NCM 109LEC FINALS – QUESTIONS & ANSWERS
_______ are those concurrent disorders, pregnancy-related complications, or external
factors that endanger the health of the woman and the fetus. - Answers - High risk
pregnancy
Every pregnant woman must receive at least ______ during pregnancy - Answers - 4
checkups
Severe anemia concentration level - Answers - Hb <7mg/dL
_______ is intractable vomiting during pregnancy that results in dehydration and
electrolyte imbalance. - Answers - Hyperemesis Gravidarum
Signs and symptoms of Hyperemesis Gravidarum - Answers - Severe, persistent
vomiting that leads to dehydration or nutritional deficiency
Progresses to fluid electrolyte imbalance and alkalosis from loss of hydrochloric acid.
Therapeutic management for hyperemesis gravidarum - Answers - •replacement of
fluids, electrolytes, and vitamins, along with tranquilizer or antiemetic
•NPO for 48 hours, after condition improves, six small feedings are alternated with liquid
nourishment in small amount every 1-2 hours.
•If vomiting recurs, NPO status is resumed and administration of IV is restarted
Level of amniotic fluid in Polyhydramnios - Answers - >2L
Pregnancy complication when there is an excess amniotic fluid - Answers -
Polyhydramnios
Causes of polyhydramnios - Answers - Fetal abnormalities- excessive urination of
fetus
Esophageal atresia- fetus cannot swallow amniotic fluid.
Multiple pregnancy
Diabetes mellitus
Pregnancy complication when there is Less than 500 ml of amniotic fluid - Answers -
Oligohydramnios
Causes of oligohydramnios - Answers - Fetal renal anomalies that results in anuria
, Premature rupture of membranes
Complications of oligohydramnios - Answers - • Club foot
• Amputation- due to adhesion of fetal parts to the amnion
• Abortion • Stillbirth
• Fetal growth retardation
• Abruptio placentA
All pregnant women should be tested for _____ in the first ANC visit itself using Point of
Care (POC) test - Answers - Syphilis
Those with high risk of syphilis or with history of adverse outcome in previous
pregnancy to be screened again in the _____ trimester - Answers - third
TSH levels in first trimester - Answers - 0.1-2.5mIU/l
TSH levels in second trimester - Answers - 0.2-3mIU/l
TSH levels in third trimester - Answers - -0.3-3mIU/l
True or false?
TSH levels during pregnancy are lower as compared to TSH levels in a nonpregnant
state. - Answers - true
In pregnancy, SCH(sub clinical hypothyroidism) is defined as a serum TSH between
_______ and ______ with normal FT4 concentration - Answers - 2.5 and 10mIU/L
What condition is defined as serum TSH>2.5-3mIU/l with low FT4 levels. - Answers -
OH (overt hypothyroidism)
TSH>10mIU/l irrespective of FT4 is _______ - Answers - OH (overt hypothyroidism
__________ is the drug of choice to be taken empty stomach in the morning - Answers
- Levothyroxine Sodium
_____ is defined as Hb level < 11g/dl in pregnancy or immediate post partum period -
Answers - Anemia
mild anemia - Answers - 10-10.9g/dl
moderate anemia - Answers - 7-9.9 g/dl
sever anemia - Answers - < 7 g/dl
Most common anemia - Answers - Iron deficiency anemia
_______ are those concurrent disorders, pregnancy-related complications, or external
factors that endanger the health of the woman and the fetus. - Answers - High risk
pregnancy
Every pregnant woman must receive at least ______ during pregnancy - Answers - 4
checkups
Severe anemia concentration level - Answers - Hb <7mg/dL
_______ is intractable vomiting during pregnancy that results in dehydration and
electrolyte imbalance. - Answers - Hyperemesis Gravidarum
Signs and symptoms of Hyperemesis Gravidarum - Answers - Severe, persistent
vomiting that leads to dehydration or nutritional deficiency
Progresses to fluid electrolyte imbalance and alkalosis from loss of hydrochloric acid.
Therapeutic management for hyperemesis gravidarum - Answers - •replacement of
fluids, electrolytes, and vitamins, along with tranquilizer or antiemetic
•NPO for 48 hours, after condition improves, six small feedings are alternated with liquid
nourishment in small amount every 1-2 hours.
•If vomiting recurs, NPO status is resumed and administration of IV is restarted
Level of amniotic fluid in Polyhydramnios - Answers - >2L
Pregnancy complication when there is an excess amniotic fluid - Answers -
Polyhydramnios
Causes of polyhydramnios - Answers - Fetal abnormalities- excessive urination of
fetus
Esophageal atresia- fetus cannot swallow amniotic fluid.
Multiple pregnancy
Diabetes mellitus
Pregnancy complication when there is Less than 500 ml of amniotic fluid - Answers -
Oligohydramnios
Causes of oligohydramnios - Answers - Fetal renal anomalies that results in anuria
, Premature rupture of membranes
Complications of oligohydramnios - Answers - • Club foot
• Amputation- due to adhesion of fetal parts to the amnion
• Abortion • Stillbirth
• Fetal growth retardation
• Abruptio placentA
All pregnant women should be tested for _____ in the first ANC visit itself using Point of
Care (POC) test - Answers - Syphilis
Those with high risk of syphilis or with history of adverse outcome in previous
pregnancy to be screened again in the _____ trimester - Answers - third
TSH levels in first trimester - Answers - 0.1-2.5mIU/l
TSH levels in second trimester - Answers - 0.2-3mIU/l
TSH levels in third trimester - Answers - -0.3-3mIU/l
True or false?
TSH levels during pregnancy are lower as compared to TSH levels in a nonpregnant
state. - Answers - true
In pregnancy, SCH(sub clinical hypothyroidism) is defined as a serum TSH between
_______ and ______ with normal FT4 concentration - Answers - 2.5 and 10mIU/L
What condition is defined as serum TSH>2.5-3mIU/l with low FT4 levels. - Answers -
OH (overt hypothyroidism)
TSH>10mIU/l irrespective of FT4 is _______ - Answers - OH (overt hypothyroidism
__________ is the drug of choice to be taken empty stomach in the morning - Answers
- Levothyroxine Sodium
_____ is defined as Hb level < 11g/dl in pregnancy or immediate post partum period -
Answers - Anemia
mild anemia - Answers - 10-10.9g/dl
moderate anemia - Answers - 7-9.9 g/dl
sever anemia - Answers - < 7 g/dl
Most common anemia - Answers - Iron deficiency anemia
