Mary L
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growth, fluid and dating

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Mary L
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Fetal Growth, Fluid Disturbances, and Dating

Question 1 of 14

1

In the third trimester, the amniotic fluid volume starts to decreases at ___ weeks gestational age.

Select one of the following:

  • 37

  • 38

  • 39

  • 40

  • 41

Explanation

Question 2 of 14

1

Most cases of polyhydramnios are due to:

Select one of the following:

  • unknown causes

  • fetal kidney problems

  • decreased intramembranous flow

  • maternal-fetal hemorrhage

  • uncontrolled GDM

Explanation

Question 3 of 14

1

Select from the dropdown lists to complete the text.

Oligiohydramnios is defined as and amniotic volume of less than ( 3, 4, 5, 6, 7 ) cm pocket in a singleton pregnancy or less than a ( 1, 2, 3, 4, 5 ) cm pocket in a twin pregnancy. Polyhyramnios is defined as an AFI of more than ( 24, 25, 26, 27, 28 ) cm or a maximum deepest vertical pocket of ( 7, 8, 9, 10, 11 ) cm or more.

Explanation

Question 4 of 14

1

Oligo that develops in the ___ trimester results in the most perinatal morbidity and mortality

Select one of the following:

  • first

  • second

  • third

Explanation

Question 5 of 14

1

Which of the following conditions is least associated with third trimester oligo

Select one of the following:

  • uteroplacental insufficiency/decreased renal urine production

  • post term pregnancy

  • decreased fetal lung fluid

  • idiopathic

  • maternal dehydration

Explanation

Question 6 of 14

1

A MODIFIED BPP consists of the following

Select one or more of the following:

  • reactive NST

  • evidence of fetal breathing

  • fetal movement

  • AFI of >5cm (preferrably with a single vertical pocket of >2cm)

Explanation

Question 7 of 14

1

All LGA infants also had fetal macrosomia.

Select one of the following:

  • True
  • False

Explanation

Question 8 of 14

1

Fetal macrosomia is defined as a weight of greater than

Select one of the following:

  • 4100 g

  • 4200 g

  • 4300 g

  • 4400 g

  • 4500 g

Explanation

Question 9 of 14

1

Suspected fetal macrosomia is an indication for:

Select one of the following:

  • elective cesarean delivery

  • induction of labor

  • induction of labor only for Diabetic mothers

  • presence of neonatalogist at bedside for delivery

  • none of the above

Explanation

Question 10 of 14

1

Intrauterine Growth Restriction is defined as less than < ___percentile for gestational age.

Select one of the following:

  • 5

  • 10

  • 15

  • 20

  • 25

Explanation

Question 11 of 14

1

All of the following maternal factors are associated with IUGR except

Select one of the following:

  • chronic HTN

  • Diabetes with vascular involvement

  • severe calorie restriction (600-900 kcal/day)

  • autoimmune diseases

  • cigarette smoking

Explanation

Question 12 of 14

1

The most important thing to do after getting an EFW of < 10th %-tile is to:

Select one of the following:

  • order an AFI and doppler flow study

  • increase maternal calorie intake

  • evaluate the mother for GDM

  • order antibiotics for suspected infectious process

Explanation

Question 13 of 14

1

Select from the dropdown lists to complete the text.

Early term is considered between ( 35, 36, 37, 38 ) and ( 37, 38, 39, 40 ).6 wks
Full term is considered between ( 37, 38, 39, 40 ) and ( 38, 39, 40, 41 ).6 wks
Late term is considered between ( 40, 41, 42, 43 ) and __.6 wks
Post term is considered between ( 40, 41, 42, 43 ) and ( beyond, 43, 44 )

Explanation

Question 14 of 14

1

In an otherwise healthy fetus and mother, ACOG practice bulletin recommends induction by

Select one of the following:

  • 39.6

  • 41

  • 42

  • 42.6

Explanation

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