100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached 4.6 TrustPilot
logo-home
Exam (elaborations)

Obstetrics and Gynecology Pre Test Self-Assessment and Review Tenth Edition

Rating
-
Sold
-
Pages
346
Grade
A+
Uploaded on
18-03-2025
Written in
2024/2025

Obstetrics and Gynecology Pre Test Self-Assessment and Review Tenth Edition 1. A 24-year-old woman has had three first-trimester spontaneous abor- tions. Which of the following statements concerning chromosomal aberra- tions in abortions is true? a. 45,X is more prevalent in chromosomally abnormal term babies than in abor- tus products b. Approximately 20% of first-trimester spontaneous abortions have chromoso- mal abnormalities c. Trisomy 21 is the most common trisomy in abortuses d. Despite the relatively high frequency of Down syndrome at term, most Down fetuses abort spontaneously e. Stillbirths have twice the incidence of chromosomal abnormalities as live births 2. After an initial pregnancy resulted in a spontaneous loss in the first trimester, your patient is concerned about the possibility of this recurring. An appropriate answer would be that the chance of recurrence a. Depends on the genetic makeup of the prior abortus b. Is no different than it was prior to the miscarriage c. Is increased to approximately 50% d. Is increased most likely to greater than 50% e. Depends on the sex of the prior abortus 1 Copyright © 2004 by the McGraw-Hill Companies, Inc. Click here for Terms of Use. 3. Rates of successful pregnancy following three spontaneous losses (habit- ual abortion) are a. Very poor b. Slightly worse than those in the baseline population c. No different from those in the baseline population d. Just under 50% e. Good unless cervical incompetence is diagnosed 4. A 26-year-old patient has had three consecutive spontaneous abortions early in the second trimester. As part of an evaluation for this problem, the least useful test would be a. Hysterosalpinogram b. Chromosomal analysis of the couple c. Endometrial biopsy in the luteal phase d. Postcoital test e. Tests of thyroid function 5. The risk of having a baby with Down syndrome for a 30-year-old woman increases a. If the father of the baby is age 40 b. If her pregnancy has been achieved by induction of ovulation by menotropins (e.g., Follistin, Gonal F) c. If she has had a previous baby with Turner syndrome (45,X) d. If she has had a previous baby with triploidy e. If she has had three first-trimester spontaneous abortions 6. In terms of birth defect potential, the safest of the following drugs is a. Alcohol b. Isotretinoin (Accutane) c. Tetracyclines d. Progesterones e. Phenytoin (Dilantin) 7. A 24-year-old woman is in a car accident and is taken to an emergency room, where she receives a chest x-ray and a film of her lower spine. It is later discovered that she is 10 weeks pregnant. She should be counseled that a. The fetus has received 50 rads b. Either chorionic villus sampling (CVS) or amniocentesis is advisable to check for fetal chromosomal abnormalities c. At 10 weeks, the fetus is particularly susceptible to derangements of the central nervous system d. The fetus has received less than the assumed threshold for radiation damage e. The risk that this fetus will develop leukemia as a child is raised 8. One of your patients, a 25-year-old G0, comes to your office for pre- conception counseling. She is a long-distance runner and wants to con- tinue to train during her pregnancy. This patient wants to know if there are any potential adverse effects to her fetus if she pursues a program of regu- lar exercise throughout gestation. You advise her of which of the following true statements regarding exercise and pregnancy? a. During pregnancy, women should stop exercising because such activity is com- monly associated with intrauterine growth retardation in the fetus b. Exercise is best performed in the supine position to maximize venous return and cardiac output c. It is acceptable to continue to exercise throughout pregnancy as long as the maternal pulse does not exceed 160 d. Non-weight-bearing exercises are optimal because they minimize the risks of maternal and fetal injuries e. Immediately following delivery, patients can continue to exercise at prepreg- nancy levels 9. A 47-year-old woman has achieved a pregnancy via in vitro fertilization (IVF) using donor eggs from a 21-year-old donor and sperm from her 46- year-old husband. She has a sonogram performed at 7 weeks gestational age that shows a quintuplet pregnancy. A 5-mm nuchal translucency is dis- covered in one of the embryos. Implications of this include which of the following? a. The embryo has a high risk of neural tube defect b. The embryo has a high risk of cardiac malformation c. The nuchal translucency will enlarge by 20 weeks d. If the nuchal translucency resolves, the risk of a chromosome abnormality is comparable to that of other embryos e. If the embryo is aneuploid, the most likely diagnosis is Turner syndrome

Show more Read less
Institution
Obstetrics And Gynecology
Course
Obstetrics and Gynecology











Whoops! We can’t load your doc right now. Try again or contact support.

Written for

Institution
Obstetrics and Gynecology
Course
Obstetrics and Gynecology

Document information

Uploaded on
March 18, 2025
Number of pages
346
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

,Obstetrics and Gynecology
Pre Test Self-Assessment and Review Tenth
Edition


Michele Wylen, M.D.
Clerkship Director
Assistant Professor
Georgetown University School of Medicine
Washington, DC




McGraw-Hill
Medical Publishing Division
New York Chicago San Francisco Lisbon London Madrid Mexico City
Milan New Delhi San Juan Seoul Singapore Sydney Toronto

,Copyright © 2004 by The McGraw-HIll Companies, Inc. All rights reserved. Manufactured in the
United States of America. Except as permitted under the United States Copyright Act of 1976, no part
of this publication may be reproduced or distributed in any form or by any means, or stored in a data-
base or retrieval system, without the prior written permission of the publisher.

0-07-143138-1

The material in this eBook also appears in the print version of this title: 0-07-141139-9.



All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after
every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit
of the trademark owner, with no intention of infringement of the trademark. Where such designations
appear in this book, they have been printed with initial caps.
McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales pro-
motions, or for use in corporate training programs. For more information, please contact George
Hoare, Special Sales, at or (212) 904-4069.


TERMS OF USE
This is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGraw-Hill”) and its licensors
reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted
under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not
decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon,
transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without
McGraw-Hill’s prior consent. You may use the work for your own noncommercial and personal use;
any other use of the work is strictly prohibited. Your right to use the work may be terminated if you
fail to comply with these terms.
THE WORK IS PROVIDED “AS IS”. McGRAW-HILL AND ITS LICENSORS MAKE NO GUAR-
ANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF
OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMA-
TION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE,
AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT
NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A
PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant or guarantee that the func-
tions contained in the work will meet your requirements or that its operation will be uninterrupted or
error free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inac-
curacy, error or omission, regardless of cause, in the work or for any damages resulting therefrom.
McGraw-Hill has no responsibility for the content of any information accessed through the work.
Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental,
special, punitive, consequential or similar damages that result from the use of or inability to use the
work, even if any of them has been advised of the possibility of such damages. This limitation of lia-
bility shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort
or otherwise.

DOI: 10.1036/0071431381

, For more information about this title, click here.


Contents
Preface.............................................................. ix
Introduction ........................................................ xi


Obstetrics

Preconception Counseling, Genetics,
and Prenatal Diagnosis
Questions ............................................................ 1
Answers, Explanations, and References................................ 21

Maternal-Fetal Physiology and Placentation
Questions ...........................................................37
Answers, Explanations, and References................................ 43

Antepartum Care and Fetal Surveillance
Questions ...........................................................49
Answers, Explanations, and References................................ 63

Obstetrical Complications of Pregnancy
Questions ...........................................................75
Answers, Explanations, and References................................ 90

Medical and Surgical Complications
of Pregnancy
Questions ......................................................... 103
Answers, Explanations, and References.............................. 116

Normal and Abnormal Labor and Delivery
Questions ......................................................... 129
Answers, Explanations, and References.............................. 141


v




Copyright © 2004 by the McGraw-Hill Companies, Inc. Click here for Terms of Use.

Get to know the seller

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
Scholarsstudyguide nursing
View profile
Follow You need to be logged in order to follow users or courses
Sold
792
Member since
3 year
Number of followers
475
Documents
15431
Last sold
3 days ago
NURSING

Here you will find everything you need in nursing Assignments, EXAMS AND TESTBANKS. For students who want to see results twice as fast. I strive for my content to be of the highest quality. Always leave a review after purchasing any document so as to make sure our customers are 100% satisfied.

3.9

164 reviews

5
87
4
21
3
26
2
6
1
24

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions