MCQ Midwifery Y1

The lower uterine segment typically forms around:
32-34 weeks
34-36 weeks
22-24 weeks
28-30 weeks
The clinical name for the mucous plug which detaches from the cervix around the onset of labour is the:
Leucorrhea
Os
Operculum
Isthmus
In early pregnancy the corpus luteum is maintained by:
Follicle Stimulating Hormone
Human Chorionic Gondatrophin
Prolactin
Luteinising Hormone
The Blastocyst is:
The process of implantation
The area of the trophoblast which secretes HCG
The mass of cells differentiating into the trophoblast and inner cell mass
A migrating cell from the embryonic disc
Which of the following is commonly administered to a neonate to assist the formation of clotting factors in the liver?
Vitamin K
Fragmin
Anti D
Warfarin
Braxton hicks contractions occur as a result of:
The pressure of the presenting part on the cervix
The effects of oxytocin
The effects of progesterone on the uterine muscle
The effect of prostaglandins on the cervix
In pregnancy breathing becomes deeper due to:
The lowered threshold for carbon dioxide in the respiratory centre
The pressure of the gravid uterus on the diaphragm
Progesterone relaxing the smooth muscle of the diaphragm
An increase in fetal surfactant production
Insulin:
Is secreted by the alpha cells in the Islets of Langerhans
Raises blood glucose levels
Production leads to glycosuria
Lowers blood glucose levels
Which of the following statements about folic acid are incorrect?
Should be taken pre-conceptually as a 5mg daily dose to prevent neural tube defects
Should be avoided in diabetic women
Is necessary for the development of red blood cells
Aids the absorption of iron
Which of the following is not a risk factor for developing jaundice
Delayed establishment of feeding
Premature birth
Bruising from an operative delivery
Waterbirth
Fat stores begin to be laid down in the fetus around this time:
On days 51-53 following conception
At around 24 weeks gestation
In the third trimester
Following birth
Which of the following conjugates bilirubin with glucuronic acid?
Urobilin
Albumin
Y and Z proteins
Glucuronyl transferease
Conjugated bilirubin is metabolised in the liver by bacterial flora to produce:
Biliverdin
Glucuronide sugars
Bilirubin diglucorunate
Stercobilinogen
Bilirubin is metabolised in the intestines by:
Albumin
Urobilinogen
Intestinal bacteria
Urobilin
Thyroid stimulating hormone:
Decreases the basal metabolic rate
Increases the basal metabolic rate
Inhibits the production of adrencorticorophic hormone
Stimulates the production of growth hormone
Fertilisation normally occurs in which region of the ovarian tubes:
Ampulla
Isthmus
Fimbria
Utero-tubal junction
Which of the following is not associated with the cause of gestational hypertension
Enlarged placenta
Diabetes
Multiple pregnancy
Hyperemesis
What kind of blood cell is associated with clotting
Leucocyte
Lymphocyte
Thrombocyte
Erythrocyte
The umbilical cord usually contains
One vein and one artery
Two veins and one artery
One vein and two arteries
Two veins and two arteries
The resting woman increases her ventilation by:
Breathing more frequently
Increasing the expiratory reserve volume
Deepening her respirations
Reducing intercostal movement
Surfactant
Assists gaseous exchange
Is produced by type 2 alevolar cells
Is a lipoprotein that reduces surface tension
All of the above
Sensory receptors that respond to pain are called
Propioreceptor
Nocioceptors
Baroreceptors
Somatic receptors
Odema associated with hypertension
Damage to the Bowmans capsule
Degradation of red blood cells
Excessive fluid consumption
Capillary leakage in tissues
Blood biochemistry results which show an abnormal liver function test and raised bile acids may indicate this condition
Sepsis
Toxoplasmosis
Pre-eclampsia
Cholestasis
At birth, upon taking the first breaths, this temporary structure of the fetal heart closes by pushing the septum primum and septum secundum together
Ductus Venousum
Vesical Ligament
Foramen Ovale
Ductus Arteriosum
Women are at an increased risk of a deep vein thrombosis in the postnatal period because of the
Process of haemoconcentration
Reduction in peripheral resistance
Reduction in cardiac output
Decrease in oestrogen
Which hormone causes a reduction in mobility within the gastrointestinal tract?
Progesterone
Oxytocin
Relaxin
Prolactin
The largest diameter of the fetal skull is
Mentovertical
Submento bregmatic
Ocipito frontal
Bitemporal
Non shivering thermogenesis is the process by which the neonate
Uses brown adipose tissue in order to produce body heat
Loses heat to the atmosphere by radiation
Conjugates bilirubin
Achieves adequate gaseous exchange at birth
In pregnancy, the disproportionate increase in plasma volume and red cell mass predisposes a woman to:
Physiological anaemia
Circulatory failure
Hypotension
Hypertension
Following the process of meiosis each cell will have
23 Chromosomes
21 Chromosomes
44 Chromosomes
46 Chromosomes
Engagement occurs when:
The vertex aligns with the symphysis pubis
The denominator reaches the pelvic floor
Braxton Hicks contractions strengthen and labour begins
The biparietal diameter passes through the pelvic brim
Cleavage is
The first cell division
Cell differentiation
The migration of cells from the outer layers of the embryonic disc
The growth of the ampulla and milk ducts in pregnancy
Anaphylactic shock occurs as a result of
A severe allergy or drug reaction
A severe generalised infection
A significant reduction in intravascular volume
An impaired ability of the heart to pump blood
Breasts - What does prolactin act on?
Alveoli
Mammary glands
Areoli
Let down reflex
Sperm matures in the:
Testes
Scrotum
Epididymus
Spermatic cord
Red blood cells are broken down in the:
Liver
Kidney
Intestine
Spleen
What has 22 chromosomes and a Y chromosome?
Egg
Ovum
Sperm
Spermatid
Which hormone stimulates the production of milk?
Prolactin
Progesterone
HCG
Oxytocin
What are the signs of physiological jaundice?
Occurs within the first 24 hours, yellowing of the skin
Occurs within the first 24 hours, yellowing of the skin, yellow of the white parts of the eyes
Occurs after 24 hours
Occurs after 24 hours, reluctant to feed
What keeps blastocyst alive in early pregnancy
Human Chorionic Gonadotrophin
Luteinizing Hormone
Human Placental Lactogen
Follicle Stimulating Hormone
A morula is formed through meiosis approximately how many days after fetilization?
5 days
10 days
14 days
28 days
In the adult heart, which is not true:
Deoxygenated blood travels from the right atrium
Oxygenated blood returns to the left atrium
The right coronary artery oxygen to the right atrium
The left coronary artery supplies oxygen to the left atrium
The ductus arteriosis
Divides the right and left atria
Returns blood from the fetus to the placenta
Is located between the pulmonary artery and the aorta
Connects to the umbilical vein and the artery
What prevents gangrene in the umbilical stump from healing?
Keeping it dry
Keeping it clean
Air exposure
Antiseptic
Leucocytes: Which of the following is not true
A newborn baby has half the amount of white blood cells than an adult
White blood cells take approx 14 days to develop
White blood cells attack infection
Are produced in the bone marrow
The foramen ovale closes as a result of:
Pressure from the left atrium
Pressure from the right atrium
Preparation for birth
Expansion of the lungs after birth
Which of the following is not true:
The corpus luteum degenerates after six months
The corpus luteum forms after an egg is released
The corpus luteum degenerates into corpus albicans
The corpus luteum protects the oocyte
A throphoblast is:
The inner cell mass of a blastocyst
The inner cell mass of the embryo
Outer cells of the blastocyst
The outer cells of the placenta
What is responsible for frequent urine infection in pregnant women?
The effects of progesterone on the ureters
Increase in oestrogen levels which affects the ureters
Increase in voiding of the urine
Pressure on the bladder from the growing fetus
Varicose Veins in pregnancy are caused by:
Odema
Poor circulation
Progesterone relaxing the veins
Haemorrhoids
Hypotension in early pregnancy is caused by?
Increase in blood volume
Standing for long periods
Decreased vascular resistance
Increase in body temperature
Anaemia in pregnancy is caused by?
Haemodilution
Haemoconcentration
Hb Lower than 105
Lack of folic acid
Human placental lactogen is produced from?
Placenta
Trophoblast
Syncitiotrophoblast
Blastocyst
Which trimester of pregnancy does itching due to cholestatsis occur?
First
Second
Third
Chloasma is the name given to
Palmar erythema
Striae Gravidarum
Cholestasis
Hyperpigmentation of the face
Odema in pregnancy is caused by which hormone?
Progesterone
Oxytocin
Oestrogen
Prolactin
What is excreted from the placenta?
Waste products
Carbon Dioxide
Bilirubin
All of the above
What stage of lactogenesis is the milk secretion stage?
Lactogenesis I
Lactogenesis II
Lactogenesis III
Ovulation in a woman can be predicted through:
Clear thin discharge
Thick white discharge
Decrease in body temperature
Menstruation
What is the function of the Chorionic Villae
To supply maternal blood to the fetus
Exchange of oxygen
Filter neonatal blood
Protect the placenta
What happens to the excess iron in the red blood cells following birth the neonate?
Excreted through bile
Excreted through urine and faeces
Conjugated with bilirubin
Recycled
The pancreas is made up of what cells?
Islets of Langerhans
Acini
A Cells and B Cells
All of the above
Endometriosis is caused by which bacteria?
Streptococcus
E Coli
Stapphylococus
Salmonella
The regulation of blood pressure originates from which area of the brain?
Medulla Oblongata
Hypothalamus
Cerebellum
Frontal Lobe
Which muscle is not a superficial pelvic floor muscle?
Transverse perinei
Ischiocavernosus
Ischiococcygeus
External anal sphincter
At 12 weeks gestation HCG is secreted by the:
Spiral arteries
Cyotrophoblast
Hypothalamus
Corpus luteum
What happens when the corpus luteum degenerates?
Drop in oestogen
Drop in progesterone
Menstruation occurs
All of the above
What structure does oxytocin act on?
Myoepithelial cells
Decidual Cells
Collagenous cells
Which hormones does the placenta produce?
Luteinising hormone and follicle stimulating hormone
Human placental lactogen and prolactin
Human chorionic gonadotropin and human placental lactogen
HCG and luteinising hormone
In pregnancy the disproportionate increase in plasma volume and red cell mass predisposed a woman to:
Hypertension
Physiological anaemia
Hypotension
Circulatory failure
The three primary layers of the embryo from which organogenesis takes place are called:
Endoderm, ectoderm and mesoderm
Epidermis, endoderm and myometrium
Myometrium, mesoderm and ectoderm
Endoderm, ectoderm and epithelium
The lining of the pregnant uterus is called the:
Endometrium
Myometrium
Decidua
Peritoneum
The resting pregnant woman increases her ventilation by:
Increasing the expiratory reserve volume
Breathing more frequently
Reducing intercostal movement
Deepening her respirations
During involution the constriction of blood vessels at the placental site is known as:
Ischaemia
Phagocytosis
Regeneration
Autolysis
What hormones does the placenta excrete?
Progesterone
Oestrogen
Human Placental Lactogen
HCG
Where is prolactin produced?
Anterior Pituitary Gland
Posterior Pituitary Gland
What is the amnion?
Membranes fetal side
Membranes maternal side
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