OB Quiz 1 Questions With Complete
Solutions
A woman is currently pregnant at 27 weeks gestation. Previously, she
| | | | | | | | | | |
miscarried a pregnancy at 16 weeks gestation, had a vaginal birth of a
| | | | | | | | | | | | |
boy at term (40 weeks) and a vaginal birth of twin girls at 36 weeks. The
| | | | | | | | | | | | | | | |
boy and the two girls are all alive and well.
| | | | | | | | |
What is her G and TPAL?
| | | | |
How would you record this woman's obstetric history using gravida and
| | | | | | | | | | |
para? - CORRECT ANSWER✔✔-G4 P1113
| | | |
G4 P2|
Which hormone of pregnancy prepares the breasts for lactation and
| | | | | | | | | |
produces breast milkafter the birth of the baby? - CORRECT
| | | | | | | | | |
ANSWER✔✔-Prolactin
What are the effects of the hormone oxytocin? - CORRECT ANSWER✔✔-
| | | | | | | | | |
Stimulates uterine contractions. | | |
,After birth, oxytocin also stimulates the ejection of milk from the
| | | | | | | | | | |
breasts
What is the general effect of estrogen during pregnancy? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-Estrogen - 3 H's: Hypertrophy, Hyperplasia, Hyperemia | | | | | |
How is fundal height used to assess the growth of the fetus? - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-In a normal, single pregnancy, the fundus of the uterus | | | | | | | | | |
rises above the symphysis pubis at 12 to 14 weeks gestation. It reaches
| | | | | | | | | | | | |
the umbilicus at 20 weeks gestation. From 20 weeks to 36 weeks the
| | | | | | | | | | | | |
distance from the symphysis pubis to the top of the fundus in cm is
| | | | | | | | | | | | | |
equal to the weeks gestation
| | | |
Explain 3 things which can decrease blood flow to the pregnant uterus
| | | | | | | | | | | |
and placenta. - CORRECT ANSWER✔✔-- Decreased maternal arterial
| | | | | | | |
blood pressure |
- Contractions of uterine muscles
| | | | |
- Maternal supine position
| | |
Describe normal vaginal discharge during pregnancy - CORRECT
| | | | | | | |
ANSWER✔✔-Leukorrhea is normal. The discharge is white or slightly | | | | | | | | |
gray and may have a faint musty odor.
| | | | | | |
, What is the normal peak increase in maternal cardiac output during
| | | | | | | | | | |
pregnancy? - CORRECT ANSWER✔✔-30% to 50% | | | | |
What is the normal peak increase in maternal blood volume during
| | | | | | | | | | |
pregnancy and at what gestational age does it occur? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-40 - 50% at 28 to 34 weeks EGA | | | | | | | |
What is "physiologic anemia of pregnancy" and what causes it? -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Physiologic anemia of pregnancy is
| | | | | |
hemodilution resulting from plasma volume increase which is greater
| | | | | | | | |
than red blood cell increase during pregnancy.
| | | | | |
Chloasma or Melasma - - CORRECT ANSWER✔✔-the "Mask of
| | | | | | | | |
Pregnancy". A blotchy brown hyperpigmentation of the skin over the
| | | | | | | | | |
cheeks, nose and forehead. Fades after birth
| | | | | |
Hyperpigmentation - - CORRECT ANSWER✔✔-all pigmented areas of | | | | | | | |
the skin darken during pregnancy. This includes freckles, moles, nipples,
| | | | | | | | | |
etc. They fade after birth
| | | |
Striae gravidarum - - CORRECT ANSWER✔✔-stretch marks. Most often
| | | | | | | | |
found on the abdomen and breasts due to rapid growth. The red or
| | | | | | | | | | | | |
purple color will fade to a less noticeable silver after pregnancy
| | | | | | | | | |
Solutions
A woman is currently pregnant at 27 weeks gestation. Previously, she
| | | | | | | | | | |
miscarried a pregnancy at 16 weeks gestation, had a vaginal birth of a
| | | | | | | | | | | | |
boy at term (40 weeks) and a vaginal birth of twin girls at 36 weeks. The
| | | | | | | | | | | | | | | |
boy and the two girls are all alive and well.
| | | | | | | | |
What is her G and TPAL?
| | | | |
How would you record this woman's obstetric history using gravida and
| | | | | | | | | | |
para? - CORRECT ANSWER✔✔-G4 P1113
| | | |
G4 P2|
Which hormone of pregnancy prepares the breasts for lactation and
| | | | | | | | | |
produces breast milkafter the birth of the baby? - CORRECT
| | | | | | | | | |
ANSWER✔✔-Prolactin
What are the effects of the hormone oxytocin? - CORRECT ANSWER✔✔-
| | | | | | | | | |
Stimulates uterine contractions. | | |
,After birth, oxytocin also stimulates the ejection of milk from the
| | | | | | | | | | |
breasts
What is the general effect of estrogen during pregnancy? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-Estrogen - 3 H's: Hypertrophy, Hyperplasia, Hyperemia | | | | | |
How is fundal height used to assess the growth of the fetus? - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-In a normal, single pregnancy, the fundus of the uterus | | | | | | | | | |
rises above the symphysis pubis at 12 to 14 weeks gestation. It reaches
| | | | | | | | | | | | |
the umbilicus at 20 weeks gestation. From 20 weeks to 36 weeks the
| | | | | | | | | | | | |
distance from the symphysis pubis to the top of the fundus in cm is
| | | | | | | | | | | | | |
equal to the weeks gestation
| | | |
Explain 3 things which can decrease blood flow to the pregnant uterus
| | | | | | | | | | | |
and placenta. - CORRECT ANSWER✔✔-- Decreased maternal arterial
| | | | | | | |
blood pressure |
- Contractions of uterine muscles
| | | | |
- Maternal supine position
| | |
Describe normal vaginal discharge during pregnancy - CORRECT
| | | | | | | |
ANSWER✔✔-Leukorrhea is normal. The discharge is white or slightly | | | | | | | | |
gray and may have a faint musty odor.
| | | | | | |
, What is the normal peak increase in maternal cardiac output during
| | | | | | | | | | |
pregnancy? - CORRECT ANSWER✔✔-30% to 50% | | | | |
What is the normal peak increase in maternal blood volume during
| | | | | | | | | | |
pregnancy and at what gestational age does it occur? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-40 - 50% at 28 to 34 weeks EGA | | | | | | | |
What is "physiologic anemia of pregnancy" and what causes it? -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Physiologic anemia of pregnancy is
| | | | | |
hemodilution resulting from plasma volume increase which is greater
| | | | | | | | |
than red blood cell increase during pregnancy.
| | | | | |
Chloasma or Melasma - - CORRECT ANSWER✔✔-the "Mask of
| | | | | | | | |
Pregnancy". A blotchy brown hyperpigmentation of the skin over the
| | | | | | | | | |
cheeks, nose and forehead. Fades after birth
| | | | | |
Hyperpigmentation - - CORRECT ANSWER✔✔-all pigmented areas of | | | | | | | |
the skin darken during pregnancy. This includes freckles, moles, nipples,
| | | | | | | | | |
etc. They fade after birth
| | | |
Striae gravidarum - - CORRECT ANSWER✔✔-stretch marks. Most often
| | | | | | | | |
found on the abdomen and breasts due to rapid growth. The red or
| | | | | | | | | | | | |
purple color will fade to a less noticeable silver after pregnancy
| | | | | | | | | |
