BLUEPRINTS OBSTETRICS & GYNECOLOGY TEST BANK
EXAM LATEST UPDATE 2024-2025
At what week of pregnancy are women screened for Group B Streptococcal infection? -
CORRECT ANSWER✔✔36 weeks
What is the treatment for women who test positive for GBS late in pregnancy? - CORRECT
ANSWER✔✔IV penicillin
Name the common, benign cause of lower abdominal pain that often occurs late in the second
trimester of pregnancy? - CORRECT ANSWER✔✔Round ligament pain - secondary to the rapid
expansion of the uterus and stretching of the ligamentous attachments
At what week gestation does B-HCG peak? - CORRECT ANSWER✔✔At 10 weeks - peaks at
100,000 mIU/mL
At what week gestation does an embryo start being called a fetus? - CORRECT ANSWER✔✔8
weeks gestation
How early might you start seeing fetal heart beats on US? - CORRECT ANSWER✔✔6 weeks
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At what week gestational age might you first see the gestational sac in the uterus? - CORRECT
ANSWER✔✔5 weeks
What is the Chadwick sign? - CORRECT ANSWER✔✔Bluish discoloration of the vagina and cervix
indicating pregnancy
What is the difference between "Gestational age" and "Developmental age?" - CORRECT
ANSWER✔✔Gestational age is the weeks since the LMP
Developmental age is the weeks since conception (usually two weeks less than GA)
At what week of gestation does the mother begin to be aware of fetal movements? - CORRECT
ANSWER✔✔16-20 weeks
How much does plasma volume increase during pregnancy? - CORRECT ANSWER✔✔By 50%.
RBC volume increases by 20-30%, so hematocrit decreases
Which hormone affects smooth muscle in pregnancy and is responsible for many of the
physiologic changes seen? - CORRECT ANSWER✔✔Progesterone causes smooth muscle
relaxation
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How much does the daily caloric intake requirement increase during pregnancy? - CORRECT
ANSWER✔✔By 300kCal/day
If a patient begins to gain an unusually large amount of weight late in pregnancy, what
pathology should you consider? - CORRECT ANSWER✔✔Pre-eclampsia - it could be a sign of
fluid retention
Which three chemicals are assayed in the standard triple test for Down syndrome? - CORRECT
ANSWER✔✔Alpha feto protein
B-HCG
estriol
At what week is AFP usually screened to check for Down syndrome? - CORRECT ANSWER✔✔15-
18 weeks
What are the five components of the Biophysical Profile? - CORRECT ANSWER✔✔Amniotic fluid
volume
Fetal tone
Fetal activity
Fetal breathing movements
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NST
Which chemical is seen in higher concentrations in the amniotic fluid when the lung matures? -
CORRECT ANSWER✔✔Lecithin increases as the lungs mature, while sphingomyelin decreases
beyond about 32 weeks
What is a heterotropic pregnancy? - CORRECT ANSWER✔✔When there is an intrauterine and an
extrauterine pregnancy simultaneously
What is the treatment of choice for an unruptured ectopic pregnancy? - CORRECT
ANSWER✔✔Methotrexate
What is the name for the death of an embryo or fetus before 20 weeks with complete retention
of the POC? - CORRECT ANSWER✔✔Missed abortion
What is the most common cause of first trimester abortions? - CORRECT ANSWER✔✔Fetal
chromosomal abnormalities
What are the most common causes (4) of second-trimester abortions? - CORRECT
ANSWER✔✔Uterine or cervical abnormalties
Trauma
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