
Polyhydramnios can cause [blank_start]premature[blank_end] labour
Antworten
  • premature (early)
  • post-term (late)

Frage 12

Frage
Which of the following is the main presenting symptom of polyhydramnios?
Antworten
  • Abdominal pain
  • Prelabour rupture of membranes
  • Nausea and vomiting
  • Preterm labour
  • Cord prolapse

Frage 13

Frage
Which of the following investigative tests should be conducted in a mother of a polyhydramnios foetus?
Antworten
  • Random blood sugar test
  • Oral glucose tolerance test
  • Dexamethasone suppression test

Frage 14

Frage
If a pregnant woman with a polyhydramnios foetus hasn't given birth by 37 weeks, labour should be induced.
Antworten
  • True
  • False

Frage 15

Frage
What is the diagnosis?
Antworten
  • Multiple Pregnancy
  • Polyhydramnios
  • Macrosomia
  • Uterus Didelphys (double uterus)

Frage 16

Frage
Assisted conception therapy for infertility is known to increase the chances of a multiple pregnancy
Antworten
  • True
  • False

Frage 17

Frage
Low maternal age is a risk factor for multiple pregnancy
Antworten
  • True
  • False

Frage 18

Frage
Monozygotic twins occur when ...
Antworten
  • Two eggs are fertilised by two different sperm
  • One fertilised egg splits
  • One egg divides into two, which are then fertilised by two different sperm

Frage 19

Frage
Dizygotic twins occur when ...
Antworten
  • Two eggs are fertilised by two different sperm
  • One fertilised egg splits
  • One egg splits into two and these are fertilised by two different sperm

Frage 20

Frage
In terms of dizygous twins, such pregnancies are always dichorionic and diamniotic.
Antworten
  • True
  • False

Frage 21

Frage
In terms of monozygous twins, such pregnancies are always dichorionic and diamniotic.
Antworten
  • True
  • False

Frage 22

Frage
The [blank_start]earlier[blank_end] the fertilised ovum divides, the more likely a monozygotic pregnancy is to be dichorionic diamniotic (DCDA)
Antworten
  • earlier
  • later

Frage 23

Frage
Day 0-3 after fertilisation: [blank_start]Dichorionic, diamniotic (DCDA)[blank_end] Day 4-7 after fertilisation: [blank_start]Monochorionic , diamniotic (MCDA)[blank_end] Day 8-14 after fertilisation: [blank_start]Monochorionic , monoamniotic (MCMA)[blank_end] Day 15 after fertilisation onwards: [blank_start]Conjoined twins[blank_end]
Antworten
  • Conjoined twins
  • Monochorionic , monoamniotic (MCMA)
  • Monochorionic , diamniotic (MCDA)
  • Dichorionic, diamniotic (DCDA)

Frage 24

Frage
Which sign, found using ultrasound scanning, shows two placentas with a conjoining membrane and can thus be used to differentiate DCDA and MCDA twins? The [blank_start]Lambda[blank_end] sign
Antworten
  • Lambda

Frage 25

Frage
In multiple pregnancy, hCG levels are [blank_start]higher[blank_end] than in a usual pregnancy
Antworten
  • higher
  • lower

Frage 26

Frage
Severe nausea and vomiting in pregnancy (which can be exacerbated by multiple pregnancy) is known as [blank_start]hyperemesis gravidarum[blank_end]
Antworten
  • hyperemesis gravidarum

Frage 27

Frage
Which supplement which is not generally required in normally pregnancy is a necessity in multiple pregnancy patients?
Antworten
  • Folic Acid
  • Vitamin D
  • Vitamin C
  • Zinc
  • Iron

Frage 28

Frage
Women with a multiple pregnancy are at a higher risk of developing pre-eclampsia. They are therefore prophylactically prescribed low dose [blank_start]aspirin[blank_end] in order to protect against this.
Antworten
  • aspirin

Frage 29

Frage
Women with a multiple pregnancy are at a higher risk of developing pre-eclampsia. They are therefore prophylactically prescribed low dose [blank_start]aspirin[blank_end] (antiplatelet medication) in order to protect against this.
Antworten
  • aspirin

Frage 30

Frage
Which vitamin is also supplemented to women with multiple pregnancy in order to protect the foetus against neural tube defects? [blank_start]Folic Acid[blank_end] Supplementation
Antworten
  • Folic Acid

Frage 31

Frage
What is twin-twin transfusion syndrome?
Antworten
  • When one twin has polyhydramnios and the other has oligohydramnios due to imbalanced amniotic fluid
  • When one twin has hypotension and the other has hypertension due to incorrect formation of blood vessels from a single placenta (only occurs in MCDA and MCMA twins)
  • When one twin is macrosomic and the other is small for dates due to incorrect formation of blood vessels from a single placenta meaning that there is uneven distribution of nutrients (only occurs in MCDA and MCMA twins)

Frage 32

Frage
Which type of drugs are given during preterm labour to promote pulmonary surfactant production? [blank_start]Steroids[blank_end]
Antworten
  • Steroids

Frage 33

Frage
What is the target HbA1c in pregnant women?
Antworten
  • < 48 mmol/mol
  • < 53 mmol/mol
  • < 58 mmol/mol

Frage 34

Frage
Pregnancy should be avoided is the HbA1c is above [blank_start]86 mmol/mol[blank_end]
Antworten
  • 86 mmol/mol
  • 58 mmol/mol
  • 65 mmol/mol
  • 76 mmol/mol

Frage 35

Frage
Patients with known diabetes should be started on a high dose of which supplement 3 months prior to pregnancy?
Antworten
  • Folic acid
  • Iron
  • Zinc
  • Vitamin D
  • Vitamin C
  • Thiamine

Frage 36

Frage
In diabetic patients, high dose Folic Acid (5mg) should be started 3 months prior to conception and continued at a high dose until ...
Antworten
  • 12 weeks gestation
  • 14 weeks gestation
  • 20 weeks gestation
  • 24 weeks gestation

Frage 37

Frage
Diabetic patients are also given low dose [blank_start]aspirin[blank_end] in order to protect against the potential development of pre-eclampsia
Antworten
  • aspirin
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