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Bates- Chapter 19 Pregnant Woman Questions and Answers | 100% Correct, Guaranteed A Grade
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Bates- Chapter 19 Pregnant Woman Questions andAnswers | 100% Correct, Guaranteed A Grade2024-2025
A 29-year-old homemaker who is G4P3 comes to your clinic for her first prenatal check.
Her last period was 2 months ago. She has had three previous pregnancies and
deliveries with no complications. She has no medical problems and has had no
surgeries. Her only current
complaint is of severe reflux that occurs in the mornings and evenings. On examination
she is in no acute distress. Her vitals are 110/70 with a pulse of 88. Her respirations are
16. Her head, eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal
examinations are
unremarkable. On bimanual examination her cervix is soft and her uterus is 10 weeks in
size. Pap smear, cultures, and blood work are pending.
What is the most likely cause of her first-trimester reflux?
A) Increasing prolactin levels
B) Increasing ADH (antidiuretic hormone) levels
C) Increasing progesterone
D) Enlarged gravid uterus - <<ANSWER>>C) Increasing progesterone
A 35-year-old bus driver comes to your office for a prenatal visit. She is approximately
28 weeks pregnant and has had no complications. She is complaining only of heartburn
and has had no fatigue, headaches, leg swelling, contractions, leakage of fluid, or
bleeding. On examination her blood pressure is 142/92 and her urine shows no glucose,
protein, or leukocytes. Her weight
gain is appropriate, with no large recent increases. Fetal tones are 140 and her uterus
measures 32 cm from the pubic bone. Looking back through her chart, you see her
prenatal blood pressure was 120/70 and her blood pressures during the first 20 weeks
were usually 120 to 130/70 to 80.
What type of blood pressure is this?
A) Normotensive for pregnancy
B) Chronic hypertension
C) Gestational hypertension
D) Preeclampsia - <<ANSWER>>C) Gestational hypertension
A 26-year-old stewardess comes in for a third trimester prenatal visit. She has had
prenatal care since her sixth week of pregnancy. She has no complaints today and her
prenatal course has been unremarkable. Today her blood pressure and weight gain are
appropriate and her urine is
, unremarkable. You have a first-year medical student shadowing you, so you ask the
student to get Doptones and measure the patient's uterus in centimeters. The student
promptly reports fetal heart tones of 140, but he is having difficulty obtaining the correct
measurement. He knows one end of the tape goes over the uterine fundus.
From what inferior anatomic position should the tape be placed?
A) Vagina
B) Clitoris
C) Pubic symphysis
D) Umbilicus - <<ANSWER>>C) Pubic symphysis
A 24-year-old cashier comes to your clinic for her first OB visit. She had her last period
10 weeks before, which would mean she is 12 weeks pregnant. She did a home
pregnancy urine test a month ago and it was positive. She has had some fatigue and
nausea, but not in the last week.
She has had no cramping or bleeding. Her vital signs, head, eyes, ears, nose, throat,
thyroid, cardiac, pulmonary, and abdominal examinations are all unremarkable. On
speculum examination her os is closed and there is a pinkish hue to the cervix. On
bimanual examination
the cervix is soft and the uterus is enlarged to the pelvic brim. Despite 20 minutes of
trying, you cannot find heart tones. You repeat a urine pregnancy test and it is negative.
A serum pregnancy test is ordered and is positive. You send the patient for a vaginal
ultrasound.
What is the most likely explanation for her presentation?
A) Earlier than 12 weeks
B) Fetal demise - <<ANSWER>>B) Fetal demise (missed abortion)
A 26-year-old white female comes to your clinic at 38 weeks, complaining of intermittent
contractions. They last for 30 seconds and are coming every 10 minutes. Her prenatal
course has so far been uneventful. You send her to labor and delivery for a labor
assessment. On vaginal
examination she has effaced 4 cm, but you cannot feel a presenting part. You admit her
for active labor; however, you wish to assess if she is vertex (baby's head is down), so
you do the Leopold's maneuver. Palpating the upper pole with your hands, you feel a
firm round mass. Placing your
hand along the right side of her abdomen, you feel a smooth firmness. Palpating your
other hand along the left side of her abdomen, you feel irregular bumps. Above the
pelvic brim you feel a firm irregular mass. While awaiting ultrasound to confirm your
diagnosis, you write the pertinent orders.
How is this fetus presenting?
A) Vertex
B) Breech
C) Transverse - <<ANSWER>>B) Breech
Jeannie is a 24-year-old pregnant woman who asks you today if her frequent urination
is
normal. Which of the following hormones is most likely responsible for this?
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