AMCB Practice Question Review with
Complete Solutions
Drop in diastolic BP during normal pregnancy Lower in the first 2 trimesters because of
the development of new vascular beds and the relaxation of peripheral tone by progesterone,
which result in decreased flow resistance
Nullipara women who has not carried a baby to 500g or 20 weeks
Leopold's Maneuvers A series of four maneuvers designed to provide a systematic
approach whereby the examiner may determine fetal presentation and position.
-lie
-presentation
-position
-attitude
lactational amenorrhea method Contraception for breastfeeding women
,Most effective if patient is fully or nearly fully breastfeeding (i.e. avg q4hrs during the day and
6hrs at night), the infant is younger than 6 months, and the parents have not substituted solid
foods into the infant's diet.
Raynaud's phenomenon (w/ breastfeeding) Nipple color changes to purple or blanches,
which may be unilateral or bilateral, when exposed to cold air
Condition is also associated w/ severe pain - specifically a sharp, burning sensation d/t the
vasospasm of the nipple after breastfeeding or when the nipples are exposed to cold air
Postpartum Endometritis Treatment Gold standard treatment is clindamycin and
gentamycin
Lactogenesis I Beginning milk production; mid-pregnancy to day 2 postpartum.
Cordocentesis Process in which a needle is introduced under real-time ultrasound through
the maternal abdomen and then into the umbilical cord
Blood is then aspirated or blood and/or medications are introduced into the fetus (fetal blood
transfusion)
,Calories and Protein/Day for Pregnancy 2500 kcal/day and 60g/day of protein
Mastitis inflammation of the mammary gland
Symptoms include unilateral breast swelling and an erythematous area with a fever
Amenorrhea evaluation Obtain a pregnancy test, serum prolactin level, and TSH test.
-If all these tests are negative or normal, evaluate the availability of estrogen with a progestin
challenge test. Provide oral progestin each day for 10 to 14 days, and then wait for bleeding,
which should occur within 7 to 14 days. A positive progestin challenge test indicates adequate
estrogen production and stimulation as well as no problem with outflow tract.
placental abruption risk factors prior abruption, CHTN, PIH, cocaine, alcohol, tobacco,
DM, SLE
Reactive NST FHR is a normal baseline rate with moderate variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period
milk ejection reflex release of breast milk in response to oxytocin, also called the let-down
reflex
, -oxytocin stimulates the contraction of myoepithelial cells
-this contraction of cells causes milk ejection
Most prevalent contraception in married women sterilization
circumcision parent discussion although circumcision may offer some modest benefit in
reducing potential UTIs and STIs, decisions about circumcision are largely based on personal,
cultural, and religious considerations.
-It appears that there is some benefit of reduced STIs, UTIs, and cancer of the penis in men who
are circumcised
-opponents of this procedure maintain that modern sanitary conditions and hygienic practices are
more important factors in reducing the incidence of these diseases in comparison to the benefits
from circumcision.
Doxycycline and pregnancy Contraindicated since it may cause discoloration of teeth in
children
Trichomonads Symptoms/Exam Symptoms of trichomoniasis include:
-copious, malodorous, yellowish-green discharge
Complete Solutions
Drop in diastolic BP during normal pregnancy Lower in the first 2 trimesters because of
the development of new vascular beds and the relaxation of peripheral tone by progesterone,
which result in decreased flow resistance
Nullipara women who has not carried a baby to 500g or 20 weeks
Leopold's Maneuvers A series of four maneuvers designed to provide a systematic
approach whereby the examiner may determine fetal presentation and position.
-lie
-presentation
-position
-attitude
lactational amenorrhea method Contraception for breastfeeding women
,Most effective if patient is fully or nearly fully breastfeeding (i.e. avg q4hrs during the day and
6hrs at night), the infant is younger than 6 months, and the parents have not substituted solid
foods into the infant's diet.
Raynaud's phenomenon (w/ breastfeeding) Nipple color changes to purple or blanches,
which may be unilateral or bilateral, when exposed to cold air
Condition is also associated w/ severe pain - specifically a sharp, burning sensation d/t the
vasospasm of the nipple after breastfeeding or when the nipples are exposed to cold air
Postpartum Endometritis Treatment Gold standard treatment is clindamycin and
gentamycin
Lactogenesis I Beginning milk production; mid-pregnancy to day 2 postpartum.
Cordocentesis Process in which a needle is introduced under real-time ultrasound through
the maternal abdomen and then into the umbilical cord
Blood is then aspirated or blood and/or medications are introduced into the fetus (fetal blood
transfusion)
,Calories and Protein/Day for Pregnancy 2500 kcal/day and 60g/day of protein
Mastitis inflammation of the mammary gland
Symptoms include unilateral breast swelling and an erythematous area with a fever
Amenorrhea evaluation Obtain a pregnancy test, serum prolactin level, and TSH test.
-If all these tests are negative or normal, evaluate the availability of estrogen with a progestin
challenge test. Provide oral progestin each day for 10 to 14 days, and then wait for bleeding,
which should occur within 7 to 14 days. A positive progestin challenge test indicates adequate
estrogen production and stimulation as well as no problem with outflow tract.
placental abruption risk factors prior abruption, CHTN, PIH, cocaine, alcohol, tobacco,
DM, SLE
Reactive NST FHR is a normal baseline rate with moderate variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period
milk ejection reflex release of breast milk in response to oxytocin, also called the let-down
reflex
, -oxytocin stimulates the contraction of myoepithelial cells
-this contraction of cells causes milk ejection
Most prevalent contraception in married women sterilization
circumcision parent discussion although circumcision may offer some modest benefit in
reducing potential UTIs and STIs, decisions about circumcision are largely based on personal,
cultural, and religious considerations.
-It appears that there is some benefit of reduced STIs, UTIs, and cancer of the penis in men who
are circumcised
-opponents of this procedure maintain that modern sanitary conditions and hygienic practices are
more important factors in reducing the incidence of these diseases in comparison to the benefits
from circumcision.
Doxycycline and pregnancy Contraindicated since it may cause discoloration of teeth in
children
Trichomonads Symptoms/Exam Symptoms of trichomoniasis include:
-copious, malodorous, yellowish-green discharge
