ch 22. OB overview

What is defined as the area located posterior to the broad ligaments and adjacent to the uterus, which contains the ovaries and fallopian tubes? a. Adnexa b. Paraovarian c. Pouch of Douglas d. Space of Retzius

a. Adnexa

Which of the following forms of fetal presentation is the most common? a. Cephalic b. Complete breech c. Frank breech d. Transverse

a. Cephalic

Typically, with anencephaly, the MSAFP value will be: a. Elevated b. Decreased c. This laboratory finding is not helpful d. Unchanged

a. Elevated

Typically, with gastroschisis, the MSAFP value will be: a. Elevated b. Decreased c. This laboratory finding is not helpful d. Unchanged

a. Elevated

All of the following would be an indication for a third-trimester sonogram except: a. Evaluate NT b. Evaluate fetal presentation c. Evaluate fetal growth d. Evaluate gestational age

a. Evaluate NT

Which of the following is not part of the biophysical profile? a. Fetal swallowing b. Flexion of the limb c. Amniotic fluid d. Fetal breathing

a. Fetal swallowing

The number of pregnancies is defined as: a. Gravidity b. Parity c. Primigravida d. Primiparous

a. Gravidity

The clinical manifestations of supine hypotensive syndrome include all of the following except: a. Proteinuria b. Tachycardia c. Nausea d. Pallor

a. Proteinuria

All of the following are produced by the placenta except: a. alpha-Fetoprotein b. hCG c. PAPP-A d. lnhibin A

a. alpha-Fetoprotein

The protein that is produced by the yolk sac, fetal gastrointestinal tract, and the fetal liver is: a. alpha-fetoprotein b. hCG c. PAPP-A d. lnhibin A

a. alpha-fetoprotein

The triple screen typically includes an analysis of: a. hCG, alpha-fetoprotein, and estriol b. Fetal NT, alpha-fetoprotein, and inhibin A c. hCG, alpha-fetoprotein, and inhibin A d. hCG, alpha-fetoprotein, and PAPP-A

a. hCG, alpha-fetoprotein, and estriol

The second trimester typically refers to weeks: a. 12 through 26 b. 13 through 26 c. 10 through 28 d. 26 through 42

b. 13 through 26

Which of the following would not typically produce an elevation in hCG? a. Down syndrome b. Anembryonic pregnancy c. Triploidy d. Molar pregnancy

b. Anembryonic pregnancy

For the normal biophysical profile, the amniotic fluid pocket should measure: a. Greater than 4 cm in two perpendicular planes b. At least 1 cm in two perpendicular planes c. Greater than 5 cm in two perpendicular planes d. At least 3 cm in two perpendicular planes

b. At least 1 cm in two perpendicular planes

Typically, with a miscarriage, the serum hCG value will be: a. Elevated b. Decreased c. This laboratory finding is not helpful d. Unchanged

b. Decreased

What is the fetal presentation when the fetal buttocks are closest to the cervix? a. Footling breech b. Frank breech c. Complete breech d. Transverse

b. Frank breech

The dilation of the renal collecting system secondary to the obstruction of normal urine flow defines: a. Nephrocalcinosis b. Hydronephrosis c. Renal calculi d. Urinary stasis

b. Hydronephrosis

What is described as the number of pregnancies in which the patient has given birth to a fetus at or beyond 20 weeks gestational age or an infant weighing more than 500 g? a. Gravidity b. Parity c. Primigravida d. Primiparous

b. Parity

The premature separation of the placenta from the uterine wall before the birth of the fetus describes: a. Placenta previa b. Placental abruption c. Ectopic cordis d. Subchorionic hamartoma

b. Placental abruption

A myelomeningocele is associated with: a. Down syndrome b. Spina bifida c. Edwards syndrome d. Patau syndrome

b. Spina bifida

Which of the following would be least likely associated with an elevation in MSAFP? a. Anencephaly b. Turner syndrome c. Spina bifida d. Myelomeningocele

b. Turner syndrome

What is the term for the fetal presentation that is head down? a. Breech b. Crown c. Cephalic d. Vertical

c. Cephalic

The physiologic ovarian cyst that develops after ovulation has occurred is the: a. Theca internal cyst b. Graafian cyst c. Corpus luteum cyst d. Cystic teratoma

c. Corpus luteum cyst

Something that is idiopathic is said to be: a. Caused by a functional abnormality b. Related to fetal development c. From an unknown cause d. Found incidentally

c. From an unknown cause

Which of the following would be the least likely indication for a first-trimester sonogram? a. Evaluate pelvic pain b. Define the cause of vaginal bleeding c. Gender identification d. Diagnosis of multiple gestations

c. Gender identification

In the TPAL designation, the 'L' refers to: a. Living children b. Lethal anomalies c. Live births d. Lost pregnancies

c. Live births

The anechoic space along the posterior aspect of the fetal neck is the: a. Nuchal fold b. Nuchal cord c. Nuchal translucency d. Rhombencephalon

c. Nuchal translucency

Which of the following artifacts is caused by attenuation of the sound beam? a. Reverberation artifact b. Comet tail artifact c. Posterior shadowing d. Posterior enhancement

c. Posterior shadowing

The reduction in blood return to the maternal heart caused by the gravid uterus compressing the maternal inferior vena cava describes: a. Edwards syndrome b. Pulmonary obstructive syndrome c. Supine hypotensive syndrome d. Recumbent hypotensive syndrome

c. Supine hypotensive syndrome

Which of the following best describes the optimal instance to take the femur length measurement? a. When the epiphyseal plates are clearly identified and the shaft is parallel to the sound beam b. When the diaphysis of the femur is parallel to the sound beam c. When the long axis of the femoral shaft is perpendicular to the sound beam d. When the femoral shaft is parallel to the sound beam

c. When the long axis of the femoral shaft is perpendicular to the sound beam

Which of the following artifacts is produced when the sound beam is barely attenuated through a fluid or a fluid-containing structure? a. Reverberation artifact b. Comet tail artifact c. Posterior shadowing d. Acoustic enhancement

d. Acoustic enhancement

Which of the following would not be decreased in the presence of Edwards syndrome? a. Estriol b. hCG c. alpha-Fetoprotein d. All would be decreased

d. All would be decreased

All of the following may be visualized at the correct level of the head circumference except: a. Third ventricle b. Thalamus c. Cavum septum pellucidum d. Falx cerebelli

d. Falx cerebelli

All of the following are observed during a biophysical profile except: a. Fetal tone b. Thoracic movement c. Fetal breathing d. Fetal circulation

d. Fetal circulation

Biophysical profile scoring is conducted: a. Until the fetus cooperates b. For 10 minutes c. For 45 minutes d. For 30 minutes

d. For 30 minutes

Fetal presentation is determined by identifying the fetal part that is closest to the: a. Placenta b. External os of the cervix c. Maternal umbilicus d. Internal os of the cervix

d. Internal os of the cervix

The quadruple screen includes an analysis of all of the following except: a. hCG b. alpha-Fetoprotein c. lnhibin A d. PAPP-A

d. PAPP-A

Which of the following is also referred to as trisomy 13? a. Down syndrome b. Edwards syndrome c. Turner syndrome d. Patau syndrome

d. Patau syndrome

Painless second-trimester vaginal bleeding is most often associated with: a. Placental abruption b. Ectopic pregnancy c. Miscarriage d. Placenta previa

d. Placenta previa

The abdominal circumference should include all of the following except: a. The fetal stomach b. The fetal thoracic spine c. The umbilical vein d. The kidneys

d. The kidneys