AMCB Practice Question Review with complete solution 2023/2024

AMCB Practice Question Review with complete solution 2023/2024 Latent Phase of Labor - correct answer Onset of labor until cervical dilation reaches 4-6 m Long arc rotation - correct answer Most commonly performed by babies beginning labor in LOP presentation FHR Variability: controlling system - correct answer Parasympathetic/sympathetic nervous system Pudendal Anesthesia Administration - correct answer Ideal timing to administer in multip women is at 8-9cm, just before complete dilation, to cover birth and repair Sudden fetal bradycardia in 2nd stage - correct answer commonly caused by a vagal response in the fetus related to descent Engagement occurs when - correct answer Widest diameter of the presenting part descends to or below the pelvic inlet The widest diameter of the fetal head is the biparietal diameter Iron Deficiency Labs - correct answer Microcytic, hypochromic Low Hgb, Hct, MCV, MCHC, RBCs, iron, ferritin High TIBC High RDW Leg cramp in pregnancy relief - correct answer Flexion of the foot Changes in respiratory system in pregnancy - correct answer May cause increased chest diameter; thoracic circumference increases by 5-6cm and residual volume decreases polyhydramnios fetal etiology - correct answer CNS or GI tract fetal anomalies Autosomal Recessive Trai - correct answer Expressed only when both copies of the gene are the same; ex cystic fibrosis and sickle cell anemia Infant effects of maternal tobacco use - correct answer IUGR, premature birth, and SGA Severe features of preeclampsia - correct answer thrombocytopenia, renal insufficiency, impaired liver function, pulmonary edema, and cerebral or visual symptoms Hemodynamic Changes in Initial Postpartum Period - correct answer Elevated cardiac output for as long as 48 hours after birth; cardiac output increases 60-80% Placental transport of oxygen and glucose - correct answer Transported across the placenta via facilitated diffusion Amniotic fluid production - correct answer Produced by the amniotic epithelium; water transfers across the amnion and through the fetal skin -in the 2nd trimester, the fetus starts to swallow, urinate, and inspire amniotic fluid Trichomoniasis treatment in Pregnancy - correct answer Metronidazole (Flagyl) 2 g PO x1 at any stage in pregnancy Ritgen maneuver - correct answer Assist in delivery of the fetal head during extension Used to expedite the delivery of the fetal head when necessary It involves applying upward pressure from the coccygeal region to extend the head during actual delivery, thereby protecting the musculature of the perineum. Maternal breastfeeding contraindications - correct answer HIV positive and untreated Active TB Illicit drug use Take prescribed chemotherapy agents Acrocyanosis - correct answer Bluish discoloration of the hands and feet caused by reduced peripheral circulation. Normal within first 24-48 hours after birth Variable decelerations description - correct answer Abrupt in nature Decrease in FHR from a baseline of 15BPM lasting 15 seconds but 2 min Anterior asynclitism - correct answer exists when the sagittal suture is closer to the sacrum and the anterior parietal bone is presenting first Oligohydramnios fetal etiology - correct answer Associated with genitourinary abnormalities in the fetus Midplane Definition/Elements - correct answer Ischial spines distance and sacrum Distance b/w the ischial spines normally measures 10 cm Smallest diameter of the pelvis Chorionic Villi - correct answer The chorionic villi develop from the outer wall of the blastocyst which establishes and intimate connection with the endometrium and gives rise to the placenta Blood in the chorionic villi pertains to the circulation of the fetus