PMS III Practice Quiz 1
PMS III Practice Quiz
Test your knowledge on key concepts related to pregnancy, maternal health, and childhood development with our comprehensive quiz. This practice tool is perfect for students, teachers, and professionals looking to enhance their understanding of these crucial topics.
- True/False questions
- Multiple choice format
- Covers a range of subjects in maternal and fetal health
- Score your knowledge and review your answers
T/F: a diastolic heart murmur may be a normal finding in a pregnant patient
True
False
Which of the following is a post-natal determinant of gestational age?
LMP
Ballard Score
Pregnancy milestones
US measurements
What hormone(s) does the placenta produce?
A. HCG
B. HCS
C. estrogen
D. progesterone
E. All of the above
F. Only a and b
How many weeks gestation do you see ossification of the fetal skeleton?
9-12 weeks
13-16 weeks
17-20 weeks
21-25 weeks
Which is true of blood pressure in pregnancy?
Decreases slighly from baseline in 1st trimester
Increases slightly from baseline in 1st trimester
Decreases slightly from baseline in 2nd trimester
Increases slightly from baseline in 2nd trimester
T/F: Maternal respiratory rate does not change.
True
False
The increase in cardiac output (CO) which happens during the first half of pregnancy can be attributed to an increase in:
Plasma volume
Maternal HR
Stroke volume
RBC mass
Estrogen and progesterone levels are at their lowest...
At the start of the menstrual cycle
During the follicular phase
At the end of the luteal phase
At the end of the follicular phase
Which of the following is not a CI to breastfeeding?
Galactosemia
Active, untreated TB
HIV
Postpartum nipple/breast pain
Which of the following is not an indication for soy based formula?
Galactosemia
Hereditary lactose deficiency
Premature infants
Vegetarian based diet
T/F: If a female fetus is born without an ovary, she is likely to have an abnormality in the fallopian tube as well.
True
False
Skin changes in pregnancy are likely due to:
Increased levels of estrogen
Decreased levels of estrogen
Increased levels of progesterone
Decreased levels of progesterone
Exposure to _____ in utero, would cause limb malformation
Rubella
Zika
DES
Thalidomide
Which type of pregnancy is most dangerous to the twin fetuses?
Monoamniotic monochorionic
Diamniotic dichorionic
Diamnionic monochorionic
All are equally dangerous
Which is the precursor to the umbilical cord?
Embryonic body stalk
Chorionic plate
Synctiotriphoblast
Cytotrophoblast
____ is often the first observable sign of puberty.
Menarche
Adrenarche
Gonadarche
Thelarche
What diagnostic method is a way to determine between familial and constitutional growth delay?
Bone age study
CBC
CMP
MRI
At which phase of the menstrual cycle would it be most helpful to get a pelvic US in order to evaluate the ovarian fun
Mid luteal phase
After ovulation
Early follicular phase
Menstrual phase
Baby presents with microcephaly, mental retardation, distal phalangeal hypoplasia, and craniofacial dysmorphology. Which is the most likely substance the mother was taking while pregnant?
Alcohol
Tetracycline
Phenytoin
Nicotine
______ causes the theca and granulosa cells to convert to progesterone.
FSH
LH Surge
Estrogen decline
Inhibin
Anatomically, the _____ will increase in size, while functionally, the _____ will increase.
Thyroid; adrenal gland
Pituitary; hypothalamus
Adrenal gland; pituitary
Adrenal gland; thyroid
A baby with micromelia, chorioretinitis and microcephaly was most likely exposed to what in utero?
Rubella
CMV
Zika
None of the above
Which is true of the function of the placenta?
It is maternal in origin
All gasses cross the placenta by facilitated diffusion
Allows the fetus to transfer waste products to mother
Interface between chorion and fetus
Which is true of human chorionic gonadotropin (hCG)?
Trophoblasts produce hCG after development of the placenta
Stimulates the corpus luteum to grow
Directs development of gonads and adrenal glands in 2nd trimester
Levels double every 24 hours
A 36 yo F obese patient presents to your office. She has been trying to get pregnant for the past 8 months with no luck. She tells you she knows she is overweight, but she wonders if there isn't something else wrong. Her labs show increased testosterone and physical exam reveals facial hair and acne. What is the likely diagnosis?
Hyperprolactinemia
Cushing's Syndrome
PCOS
Hypothyroidism
Which of the following is not significantly excreted in the urine during pregnancy?
Glucose
Amino Acids
Water soluble vitamins
Protein
Baby presents with short palpebral fissures, maxillary hypoplasia, a smooth philtrum, and congenital heart disease. What is the most likely diagnosis?
Fetal alcohol syndrome
Maternal use of nicotine
Maternal use of illicit drugs
Malnutrition
What is considered a developmental delay?
Child falls below 65th percentile in one or more realms of development
Child falls below 80th percentile in one realm of development
Child falls below 70th percentile in one realm of development
Child falls below 75th percentile in one or more realms of development
Which of the following is NOT an example of an impairment in social orienting?
Reacts less to their own name
Have little imaginative play
Does not approach others spontaneously
Unable to wait in line or take a turn
Normal or advanced development in most areas of development with delayed development in one area is known as ___________.
Discrepancy
Intellectual disability
Deviancy
Developmental delay
The LH surge occurs...
On Day 14 concurrently with ovulation
During the luteal phase
Approximately 36 hours before ovulation
1 week prior to ovulation
What hair changes would you expect to see 2-4 months postpartum?
More hair follicles in anagen phase (growth phase)
Fewer hair follicles in telogen phase (resting phase)
Hair growth
Hair loss
Which reflex helps develop head management and postural stability?
Trunk incurvation reflex
Positive support reflex
Rooting reflex
Moro Reflex
Which of the following is not a cause of tall stature?
Excess production of GH
Homocystinuria
Inborn errors of metabolism
Marfan syndrome
T/F: A child is half their predicted adult height at 2 years old.
True
False
Babies on anticonvulsants or steroids may need increased levels of ____?
Vitamin K
Vitamin D
Iron
Fluoride
____ can be used to stimulate ovulation because it mimics the LH surge.
Clomid (clomiphene)
Evista (raloxifene)
Subcutaneous hCG
Femara (letrozole)
At what age do infants start rolling over?
2 months
4 months
6 months
9 months
When should the 1st Well-baby check occur?
1-3 days after discharge
1 week after discharge
5-7 days after discharge
3-5 days after discharge
At what age does a child develop gender identity?
12 months
18 months
2 years old
3 years old
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