12/23/22, 12:01 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.

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Question 1
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A pregnant woman was admitted to the maternity ward. On external examination, the axis of the fetus corresponds to the mother. The
heartbeat of the fetus can be heard on the right, still at the navel. How is the fetus located?

a. Longitudinal lying, 1st front position, breech presentation

b. Longitudinal lying, 2nd front position, main presentation
c. Transverse lying, 1st front position
d. Longitudinal supine position, 2nd posterior position, breech presentation
e. Longitudinal lying, 2 front position, breech presentation

Question 2

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When does the placenta begin to function?

a. 12-16 weeks
b. 20-22 weeks
c. 6-9 weeks
d. After implantation
e. 16-18 weeks

Question 3
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Which of the following statements about breastfeeding is FALSE?

a. Women who breastfeed have a lower risk of breast cancer in later life
  quickly
b. Breastfed infants gain more weight and gain weight more
c. Breastfed infants have reduced risks of childhood leukemia and lymphomas
d. Breastfed infants have reduced risks of respiratory infections, including bronchiolitis and pneumonia
e. Breastfed infants have fewer allergies

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12/23/22, 12:01 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.

Question 4

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Pregnancy of 39-40 weeks. Labor is the first. The Apgar score of the newborn is 3.The child was born with double tight cord entanglement
around the fetal neck. What predetermined asphyxia of the newborn?

a. Absolutely short umbilical cord

b. Placenta detachment
c. Relatively short umbilical cord
d. Congenital developmental anomalies
e. A true knot of the umbilical cord

Question 5
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The first labor. Upon admission to the maternity hospital uterine cervix dilation is 5 cm. The parturient woman complains of very painful
contractions. Fetal heart rate is 142 per min. Choose labor pain relief method.

a. None of the above

b. Paracervical anesthesia
c. Pudendal anesthesia
d. Epidural anesthesia
e. Cerebrospinal anesthesia

Question 6
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A number of screening tests are performed in all pregnancies at designated gestational ages. Which of the following screening tests is
correctly matched with the gestational age?

a. Rubella serology at the 6-week postpartum visit

b. Chlamydia test at 22–24 weeks
c. Glucose load test at the first prenatal visit
d. Fetal anatomic survey at 34–36 weeks
e. Group B β-hemolytic streptococcus (GBS) carrier status at 35–37 weeks

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12/23/22, 12:01 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.

Question 7

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Which of the following observations would NOT be expected to be seen on an obstetric ultrasound at 7 weeks’ gestation?

a. Embryo with cardiac activity

 
b. Embryo demonstrating movement
 
c. Chorionic sac
d.   Physiologic bowel herniation
 
e. Yolk sac
 

Question 8
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A patient presents for her first prenatal visit at 10 weeks’ gestation. Her routine prenatal intake laboratory tests reveal that she is not immune
to rubella. What should you recommend?

a. Administer MMR vaccination at 13 weeks

b. Administer MMR vaccination postpartum
 
c. Administer MMR vaccination at 28 weeks
 
d. She does not need MMR vaccination
e. Administer MMR vaccination now
 

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12/23/22, 12:01 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.

Question 9

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A maternal “quad” screen performed at 18 weeks’ gestation returns with the following results: α-fetoprotein (AFP) 0.5 MoM (multiples of the
median), estriol 0.6 MoM, human chorionic gonadotropin (hCG) 2.0 MoM, and inhibin 1.8 MoM. Which fetal disorder is most likely given this
serum analyte profile?

a. Trisomy 13
 
b. Open neural tube defect
 
c. Trisomy 18
 
d. Trisomy 21
 
e. Turner syndrome

Question 10
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At external examination fetal axis is corresponding with mothers, fetal back is anterior left, head above the pelvic inlet. How is situated the
fetus?

a. Transversal lie, 1st anterior position

b. Longuitudinal lie, 1st anterior position, head presentation
c. Longuitudinal lie, 1st anterior position, breech presentation
d. Longuitudinal lie, 2nd anterior position, breech presentation
e. Longuitudinal lie, 2nd anterior position, head presentation

Question 11

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A 38-year-old female patient who is 12 weeks pregnant comes to your office for an examination to see if the baby will be healthy. Which of
the following can be used for chromosomal analysis of the fetus?

a. Chorionic villus sampling

b. Nuchal translucency
c. Biophysical profile
d. Fetal umbilical Doppler velocimetry
e. Maternal serum screen

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12/23/22, 12:01 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.

Question 12

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A 37-year-old pregnant woman applied within 40 weeks for planned induction of labor. Second pregnancy. Her previous birth was by
caesarean section in breech presentation. Which of the following methods of inducing labor is categorically contraindicated in this condition?
 

a. Vaginal administration of prostaglandin E2

b. Membrane stripping
c. Oxytocin
d.  Amniotomy
e. Transcervical Foley catheter

Question 13

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Lactation is mainly established by the?

a. 3-4-th day after labor

b. 10-th day after labor
c. 2nd-3rd day after labor
d. 14-th day after labor
e. 6-7-th day after labor

Question 14
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Determine method for pain relief at the second labor stage:

a. Paracervical anesthesia
b. None of the above
c. Cerebrospinal anesthesia
d. Epidural anesthesia
e. Pudendal anesthesia

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12/23/22, 12:01 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.

Question 15

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Second ultrasound screening in physiological pregnancy must be performed at:

a. 17-21 weeks of pregnancy

b. 22-24 weeks of pregnancy
c. Before 30 weeks of pregnancy
d. 11-14 weeks of pregnancy
e. 15-18 weeks of pregnancy

Question 16
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The woman in labor entered the delivery room. It is a first childbirth is. The head presentation. The amniotic fluid left 5 hours ago. Regular
appointments began 1 hour ago, after admission to the delivery room. Determine the type of discharge of amniotic fluid.

a. Discharge of amniotic fluid in the active phase

b. Normal discharge of amniotic fluid
c. Early discharge of amniotic fluid
d. Discharge of amniotic fluid in the latent phase
e. Premature discharge of amniotic fluid

Question 17
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How many moments of the biomechanism of labor are there in occipitoposterior presentation?

a. 6
b. 3
c. 2
d. 4
e. 5

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12/23/22, 12:01 AM Physiological pregnancy, childbirth and postpartum period. Perinatal protection of the fetus. Pharmacotherapy in obstetrics.

Question 18

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Pregnant, in 10 weeks, 3 days, she turned to an ultrasound doctor for 1 screening. When should the first ultrasound be done during a
physiological pregnancy?

a. 17-21 weeks of pregnancy

b. 6-7 weeks of pregnancy
c. 11-14 weeks of pregnancy
d. As early as possible
e. 20-21 weeks of pregnancy

Question 19
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Which of the following medications is NOT associated with central nervous system (CNS) abnormalities?

a. Tegretol
b. Thalidomide  
c. Methotrexate
d.  Vitamin A
e. Valproic acid

Question 20
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All of the following are changes that occur to the fetal circulation within minutes of birth EXCEPT for which?

a. Closure of the foramen ovale

b. Constriction of the umbilical vessels
c. Constriction of the ductus venosus
d. Constriction of the ductus arteriosus
e. Constriction of the hepatic portal sinus

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