BLUEPRINTS OBSTETRICS & GYNECOLOGY Sixth Edition WITH TEST QUESTIONS AND ANSWERS
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Test Bank For Blueprints Obstetrics & Gynecology 7th Edition
By Tamara Callahan 9781975134877 Chapter 1-32 Complete
Guide .
When can fetal heart tones be detected w/doppler? - ANSWER: 10-12 weeks
When is fetal movement appreciated? - ANSWER: 17-18 weeks
When should you get a "quantitative" beta-hCG - ANSWER: -to diagnose & follow
ectopic pregnancy
-monitor trophoblastic dz
-screen for fetal aneuploidy
What supplement is given in pregnancy to decrease neural tube defects for all
reproductive-age women? - ANSWER: Folic acid supplements
What additional supplements are given for complete vegeterians - ANSWER: vitamin
D & vitamin B12
What kind of immunoglobulins can cross the placenta? - ANSWER: IgG
Prenatal screening at the initial visit - ANSWER: Heme= CBC, Rh factor, Type &
Screen
ID= UA & culture, rubella Ab titer, HBsAg, RPR/VDRL, cervical G/C, PPD, IV, Pap
smear (to check for dysplasia).
If indicated: HbA1C, Sickle cell screening. Can also discuss genetic screening (Tay-
Sachs dz, Cystic Fibrosis).
When are prenatal visits conducted? - ANSWER: Weeks 0-28= every 4 weeks
(7*4=28)
Weeks 29-35= every 2 weeks
Weeks 36-birth= every week
When is a quad screen conducted? - ANSWER: 15-22 weeks
When's an ultrasound for full anatomic screen done? - ANSWER: 18-20 weeks
When is the 1 hr glucose challenge test for gestational DM done? - ANSWER: 24-28
weeks
When is RhoGAM given to Rh- women? - ANSWER: 28-30 weeks
When's GBS culture done?
,(and cervical culture for N gonorrhoeae & Chlamydia in selected populations). -
ANSWER: 35-40 weeks or 32-37 weeks
when can a nuchal transparency test be ordered? - ANSWER: 9-14 weeks
4 elements of the Quad Screen - ANSWER: maternal serum AFP
B-hCG
Estradiol
Inhibin A
What's associated with ELEVATED maternal serum AFP (MSAFP)?
(<2.5 MoMs) - ANSWER: Open neural tube defects (spina bifida, anencephaly)
Abdominal wall defects (gastroschisis, omphalocele)
Multiple gestation
Incorrect gestational dating
Fetal death
Placental abnormailities (like rupture)
Periventricular calcifications & petechial rash can be seen with which congenital
infection? - ANSWER: CMV
Treatment for congenital toxoplasmosis infection - ANSWER: Pyrimethamine &
sulfadiazine
Treatment for syphilis - ANSWER: Penicillin
Diagnosis of CMV - ANSWER: Urine culture; PCR of amniotic fluid
Which TORCHeS infections can be diagnosed w/serologic testing? - ANSWER:
Toxoplasmosis, Rubella, & HSV
Dark-field microscopy can be used to diagnose... - ANSWER: syphilis
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