12/27/22, 4:27 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.
Question 1
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When is it expedient to breast feed a newborn after physiological labor?
a. Right after physiological labor
b. In the course of the day after labor
c. Right after lactation begins
d. During the first 2 hours after labor
e. In 12 hours after labor
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Question 2
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Pregnancy of 39-40 weeks. Labor is the first. The Apgar score of the newborn is 3.The child was born with double tight cord entanglement
around the fetal neck. What predetermined asphyxia of the newborn?
a. Placenta detachment
b. Absolutely short umbilical cord
c. Relatively short umbilical cord
d. Congenital developmental anomalies
e. A true knot of the umbilical cord
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Question 3
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Determine method for pain relief at the second labor stage:
a. Pudendal anesthesia
b. Epidural anesthesia
c. Cerebrospinal anesthesia
d. Paracervical anesthesia
e. None of the above
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12/27/22, 4:27 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.
Question 4
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All of the following are changes that occur to the fetal circulation within minutes of birth EXCEPT for which?
a. Constriction of the hepatic portal sinus
b. Constriction of the ductus arteriosus
c. Closure of the foramen ovale
d. Constriction of the ductus venosus
e. Constriction of the umbilical vessels
Question 5
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Pregnant, in 10 weeks, 3 days, she turned to an ultrasound doctor for 1 screening. When should the first ultrasound be done during a
physiological pregnancy?
a. 6-7 weeks of pregnancy
b. As early as possible
c. 11-14 weeks of pregnancy
d. 17-21 weeks of pregnancy
e. 20-21 weeks of pregnancy
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Question 6
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At external examination fetal axis is corresponding with mothers, fetal back is anterior left, head above the pelvic inlet. How is situated the
fetus?
a. Longuitudinal lie, 1st anterior position, head presentation
b. Longuitudinal lie, 2nd anterior position, head presentation
c. Transversal lie, 1st anterior position
d. Longuitudinal lie, 2nd anterior position, breech presentation
e. Longuitudinal lie, 1st anterior position, breech presentation
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12/27/22, 4:27 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.
Question 7
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A 38-year-old female patient who is 12 weeks pregnant comes to your office for an examination to see if the baby will be healthy. Which of
the following can be used for chromosomal analysis of the fetus?
a. Maternal serum screen
b. Nuchal translucency
c. Fetal umbilical Doppler velocimetry
d. Biophysical profile
e. Chorionic villus sampling
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Question 8
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The use of the Apgar score permits:
a. Determination of the prognosis of consequent fetal development
b. Determination of fetal maturity
c. Evaluation of the fetal condition
d. There is no correct answer
e. To establish endications for carrying out emergrncy measures
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Question 9
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The second stage of labor is defined as which of the following?
a. The interval from onset of contractions to the beginning of cervical dilation
b. The duration of maternal pushing efforts
c. The time from delivery of the placenta to discharge from the hospital
d. The time from full cervical dilation to delivery of the fetus
e. The time from delivery of the fetus until delivery of the placenta
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12/27/22, 4:27 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.
Question 10
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Which of the following medications is NOT associated with central nervous system (CNS) abnormalities?
a. Tegretol
b. Methotrexate
c. Valproic acid
d. Thalidomide
e. Vitamin A
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Question 11
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A patient presents for her first prenatal visit at 10 weeks’ gestation. Her routine prenatal intake laboratory tests reveal that she is not immune
to rubella. What should you recommend?
a. Administer MMR vaccination postpartum
b. She does not need MMR vaccination
c. Administer MMR vaccination at 28 weeks
d. Administer MMR vaccination at 13 weeks
e. Administer MMR vaccination now
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Question 12
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A parturient woman with regular birth activity and discharge of amniotic fluid has been delivered to the delivery room. The fetal head is firmly
pressed against the pelvic inlet, fetal heartbeats rhythmical, 140 per min. Vaginal examination findings: cervical dilatation-7 cm, sagittal suture
is in the left oblique diameter, the posterior fontanel is located in front and below the anterior one located on the right. Determine the
position and view of the fetus:
a. Second position, posterior view
b. First position, anterior view
c. First position, posterior view
d. Second position, anterior view
e. First position, front anterior presentation
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12/27/22, 4:27 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.
Question 13
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At what gestational age is the amniotic fluid volume at its maximum?
a. 30 weeks
b. 34 weeks
c. 38 weeks
d. 26 weeks
e. 22 weeks
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Question 14
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Levels of hCG in the maternal circulation typically peak at what level and at what gestational age?
a. 10,000 mIU/mL at 10 weeks
b. 10,000 mIU/mL at 20 weeks
c. 100,000 mIU/mL at 10 weeks
d. 10,000 mIU/mL at 40 weeks
e. 100,000 mIU/mL at 40 weeks
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Question 15
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Which of the following observations would NOT be expected to be seen on an obstetric ultrasound at 7 weeks’ gestation?
a. Chorionic sac
b. Physiologic bowel herniation
c. Embryo demonstrating movement
d. Yolk sac
e. Embryo with cardiac activity
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12/27/22, 4:27 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.
Question 16
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At external examination fetal axis is corresponding with mothers, fetal back is anterior left, buttocks above the pelvic inlet. How is situated the
fetus?
a. Longuitudinal lie, 1st anterior position, breech presentation
b. Longuitudinal lie, 2nd anterior position, head presentation
c. Longuitudinal lie, 2nd anterior position, breech presentation
d. Transversal lie, 1st anterior position
e. Longuitudinal lie, 1st anterior position, head presentation
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Question 17
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Congenital syndromes related to viral infections are most likely to occur if the mother contracts the illness during which of the following
trimesters?
a. 1-2mons before pregnancy
b. In the first trimester
c. In the third trimester
d. Postpartum
e. In the second trimester
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Question 18
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The first labor. Upon admission to the maternity hospital uterine cervix dilation is 5 cm. The parturient woman complains of very painful
contractions. Fetal heart rate is 142 per min. Choose labor pain relief method.
a. Paracervical anesthesia
b. Pudendal anesthesia
c. None of the above
d. Epidural anesthesia
e. Cerebrospinal anesthesia
Clear my choice
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12/27/22, 4:27 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.
Question 19
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A maternal “quad” screen performed at 18 weeks’ gestation returns with the following results: α-fetoprotein (AFP) 0.5 MoM (multiples of the
median), estriol 0.6 MoM, human chorionic gonadotropin (hCG) 2.0 MoM, and inhibin 1.8 MoM. Which fetal disorder is most likely given this
serum analyte profile?
a. Open neural tube defect
b. Trisomy 13
c. Turner syndrome
d. Trisomy 18
e. Trisomy 21
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Question 20
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A pregnant woman was admitted to the maternity ward. On external examination, the axis of the fetus corresponds to the mother. The
heartbeat of the fetus can be heard on the right, still at the navel. How is the fetus located?
a. Longitudinal supine position, 2nd posterior position, breech presentation
b. Longitudinal lying, 1st front position, breech presentation
c. Transverse lying, 1st front position
d. Longitudinal lying, 2 front position, breech presentation
e. Longitudinal lying, 2nd front position, main presentation
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