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1 module 6 year

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10.10.2020. Тест. Дошкольное образование, Дошкольникам
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All selfwork and practical topics questions included. 30 questions / 30 min

Список вопросов теста

Вопрос 1

Which of the following is NOT associated with fetal bradycardia?

Варианты ответов
  • head compression
  • congenital heart block
  • fetal distress
  • gestational pyelonephritis
Вопрос 2

How are accelerations defined?

Варианты ответов
  • increase in fetal heart rate of 10 bpm for 10 sec
  • increase in fetal heart rate of 15 bpm for 10 sec
  • increase in fetal heart rate of 10 bpm for 15 sec
  • increase in fetal heart rate of 5 bpm for 15 sec
Вопрос 3

What is a gradual, smooth descent of the fetal heart rate 30 sec after the contraction called?

Варианты ответов
  • early deceleration
  • late deceleration
  • variable deceleration
  • acceleration
Вопрос 4

Nonstress test – is:

Варианты ответов
  • amount of amniotic fluid
  • response of the fetal heart rate to the fetal movement
  • response of the fetal heart rate to physical irritation
  • response of the fetal heart rate to contractile drugs
Вопрос 5

Reactive nonstress test is:

Варианты ответов
  • increasing of fetal heart rate at least 15 bpm over a period 15 seconds following a fetal movement
  • increasing of fetal heart rate at least 1 bpm over a period 1 seconds following a fetal movement
  • decreasing of fetal heart rate at least 15 bpm over a period 15 seconds following a fetal movement
  • decreasing of fetal heart rate at least 15 bpm over a period 15 seconds following a fetal movement
Вопрос 6

All of the below are the parameters of biophysical profile EXCEPT:

Варианты ответов
  • amount of amniotic fluid
  • fetal tone
  • fetal urine output
  • fetal breathing movements
Вопрос 7

What are the characteristics of normal fetal breathing movements which corresponds with 2 points in biophysical profile?

Варианты ответов
  • at least 5 FBM at least 5 seconds duration in 10 minutes
  • at least 1 FBM of at least 30 seconds duration in 30 minutes
  • at least 1 FBM of at least 20 seconds duration in 30 minutes
  • at least 1 FBM of at least 15 seconds duration in 15 minutes
Вопрос 8

All of the below complications should be present during amniocentesis EXCEPT:

Варианты ответов
  • maternal trauma
  • fetal trauma
  • infection
  • placenta previa
Вопрос 9

Cordocentesis – is:

Варианты ответов
  • puncture of amniotic sac
  • percutaneous umbilical blood sampling
  • skin sample
  • chorionic villus sampling
Вопрос 10

Assessment of the lower part of the fetal sac is called:

Варианты ответов
  • Amniography
  • Fetoscopy
  • Cordocentesis
  • Amniocentesis
  • There is no correct Answer
Вопрос 11

M., 28 years old, para 2. Full term of pregnancy. Initiation of labor was 8 hours ago. Uterine contractions are every 3 minutes and lasts 35-40 seconds. The membranes ruptured 20 minutes ago. Pelvic sizes: 25,28,31,20. Fetal head rate 132 per minute with satisfactory characteristics. Probable fetal weight is 3000 g. Vaginal results: the cervix is completely dilated. The amniotic sac is absent. Fetal head is in 0 station. Sagittal suture is in the right oblique diameter of pelvic inlet. Anterior fontanel is located to the right side anteriorly and posterior fontanel is near sacral region to the left side. What is the diagnosis?

Варианты ответов
  • Labour 2, at term, II period of labour. Longitudinal lie, Sinciput vertex posterior presentation, II position
  • Labour 2, at term, II period of labour. Longitudinal lie, Sinciput vertex anterior presentation, II position
  • Labour 2, at term, I period of labour. Longitudinal lie, Sinciput vertex anterior presentation, II position
  • Labour 2, at term, I period of labour. Longitudinal lie, Sinciput vertex anterior presentation, II position
Вопрос 12

M., 28 years old, para 2. Full term of pregnancy. Initiation of labor was 8 hours ago. The membranes ruptured 20 minutes ago. Pelvic sizes: 25,28,31,20 cm. Fetal heart rate is 132 per minute with satisfactory characteristics. Per vaginum: the cervix is completely dilated. The amniotic sac is absent. Fetal head is in outlet plane of pelvic. The chin is palpated under the symphysis. What is the moment of labor biomechanism?

Варианты ответов
  • Flexion of the fetal head
  • Extension of the felt head
  • Additional flexion of the fetal head
  • Extension of the fetal head
Вопрос 13

Postpartum patient is examined by the doctor of puerperal department. Uterine fundus is 8cm below the umbilicus; lochia are bloody-serous; milk glands are enlarged, the milk from nipples is selected. For what time of puerperal period these changes are typical?

Варианты ответов
  • 4 day
  • 10 day
  • 9 day
  • 1 day
Вопрос 14

What is the oxygen saturation of a baby expected to be 10 minutes after birth ?

Варианты ответов
  • 60% SPO2
  • 90% SPO2
  • 93% SPO2
  • 100% SPO2
Вопрос 15

What indications are needed before starting neonatal CPR ?

Варианты ответов
  • Absent respirations And tone and heart rate
  • Heart rate less than 60 are absent after Inflation breaths have had positive movement of the chest
  • Heart rate less than 60 Per minute
  • Heart rate less than 100 per minute
Вопрос 16

By the second Leopold’ maneuver in breech presentations is palpated:

Варианты ответов
  • fetal extremities
  • breech of fetus
  • head of fetus
  • legs and buttocks of the fetus
  • position of fetus
Вопрос 17

A 22-year-old primigravid woman comes to the labor and delivery ward at term with regular, painful contractions. Her prenatal course was unremarkable. She has a past medical history significant for mitral valve prolapse with regurgitation demonstrated on echocardiography. She takes no medications and has no allergies to medications. Examination shows that her cervix is 4 centimeters dilated and the fetus is in vertex presentation. The fetal heart rate is reassuring. Which of the following is the most appropriate management of this patient? 

Варианты ответов
  • Administer intravenous antibiotics throughout labor
  • Administer intravenous antibiotics 30 minutes prior to the delivery.
  • Administer intravenous antibiotics after the cord is clamped.
  • Antibiotic prophylaxis is not necessary
Вопрос 18

What is the reason of the early gash of amniotic fluid in breech presentation?

Варианты ответов
  • the large presenting part
  • absence of the girdle of contact
  • lost tonus of lower segment
  • the abnormal tonus of uterus
Вопрос 19

A female of 36 weeks gestation presents with hypertension, blurring of vision and headache. Her blood pressure reading was 180/120 mm Hg and 174/110 mm Hg after 20 minutes. How will you manage the patient?

Варианты ответов
  • Admit the patient and observe
  • Admit the patient, start antihypertensives and continue pregnancy till term.
  • Admit the patient, start antihypertensives, MgSO4 and terminate the pregnancy
  • Admit oral antihypertensives and follow up in out- patient department
Вопрос 20

A 24-year-old woman with 36 weeks of pregnancy,suddenly complains of headache and blurring ofvision. Her B.P. is 170/110 mm of Hg. Urinary albuminis +++ and fundus examination shows areas of retinalhemorrhage. The line of further management wouldbe:

Варианты ответов
  • Conservative treatment
  • Anticonvulsive therapy
  • Induction of labour
  • Cesarean delivery
Вопрос 21

A patient with an acute exacerbation of systemic lupus erythematosus (SLE) is hospitalized with incapacitating fatigue, acute hand and wrist pain, and proteinuria. The health care provider prescribes prednisone (Deltasone) 40 mg twice daily. Which nursing action should be included in the plan of care?

Варианты ответов
  • Institute seizure precautions
  • Reorient to time and place PRN.
  • Monitor intake and output.
  • Place on cardiac monitor
Вопрос 22

37 weeks primi with uterine contraction for 10

hours, cervix is 1 cm dilated and poorly effaced

management is:

Варианты ответов
  • Cesarean section
  • Amniotomy
  • Oxytocin drip
  • Sedation and wait
Вопрос 23

Commonest cause of nonengagement at term, in primi is:

Варианты ответов
  • CPD
  • Hydramnios
  • Brow presentation
  • Breech presentation
Вопрос 24

Which is not included in active management of III stage of Labour?

Варианты ответов
  • Uterotonic within 1 minute of delivery
  • Immediate clamping, cutting and ligation of cord
  • General massage of uterus
  • Controlled cord traction
Вопрос 25

Patient, a full term pregnant female is admitted in labor. On examination, she has uterine contractions 2 in 10 minutes, lasting for 30-35 seconds. On P/A examination 3/5th of the head is palpable per abdomen. On P/V examination-cervix is 4 cm dilated, membranes intact. On repeat examination 4 hours later, cervix is 5 cm dilated, station is unchanged, and cervicograph remains to the right of the alert line. Which of the following statements is true?

Варианты ответов
  • The head was engaged at the time a of presentation
  • Her cervicographical progress is satisfactory
  • Her cervicographical status suggests intervention
  • On repeat examination, her cervicograph should have touched the action line
Вопрос 26

The prerequisites for internal rotation of the head are all except:

Варианты ответов
  • Well-flexed head
  • Efficient uterine contraction
  • Favourable shape of the pelvis
  • Tone of the abdominal muscles
Вопрос 27

18 weeks of pregnancy last 2 times history of midtrimester abortion, which was painless. What is your diagnosis?

Варианты ответов
  • Progesterone deficiency
  • Biscornuate uterus
  • Chrosomal abnormality
  • Cervical incompetence
Вопрос 28

Mid trimester abortion can be done by all of the following drugs except?

Варианты ответов
  • Intra amniotic saline
  • Intra amniotic PG
  • Menstrual regulation
  • Histerotomy
Вопрос 29

A 35-year-old pregnant female at 40 weeks gestational

age presents with pain and regular uterine contractions

every 4-5 min. ON arrival, the patient is in a lot of pain

and requesting relief immediately. Her cervix is 5 cm

dilated. What is the most appropriate method of pain

control for this patient??

Варианты ответов
  • Intramuscular morphine
  • Pudendal block
  • Local block
  • Epidural block
Вопрос 30

The nerve roots blocked in pudendal nerve block is? :

Варианты ответов
  • L1,2,3
  • L2,3
  • S2,3,4
  • S4
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