4 year module 1 module

A 32 year old woman is 9 weeks pregnant and has a 10 yr old Downs syndrome child. What test would you recommend for the mother so that she can know aboutt her chances of getting Downs syndrome baby in
this present pregnancy.How will you assure her aboutt chances of Downs syndrome in the present pregnancy.

All of the following can be diagnosed by chorionic week sampling except:

Which of the following is characteristic of synclitism?

What is the presentation if Leopold maneuvers reveal the following: (1) breech in fundus, (2) resistant plane palpated through mother’s right flank, (3) head movable, (4) cephalic prominence on maternal left?

A woman, primagravida, consults a gynecologist on 10.04.2013. Last menstruation was on 10.01.2013. When does an expectant day of delivery according ovulation method?  

Patient N., II labor. The patient’ condition is satisfactory. Uterine contractions are active. On the left of umbilicus the head of fetus is palpated in uterus, presenting part is not determined. Heart rate is 150 in 1 min, is auscultated at the umbilical level. Your diagnosis?

1. The anatomically contracted pelvis is associated with:

Placenta in which vessels separate before reaching margin is

In a nullipara at term the diagonal conjugate is10.5 cm. What is false from the listed below?

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. Define is the diagnosis?

Cardinal movements of labour are:

A female at 37 weeks of gestation has mild labour pains for 10 hours and cervix is pessistently 1

cm dilated but non effaced. What will be the next appropriate management?

The patient recieves a score of 8 on her biophysical profile. How should an obstetrician now counsel her? 

A 26 yaer old primi patient presents to the prenatal clinic for the first time at 26 weeks of gestation.S he reveals she has been taking cigratte daily and has habit of taking marijuana almost once in 2-3 days. Her past medical history is significant of chlamydia infection- USG (shown below Fig. 1) herniation of cerebellum thru foramen magnum and frontal bossing and lumbosacral kyphosis-Which of the following steps cud have prevented this condition?

At 28 weeks on USG-(TVS) a G2P1 female was detected as having major placenta previa. A confirm- atory scan should be performed:

A 27 yr old G3P2002 who is 34 weeks gest. age feeling the decreased fetal movements (once/hr) for past several hrs. She is healthy, has had regular prenatal care, and denies any complications till date.
1. How will you counsel the patient?

During which cardinal movement of labor the fetal head delivered in anterior occiput presentation??

Commonest cause of nonengagement at term, in primi is:            

37 weeks primi with uterine contraction for 10
hours, cervix is 1 cm dilated and poorly effaced
management is:

Mrs A 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?                                                      

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?

You are called to a maternity ward to see a 23
year old primi patient who had delivered a 2.7 kg
baby boy 2 days back.She had a normal vaginal
delivery and placenta delivered spontaneously.
Now she complains of bloody vaginal discharge
with no other signs. O/E you notice a sweetish
odour bloody discharge on the vaginal walls and
introitus.Sterile pelvic examination shoes a soft
non tender uterus.Her P/R-78/min, B/P-110/76 mm of
hg, temp-37°C,R/R-16/min. Her WBC count =10,000
with predominant granulocytes. What is the most
appropriate step?                         

A 24-year-old P2+0 woman presents to the
emergency department complaining of pain in her
right breast. The patient is postpartum day 10 from
an uncomplicated spontaneous vaginal delivery at
42 weeks. She reports no difficulty breast-feeding
for the first several days postpartum, but states that
for the past week her daughter has had difficulty
latching on. Three days ago her right nipple became
dry and cracked, and since yesterday it has become
increasingly swollen and painful. Her temperature is
38.3°C (101°F). Her right nipple and areola are warm,
swollen, red, and tender. There is no fluctuance or
induration, and no pus can be expressed from the
nipple.                                        

Contraceptive method of choice in lactating
mothers is:                                                             

How much centimetres does the suboccipitobregmaticus diameter have??

What is the first fixing point in the posterior occiput presentation??

Which diameter of the fetal head presents in the anterior occiput presentation?

What is the presentation if Leopold maneuvers reveal the following: (1) breech in fundus, (2) resistant plane palpated through mother’s right flank, (3) head movable, (4) cephalic prominence on maternal left??

What are the cardinal movements of labor in anterior occiput presentation (in order)? ?

Where does the fetal head is located in the beginning of the pushing efforts??