First Evaluations- May 26, 2010 9. E.

Uterine fundal height at 26

Coverage: weeks
• History Taking At 20-34 weeks the fundic height
• Fetal Surveillance approximates the AOG.
• Ultrasound in Obstetrics
a. Fetal heart tones by dopple
stethoscope is done from 10-12 weeks
*Answers are in BOLD. Explanations are
Italicized and in smaller font.  b. Multigravida quickening – 14-16
1. E. Vitamin B12 wks AOG
This is not found in significant amounts in
plant foods/ vegetables. c.Primigravida quickening- 18-20 weeks

2. B. Fetal Size d. Fetal heart tones by fetoscope at >

There is an association between maternal
smoking and reduced fetal growth.
3. D. Cycle regulation with birth
control pills before conception
Previous 12 regular cycles must not be by the
use of oral contraceptive pills.
a. Regular monthly menstrual cycles-
previous 12 cycles, 28-30 day cyle
b. A pregnancy of 280 days/ 10 lunar
months/ 40 weeks.
c. Conception at midcycle- day 14 or 15
4. A. repeat human gonadotropin
(hCG) levels
Not routine to check hCG levels unless the are
signs of possible problems
All the others are required during the 1st visit
serology is for Syphilis, while cervical
cytology is also known as pap smear.
5. E. Gain at least 15 lbs during the
pregnancy
Weight gain should be at least 25 lbs.
1st trimester 1 kg 2 lbs
2nd trimester 5kg 11 lbs
3rd trimester 5 kg 11 lbs
6. B. Down Syndrome
The normal MSAFP level is 2.0-2.5, thus it is
elevated in the patient. Down syndrome will
give a MSAFP level which is low all the other
choices will result in an elevated MSAFP.
7. B. Culture of amniotic fluid ( im
not sure with this) 
18 weeks
10. A. How dilated is the cervix?
b. Leopolds 3- Pawlik’s grip
c. Leopolds 4- Pelvic grip
d. Leopolds 2- Umbilical grip
e. Leopolds 1- Fundal grip
11. B. Diabetes
12.C. Varicella (+ MMR, HPV, BCG)
13. ??? C. Intrauterine Growth
Retardation
- Due to poor maternal health
14. B. EDD is falsely prolonged when
the menstrual cycle exceeds 28
days.
a. EDD= LMP + 7 days – 3months
15. D. Maternal serum a-fetoprotein
(MSAFP)
16. A. Polygenic/ multifactorial
disorders
17. A. Open Neural Tube defect
-all will cause and elevated MSAFP but
Open Neeral Tube defect is most often
the common cause.
18. B. Neural Tube defects
19. B. 16 weeks
12 weeks- pubis symphysis
20 weeks- level of umbilicus

8. A. Maternal diabetes 20. C. 20-34 weeks

21. A. Biparietal diameter= 14-

20 weeks

1st trimester: 0-14 weeks

 2nd trimester: 14-28 weeks (+digoxin, propanolol, General
3rd trimester 28-42 weeks Anesthetics, Lidocaine)

b. Crown-rump length – accurate for the 1st 31. A. Early deceleration (Type
trimester only until 12 weeks AOG I)
c. femur length- less accurate 32. C. Variable deceleration
d. nuchal translucency- 11- 14 weeks AOG (Type III)
Type I Early Deceleration Fetal head
compression
Type II Late Deceleration Reflex CNS
hypoxia
22. D. 38 weeks AOG Severe: direct
myocardial
Distal Femoral epiphysis At least 32 weeks depression
If 6mm- 36 weeks Type Variable Umbilical cord
Proximal Tibial epiphysis 35 weeks III Deceleration compression
Proximal Humeral 38 weeks
epiphysis 33.Di ko alam answer dito. sorry 
34.This is related to question 33. 
23. A. 6-25 bpm A and B: management if normal
Absent Undetectable C. management if intermediate
Minimal < 5 bpm D. management if abnormal
Moderate (Normal) 6- 25 bpm
Marked >25 bpm 35. C. umbilical artery (40%)
Doppler velocimetry of umbilical
artery, middle cerebral artery and
24. C. 32-34 weeks uterine artery.
If pregnancy is multiple or with
worrisome condition start in 26- 28 36. B. incidence of neonatal
weeks.
seizures
a. Cesarian section rate is increased
25. C. Maternal sleep state b. Rate of cerebral palsy- no evidence
It should be fetal sleep state.
37.Di kita ung graph  ( study the
26. D. Supersaturate placental
types of decelerations #32. )
oxygenation
38.C. either intermittent auscultation
27. D. Liver
Organs supplied in cases of chronic or continous electronic fetal
fetal asphyxia: adrenal glands, monitoring with evaluation
brain, heart and placenta. intervals of 15 minutes during 1st
stage of labor and 5 minutes
28.A. 10/10 ( Normal infant, low risk for during the 2nd stage.
chronic asphyxia)
39.B. Cavitation (Mechanical Index)
Fetal tone: >/= 1 a. Thermal index- temperature rise of 1oC
Fetal movement: >/= 3
Fetal breathing: >/= 1 lasting for >/= 30 secs. 40. A. Higher frequency has
Amniotic Fluid: > 2 cm
better resolution
NST: >/= 2 accelerations of >/= 15 bpm for >/=
b. lower frequency allows deeper
15 secs.
penetration .
c. Transvaginal probe- 5.0-7.5
*Give 2 points for every guideline satisfied, and 0
mHz
if not.
Transabdominal probe- 3-5 mHz
29.A. repeat twice a week (since the
41. B. Chorionic Sac
patient is diabetic)
42. B. Chorionic Sac + Yolk sac
30. C. Dopamine
Patient is 5 5/7 weeks AOG
 55. C. V shaped cervix, 22mm
Gestational Sac (Chorionic Sac 5.0 wks long
) “Thank Your Vaginal Ultrasound”
GS+ yolk sac (ys) 5.5 wks T= normal
GS+YS+living embryo 6.0 wks Y= Effacement/ Shortening
V= Progressive Effacement
43. A. mean sac diameter U= imminent labor and delivery; open cervix

44. D. perform a repeat scan 56.C. presence of aneuploidy or

after one week to document major fetal anomaly (almost half of
viability. the cases)
Cardiac activity is seen if CRL >7.5
mm 57. A. Persistence of diastolic
notch
45. B. 11 to 14 weeks

46. D. A and B are correct 58. B. Cleft Lip and palate

59. B. Primipara

47. B. 34 weeks and 5 days

Biparietal Diameter Accurate predictor from 60. C. Multipara
14-20 weeks
Parity: pregnancy that reached viability
Head Most reliable when there is
Circumference head shape change. >20 weeks.
Abdominal Useful in calculating fetal
Circumference weight
Femur Length Easiest and most
reproducible means
I hope this will help. Good luck Batch
48. A. Sex determination 2012! Unti na lang! Kaya natin toh!
This is included in the standard Kay 
examination of fetal anatomy.

49. B. presence of parathyroid

and thyroid glands
All other choices + genitalia,
abdominal wall defect, head, neck,
heart, lungs, diaphragm, spine and
extremities)

50.D. All of the above (all are related to

oligohydramnios)
Oligohydramnios: < 5cm
Polyhydramnios: > 24 cm

51. C. Abdominal Circumference

52. A. 10/10

53. A. Growth restriction

54. A. Transvaginal ultrasound-

more sensitive