1) Spontaneous abortion is:
Birth of embryo/fetus till 22 weeks of pregnancy or with weight till 500 g
2) Pre-existing raised BP before pregnancy or in the early pregnancy may be due to the
following, except:
Preeclampsia
3) Indications for caesarean section by diabetes mellitus are:
All above mentioned
4) Vaginal inspection of a parturient woman revealed: cervix dilation is up to 2 cm, fetal bladder
is intact. Sacral cavity is free, sacral promontory is reachable only with a bent finger, the inner
surface of the sacrococcygeal joint is accessible for examination. The fetus has cephalic
presentation. Sagittal suture occupies the transverse diameter of pelvic inlet, the small
fontanel to the left, on the side. What labor stage is this?
Cervix dilatation stage
5) A multipara pregnant woman was hospitalized with complaints on blood discharges with
vesicles from vagina during last 2 weeks, mild cramp-like pain in low abdomen. Last menses –
4,5 months ago. The uterine fundus is located near umbilicus, fetal heart beating is absent,
small parts of fetus are not palpated, uterus is soft. Diagnosis.
Molar pregnancy
6) During early postpartum period the mother is monitored for all, except:
Lactation
7) There are sizes of the plane of pelvic inlet, except:
Anterposterior diameter - 10 cm
8) Risk factors for preeclampsia are all the following, except:
Multiparity
9) Criteria of severe preeclampsia are all the following, except:
Seizure
10) A 22 yr - old multigravida G3 P2 at 40 weeks’ gestation complains of strong uterine
contractions. She denies medical illnesses. Her antenatal history is unremarkable. On
examination, her BP is 120/80, heart rate 85 bpm. The fetal heart rate ranges from 140 to 150
bpm. The cervix is 5 cm dilated, and the vertex is at -3 station. Upon rupture of membranes,
fetal bradycardia ranging from 70 to 80 bpm is noted for 4 min without recovery. What is the
most likely diagnosis?
Fetal distress
11) A 26 y.o. woman complains of a mild bloody discharge from the vagina and pain in the lower
abdomen. She has had the last menstruation 3,5 months ago. The pulse is 80 bpm. The blood
pressure (BP) is 110/60 mm Hg and body temperature is 36,60C. The abdomen is tender in the
lower parts. The uterus is enlarged up to 12 weeks of gestation. What is your diagnosis?
Inevitable abortion
12) Uterine discharge after delivery consists of:
All of the answers are correct
13) The cardinal movements of a labor in occiput anterior presentation are all, except:
Additional flexion
14) With the third Leopold's method in the uterus define:
Presenting part of fetus and its relation to the plane of the entrance to the small pelvis
15) Complications of preeclampsia are all the following, except:
Gestational diabetes
16) The second stage of labor is:
The stage of expulsion of the fetus
17) Prevention of Rh-immunization by anti-Rh-immunoglobulin is provided in the term:
Not later than 72 hours after delivery
18) Which gestational age gives the most accurate estimation of weeks of pregnancy by uterine
size?
Less that 12 weeks
19) A 37 y.o. primigravida woman has been having labor activity for 10 hours. Labor pains last
for 20-25 seconds every 6-7 minutes. The fetus lies in longitude, presentation is cephalic, head
is pressed upon the entrance to the small pelvis. Vaginal examination results: cervix of uterus is
up to 1 cm long, lets 2 transverse fingers in. Fetal bladder is absent. What is the most probable
diagnosis?
Primary uterine inertia
20) There are the following indices of biophysical profile of fetus except:
Amount of amniotic fluid
21) During early postpartum period the mother is monitored for all, except:
Lactation
22) The first step for the birth of the infant is descent. Descent is occur due to forces:
All of the answers are correct
23) Body length of a mature infant is:
45 cm and more
24) Menstruation doesn’t depend on:
Permeability of uterine tubes
25) The following moments are important for diagnostic of fetal distress during pregnancy
except:
Estimation acidic-alkaline metabolism in presenting part of fetus
26) Volume of physiological blood loss during delivery is:
05 % of body weight
27) The drug for the stimulation of the labor is:
5 units of oxytocin in 500 ml glucose 5% is given by IV infusion starting with 6-8 drops per
minute
28) By the end of the 1st period of labor meconial amniotic fluid came off. The BP was 140/90
mm Hg. Contractions lasted 35-40 s every 4-5 min. Heartbeat of the fetus was 80-90 bpm. What
is the most probable diagnosis?
Fetal distress
29) Chronic hypertension is:
Hypertension appeared before pregnancy or appeared till 20 weeks of pregnancy
30) The preventive management of the preterm labor include all the following, except:
Oxytocin
31) The following methods are used for diagnostic of fetal distress during labor except:
Actography
32) The following moments are important for diagnostic of fetal distress during pregnancy
except:
Estimation acidic-alkaline metabolism in presenting part of fetus
33) Modern treatment of progressive tube pregnancy is:
Laparoscopy, salpingotomy
34) The normal neonate breathe is:
40-60 breaths per minute
35) Which is the main process in pathogenesis of preeclampsia?
Peripheric vasoconstriction
36) A parturient woman is 23 years old. Vaginal obstetric examination reveals full cervical
dilatation. There is no fetal bladder. Fetal head is in the plane of pelvic outlet. Sagittal suture is
in mesatipellic pelvis, anterior fontanel is closer to pubes. The fetal head diameter in such
presentation will be:
Suboccipito-bregmaticus
37) The clinical symptoms of the uncoordinated uterine action include all the following, except:
Fast cervical dilatation
38) Indications for caesarean section are the following except:
Cervical erosion
39) All below mentioned increases the risk of isoimmunization, except:
Perform of amnioscopy
40) The puerperium is defined as:
The first 6 weeks after delivery
41) Symptoms of polyhydramnios are all the following, except:
Pregnancy induced hypertension
42) Connective tissue of triangle form with three sutures is palpated on the presenting part of
the head. What fontanel is this?
Frontal fontanel
43) A 28 year old woman had the second labour and born a girl with manifestations of anemia
and progressing jaundice. The child's weight was 3 400 g, the length was 52 cm. The woman's
blood group is B(III)Rh -, the father's blood group is A(II) Rh+, the child's blood group is B(III)Rh
+. What is the cause of anemia?
Rhesus incompatibility
44) A 28-year-old patient underwent endometrectomy as a result of incomplete abortion. Blood
loss was at the rate of 900 ml. It was necessary to start hemotransfusion. After transfusion of 60
ml of erythrocytic mass the patient presented with lumbar pain and fever which resulted in
hemotransfusion stoppage. 20 minutes later the patient's condition got worse: she developed
adynamia, apparent skin pallor, acrocyanosis, profuse perspiration. T - 38,5oC, Ps - 110/min,
BP- 70/40 mm Hg. What is the most likely diagnosis?
Hemotransfusion shock
45) A baby is called “a newborn” in a period:
First 4 weeks
46) The leading line of the pelvis (pelvic axis) - is:
Line, which connects the midpoints of all anterposterior diameters of the pelvis's planes
47) Which is necessary to do if a pregnant woman doesn’t visit a doctor in a female dispensary?
A midwife must visit a patient at home within the next few days
48) At term of a gestation of 40 weeks height of standing of a uterine fundus is less then
assumed for the given term. The woman has given birth to the child in weight of 2500 g, a length
of a body 53 cm, with an assessment on a scale of Apgar of 4-6 points. Labor were fast. The
cause of such state of the child were:
Chronic fetoplacental insufficienc
49) Risk factors of ABO-isoimmunization are:
All above mentioned
50) Pregnancy hypertension is:
Hypertension appeared after 20 weeks of pregnancy without proteinuria and oedema
51) Placenta accreta growths into uterine wall in:
Superfitial layer of myometrium
52) Contraindications for caesarean section is:
Іnfections in mother
53) The uterus rises up and to the right in the abdomen because the placenta passes down into
the lower uterine segment. What it is the sign of the separation of the placenta?
Shreder`s sign
54) The first stage of spreading the puerperal infectious process is:
Puerperal ulcer
55) Second-trimester ultrasound screening is recommended?
In 18-21 weeks of pregnancy
56) In what week of pregnancy the level of chorionic gonadotropin in blood is the highest?
8-10 weeks
57) Methods of examination of polyhydramnios are all the following, except:
The fetal parts are felt easily
58) A parturient complains about pain in the mammary gland. Palpation revealed a 3х4 cm large
infiltration, soft in the centre. Body temperature is 38,5oC. What is the most probable
diagnosis?
Acute purulent mastitis
59) Determine the number of pelvis's planes of pregnant:
60) Immunological reactions of pregnancy are based on determination in urine or blood:
Beta-chorionic gonadotropin
61) Diagnostic of fetal hemolytic disease include all the following, except:
Cardiotocography
62) Which is the main process in pathogenesis of preeclampsia?
Peripheric vasoconstriction
63) Connective tissue of triangle form with three sutures is palpated on the presenting part of
the head. What fontanel is this?
Frontal fontanel
64) Clinical signs of severe preeclampsia are:
Diastolic BP ≥110 mm, proteinuria >5,0 g per day, generalized oedema
65) Recurrent pregnancy loss is:
Two or more pregnancy losses by spontaneous abortion
66) The diagnosis of the postterm pregnancy include all the following, except:
Rupture of membranes
67) Obstetric conjugate is the size between:
The most projected point on the internal surface of symphysis and promontorium
68) Classic manual aid by breech presentation has the following moments, except:
Supporting of fetal legs in vagina
69) Indications for cesarean section by severe preeclampsia are the following except:
IUGR
70) Patients with wound infections, or episiotomy infections, have all the following except:
General malaise
71) The signs of placental separation are positive. When it should be delivered?
Immediately
72) The clinical picture of the incomplete abortion include all the following, except:
The cervix is closed
73) Etiology factors of oligohydramnios are all the following, except:
Trauma
74) Contraindications for amniocentesis:
Threatened of premature labor
75) The indications for the urgency vaginal examination are all clinical situation, except:
Chronic placental insufficiency
76) A 26 y.o. woman complains of sudden pains in the bottom of abdomen irradiating to the
anus, nausea, giddiness, bloody dark discharges from sexual tracts for one week, the delay of
menses for 4 weeks. Signs of the peritoneum irritation are positive. Bimanual examination:
borders of the uterus body and its appendages are not determined because of sharp
painfullness. The diverticulum and painfullness of the back and dextral fornixes of the vagina
are evident. What is the most probable diagnosis?
Broken tubal pregnancy
77) A pregnant woman, 35 years old, of 32 weeks of gestation was recommended to weight one
time per week. What weight is normal to be increased for this week of pregnancy?
300 g
78) During the each day of puerperium the fundus goes down on:
2 cm
79) Taking umbilical blood through abdomen is called:
Cordocentesis
80) The following methods are used for diagnostic of fetal distress during labor except:
Actography
81) The clinical picture of the puerperal endometritis include all the following except:
Uterus is well involuted
82) Perinatal period of human’s life is:
From 22 weeks of pregnancy till 7 days of life after birth
83) All below mentioned increases the risk of isoimmunization, except:
Perform of amnioscopy
84) Obstetric conjugate is the size between:
The most projected point on the internal surface of symphysis and promontorium
85) The evaluation of Solovyov's index helps to determine:
Obstetric conjugate
86) Chronic hypertension is:
Hypertension appeared before pregnancy or appeared till 20 weeks of pregnancy
87) The puerperium is defined as:
The first 6 weeks after delivery
88) A newborn's head is of dolichocephalic shape, that is front-to-back elongated. Examination
of the occipital region revealed a labour tumour located in the middle between the prefontanel
and posterior fontanel. Specify the type of fetal presentation:
Posterior vertex presentation
89) The following signs are typical for ectopic pregnancy as tube rupture except:
Aching pain in low abdomen
90) The preventive management of the preterm labor include all the following, except:
Oxytocin
91) The most common complications of multiple pregnancy include the following, except:
Postterm pregnancy
92) Prevention of fetal respiratory distress syndrome is:
Iminjection of dexamethasone 24 mg
93) The leading point by anterior occipital presentation is:
Occipital fontanel
94) There are the following external sizes of the pelvis, except:
Conjugata diagonalis
95) Prevention of fetal respiratory distress syndrome is:
Iminjection of dexamethasone 24 mg
96) Chronic hypertension is:
Hypertension appeared before pregnancy or appeared till 20 weeks of pregnancy
97) The neonate heart rates normally is:
110-170 bpm
98) A pregnant woman, 35 years old, of 32 weeks of gestation was recommended to weight one
time per week. What weight is normal to be increased for this week of pregnancy?
300 g
99) By the end of the 1st period of physiological labor clear amniotic fluid came off.
Contractions lasted 35-40 sec every 4-5min. Heartbeat of the fetus was 100 bpm. The BP was
140/90 mm Hg. What is the most probable diagnosis?
Acute hypoxia of the fetus
100) The most common complications of multiple pregnancy include the following, except:
Postterm pregnancy
101) The basis of diagnostic of iron deficiency anemia:
Laboratory results
102) What glands are not the glands of mixed secretion?
Gastric glands
103) Physiological findings of the skin and subcutaneous tissue of newborn infant are the
following, except:
General cyanosis
104) Determine the number of pelvis's planes of pregnant:
105) A 22 yr - old multigravida G3 P2 at 40 weeks’ gestation complains of strong uterine
contractions. She denies medical illnesses. Her antenatal history is unremarkable. On
examination, her BP is 120/80, heart rate 85 bpm. The fetal heart rate ranges from 140 to 150
bpm. The cervix is 5 cm dilated, and the vertex is at -3 station. Upon rupture of membranes,
fetal bradycardia ranging from 70 to 80 bpm is noted for 4 min without recovery. What is the
most likely diagnosis?
Fetal distress
106) The onset of the second stage of labor:
Full dilatation of the cervix
107) A 30 year-old gravida 1 para 0 at 40 weeks' gestation complains of strong uterine
contractions. She is nonexaminated. The patient`s condition is normal. BP is 120/80 mm Hg.
The fetal lie is longitudinal, the head is in the pelvic cavity. Fetal heart rate is 120-130 bpm. At
vaginal examination the cervix is fully dilated, the head is in midpelvis. What is the most likely
diagnosis?
Second stage of labour
108) Preterm labor is:
Onset of labor from 22 before completed 37 weeks of pregnancy
109) Signs of a mature fetus are the following, except:
Height is more than 47 cm
110) Lanugo of premature infants may be particularly noticeable, except:
Face
111) A 20 y.o. pregnant woman with 36 weeks of gestation was admitted to the obstetrical
hospital with complains of pain in the lower abdomen and bloody vaginal discharge. The
general condition of the patient is good. Her blood pressure is 120/80 mm Hg. The heart rate of
the fetus is 140 bpm, rhythmic. Vaginal examination: the cervix of the uterus is formed and
closed. The discharge from vagina is bloody up to 200 ml per day. The head of the fetus is
located high above the minor pelvis entry. A soft ormation was defined through the anterior
fornix of the vagina. What is the probable diagnosis?
Placental presentation
112) The onset of the second stage of labor:
Full dilatation of the cervix
113) Colostrum contains all the following, except:
More sugar
114) A parturient woman is 23 years old. Vaginal obstetric examination reveals full cervical
dilatation. There is no fetal bladder. Fetal head is in the plane of pelvic outlet. Sagittal suture is
in mesatipellic pelvis, anterior fontanel is closer to pubes. The fetal head diameter in such
presentation will be:
Suboccipito-bregmaticus
115) Contraindications for forceps delivery are the following except:
Endometritis in labor
116) An onset of severe preeclampsia at 16 weeks gestation might be caused by:
Hydatidiform mole
117) In 10 min after childbirth by a 22-year-old woman, the placenta was spontaneousely
delivered and 100 ml of blood came out. Woman weight - 80 kg, infant weight - 4100 g, length -
53 cm. The uterus contracted. In 10 minutes the hemorrhage renewed and the amount of blood
constitued 300 ml. What amount of blood loss is permissible for this woman?
400 ml
118) Symptoms and signs of imminent eclampsia are all the following, except:
Sacral edema
119) Fetal heart rate is:
110-170 beats per minute
120) Indications for corporal caesarean section are the following except:
Placenta abrupture
121) The drug for the prophylactic of the fetal distress is:
12 mg Betamethazone IM every 12 hours
122) Additional screens are offered to high-risk patients are all the following, except:
General blood test
123) The neonate heart rates normally is:
110-170 bpm
124) In what week of pregnancy the level of chorionic gonadotropin in blood is the highest?
8-10 weeks
125) The complications of the premature rupture of membranes include all the following,
except:
Lacerations of the cervix
126) The main symptom of placenta praevia is:
Repeated blood discharges from vagina
127) The first step to stop the pathological bleeding in early postpartum period is:
Manual examination of uterine cavity
128) The leading point by anterior occipital presentation is:
Occipital fontanel
129) The clinical picture of the threatened abortion include all the following, except:
Pain is colicky felt in the suprapubic region radiating to the back
130) What is not typical for cervical incompetence:
Cervical length 3 cm
131) What does first descend to the pelvis during labor by breech presentation:
Anterior buttock
132) What are the signs of the first stage of labor:
The appearance of regular contractions
133) The respiratory rate of newborn infant just after delivery is:
60-80 breaths per minute
134) The indications for the urgency vaginal examination are all clinical situation, except:
Chronic placental insufficiency
135) By bimanual examination a doctor determines softening of isthmus of uterus, fingers of
external and internal hand can meet easy. Cervix is recognizes as firm organ than uterus. This is
sign:
Heanter’s
136) The leading line of the pelvis (pelvic axis) - is:
Line, which connects the midpoints of all anterposterior diameters of the pelvis's planes
137) Degree of contracted pelvis is determined by:
Conjugate true
138) A 23-year-old G1 P0 at 37 weeks' gestation presents with a vaginal gush of fluid. On sterile
speculum examination, the patient has a pool of clear fluid in the vagina that is nitrazine and
fern positive. She is contracting every 3 to 4 minutes, and her cervix on visualization appears to
be dilated 2 to 3 cm. What is the situation?
Early rupture of membranes
139) The diagnosis of the preterm labor include all the following, except:
The internal os of the cervix is closed
140) By the end of the 1st period of physiological labor clear amniotic fluid came off.
Contractions lasted 35-40 sec every 4-5min. Heartbeat of the fetus was 100 bpm. The BP was
140/90 mm Hg. What is the most probable diagnosis?
Acute hypoxia of the fetus
141) Spontaneous abortion is:
Birth of embryo/fetus till 22 weeks of pregnancy or with weight till 500 g
142) Which is necessary to do if a pregnant woman doesn’t visit a doctor in a female
dispensary?
A midwife must visit a patient at home within the next few days
143) The first step for the birth of the infant is descent. Descent is occur due to forces:
All of the answers are correct
144) Physiological findings of the skin and subcutaneous tissue of newborn infant are the
following, except:
General cyanosis
145) The normal neonate breathe is:
40-60 breaths per minute
146) By the end of the 1st period of labor meconial amniotic fluid came off. The BP was 140/90
mm Hg. Contractions lasted 35-40 s every 4-5 min. Heartbeat of the fetus was 80-90 bpm. What
is the most probable diagnosis?
Fetal distress
147) Perinatal period of human’s life is:
From 22 weeks of pregnancy till 7 days of life after birth
148) Pregnant women with chronic hypertension form a risk group of development of the
following pathology except:
Anemia of pregnancy
149) What is not typical for cervical incompetence:
Cervical length 3 cm
150) Symptoms and signs of imminent eclampsia are all the following, except:
Sacral edema
151) How many times is it necessary to check fetal heart beating in the II period of labor?
After every uterine contraction
152) Colostrum contains all the following, except:
More sugar
153) What indices are important for estimation of cardiotocography?
All above mentioned
154) The following physiological changes occur during pregnancy, except:
Generalised edema
155) How many times is it necessary to check fetal heart beating in the II period of labor?
After every uterine contraction
156) A 19-year-old primigravida patient presents for an initial prenatal visit at 7 weeks'
gestation. She is concerned because she used both cocaine and heroin in the month before she
discovered she was pregnant. In a long discussion with her about the risks of substance abuse
during pregnancy, you tell her that use of which of the following has the highest correlation with
congenital abnormalities?
Alcohol
157) All the following drugs are use in treatment of chronic hypertension during pregnancy,
except:
Angiotensin-converting enzyme inhibitors
158) There are the following indices of biophysical profile of fetus except:
Amount of amniotic fluid
159) Lanugo of premature infants may be particularly noticeable, except:
Face
160) A 30 year-old gravida 1 para 0 at 40 weeks' gestation complains of strong uterine
contractions. She is nonexaminated. The patient`s condition is normal. BP is 120/80 mm Hg.
The fetal lie is longitudinal, the head is in the pelvic cavity. Fetal heart rate is 120-130 bpm. At
vaginal examination the cervix is fully dilated, the head is in midpelvis. What is the most likely
diagnosis?
Second stage of labour
161) Sometimes one or both testes of baby remain in the pelvic cavity and do not descend after
delivery. This is called:
Cryptorchism
162) A secundipara has regular birth activity. Three years ago she had cesarean section for the
reason of acute intrauterine hypoxia. During parodynia she complains of extended pain in the
area of postsurgical scar. Objectively: fetus pulse is rhythmic - 140 bpm. Vaginal examination
shows 5 cm cervical dilatation. Fetal bladder is intact. What is the tactics of choice?
Cesarean section
163) There are the following risk factors of hemolytic disease, except:
Providing of specific profile of Rh-incompatibility after previous pregnancy
164) A 34 y.o. woman in her 29-th week of pregnancy, that is her 4-th labor to come, was
admitted to the obstetric department with complaints of sudden and painful bloody discharges
from vagina that appeared 2 hours ago. The discharges are profuse and contain grumes.
Cardiac funnction of the fetus is rhytmic, 150 strokes in the minute, uterus tone is normal. The
most probable provisional diagnosis will be:
Placental presentation
165) There are sizes of the plane of pelvic inlet, except:
Anterposterior diameter - 10 cm
166) Fetal position and variety by breech presentation are determined by Leopold maneuvers
by:
Fetal back
167) Membranes’ rupture prior to the onset of labor is named:
Premature
168) Recurrent pregnancy loss is:
Two or more pregnancy losses by spontaneous abortion
169) Condition of a parturient woman has been good for 2 hours after live birth: uterus is thick,
globe-shaped, its bottom is at the level of umbilicus, bleeding is absent. The clamp put on the
umbilical cord remains at the same level, when the woman takes a deep breath or she is being
pressed over the symphysis with the verge of hand, the umbilical cord drows into the vagina.
Bloody discharges from the sexual tracts are absent. What is the doctor's further tactics?
To do manual removal of afterbirth
170) Volume of physiological blood loss during delivery is:
05 % of body weight
171) Fetal heart rate is:
110-170 beats per minute
172) What is necessary dose of anti-Rh-immunoglobulin in the presence of Rh-isoimmunization
till the term of 13 weeks of pregnancy:
75 mcg
173) The leading point by posterior occipital presentation is:
Midpoint between occipital and frontal fontanels
174) What indices are not normal during pregnancy?
Proteins – 60 g/l
175) What is normal Apgar score of newborn:
8-10 balls
176) There are the following external sizes of the pelvis, except:
Conjugata diagonalis
177) The symptoms of superficial thrombophlebitis are all the following except:
Symptoms of intoxication
178) A woman, aged 40, primigravida, with infertility in the medical history, on the 42-43 week of
pregnancy. Labour activity is weak. Longitudinal presentation of the fetus, I position, anterior
position. The head of the fetus is engaged to pelvic inlet. Fetus heart rate is 140 bmp, rhythmic,
muffled. Cervix dilation is 4 cm. On amnioscopy: greenish colour of amniotic fluid and fetal
membranes. Cranial bones are dense, cranial sutures and small fontanel are diminished. What
should be tactics of delivery?
Caesarean section
179) The main reason of acute placental insufficiency is:
Abruptio placenta
180) A newborn's head is of dolichocephalic shape, that is front-to-back elongated.
Examination of the occipital region revealed a labour tumour located in the middle between the
prefontanel and posterior fontanel. Specify the type of fetal presentation:
Posterior vertex presentation
181) Preeclampsia complications are the following except:
Gestational diabetes
182) The cardinal movements of a labor in occiput anterior presentation are all, except:
Additional flexion
183) The main reason of acute placental insufficiency is:
Abruptio placenta
184) Complications of preeclampsia are all the following, except:
Gestational diabetes
185) The uterus rises up and to the right in the abdomen because the placenta passes down
into the lower uterine segment. What it is the sign of the separation of the placenta?
Shreder`s sign
186) Immediately postpartum, the uterine fundus is palpable:
At the level of the maternal umbilicus
187) Body length of a mature infant is:
45 cm and more
188) There are the following risk factors of chronic placental insufficiency except:
Eclampsia
189) Direct diagnostic methods of intrauterine infections are the following except:
Identification of microorganisms in cervical and vaginal discharges of pregnant woman
190) There are the following risk factors of hemolytic disease, except:
Providing of specific profile of Rh-incompatibility after previous pregnancy
191) Prevention during pregnancy of the Rh-isoimmunization is:
Intramuscular injection of 1 dose (300 mcg) anti-Rh-immunoglobulin
192) The clinical picture of the incomplete abortion include all the following, except:
The cervix is closed
193) Medications to treat superficial thrombophlebitis may include all the following except:
Steroidal drugs
194) Taking umbilical blood through abdomen is called:
Cordocentesis
195) The contraindications for the stimulation of the labor are the following, except:
Uterine contractions are infrequent, weak and of short duration
196) Methods of examination of polyhydramnios are all the following, except:
The fetal parts are felt easily
197) During the each day of puerperium the fundus goes down on:
2 cm
198) Second-trimester ultrasound screening is recommended?
In 18-21 weeks of pregnancy
199) There are the following signs of postterm newborn except:
Rudimentary tooth
200) A 19-year-old primigravida patient presents for an initial prenatal visit at 7 weeks'
gestation. She is concerned because she used both cocaine and heroin in the month before she
discovered she was pregnant. In a long discussion with her about the risks of substance abuse
during pregnancy, you tell her that use of which of the following has the highest correlation with
congenital abnormalities?
Alcohol
201) A patient presents for her first initial OB visit after performing a home pregnancy test and
gives a last menstrual period of about 8 weeks ago. She says she is not entirely sure of her
dates, however, because she has a long history of irregular menses. Which of the following is
the most accurate way of dating the pregnancy?
Crown-rump length on ultrasound
202) The clinical picture of the threatened abortion include all the following, except:
Pain is colicky felt in the suprapubic region radiating to the back
203) Risk factors of ABO-isoimmunization are:
All above mentioned
204) What is normal Apgar score of newborn:
8-10 balls
205) By pelviometry it was determined that conjugate diagonalis is 12 cm. High of pubis
symphysis is 4 cm. Calculate the size of conjugata vera.
10,5 сm
206) What is used for long term treatment of preeclampsia:
Metildopha
207) The diagnosis of the preterm labor include all the following, except:
The internal os of the cervix is closed
208) The relationship of fetal axis to the vertical axis of the uterus is:
The lie of the fetus
209) The diagnosis of the preterm labor include all the following, except:
The internal os of the cervix is closed
210) Indications for organ’s reservative operations of tube pregnancy are the following except:
Severe inflammatory changes of uterine tubes
211) Diagnostic of fetal hemolytic disease include all the following, except:
Cardiotocography
212) Criteria of severe preeclampsia are all the following, except:
Seizure
213) Fetal heat beating is more clear to auscultate by breech presentation in point:
Above umbilicus
214) What is necessary dose of anti-Rh-immunoglobulin in the presence of Rh-isoimmunization
till the term of 13 weeks of pregnancy:
75 mcg
215) Preeclampsia complications are the following except:
Gestational diabetes
216) Indications for hospitalization in obstetrical department all the following, except:
The scale of biophysical profile (7-8) in a day
217) Fetal heat beating is more clear to auscultate by breech presentation in point:
Above umbilicus
218) Etiology factors of oligohydramnios are all the following, except:
Trauma
219) A 23-year-old G1 P0 at 37 weeks' gestation presents with a vaginal gush of fluid. On sterile
speculum examination, the patient has a pool of clear fluid in the vagina that is nitrazine and
fern positive. She is contracting every 3 to 4 minutes, and her cervix on visualization appears to
be dilated 2 to 3 cm. What is the situation?
Early rupture of membranes
220) The first few days after delivery the lochia names:
Lochia rubra
221) Symptoms of polyhydramnios are all the following, except:
Pregnancy induced hypertension
222) The second stage of labor is:
The stage of expulsion of the fetus
223) Degree of contracted pelvis is determined by:
Conjugate true
224) On the first day after labour a woman had the rise of temperature up to 39oC. Rupture of
fetal membranes took place 36 hours before labour. Examination of the bacterial flora of cervix
of the uterus revealed hemocatheretic streptococcus of A group. The uterus body is soft,
tender. Discharges are bloody, with admixtures of pus. Specify the most probable postnatal
complication:
Metroendometritis
225) Internal obstetric examination provides information on:
All answers are correct
226) Corpus luteum can undergo absorption or regression:
At the 3-4th months of pregnancy
227) A baby is called “a newborn” in a period:
First 4 weeks
228) With the third Leopold's method in the uterus define:
Presenting part of fetus and its relation to the plane of the entrance to the small pelvis
229) All the following drugs are use in treatment of chronic hypertension during pregnancy,
except:
Angiotensin-converting enzyme inhibitors
230) Criteria for diagnosis of mild preeclampsia are:
Diastolic BP 100-109 mm Hg, proteinuria 3,0-5,0 g/24 h, edema (face and/or hands)
231) Immunological reactions of pregnancy are based on determination in urine or blood:
Beta-chorionic gonadotropin
232) There are following reasons of breech presentation, except:
Macrosomia
233) A 28 year old woman had the second labour and born a girl with manifestations of anemia
and progressing jaundice. The child's weight was 3 400 g, the length was 52 cm. The woman's
blood group is B(III)Rh -, the father's blood group is A(II) Rh+, the child's blood group is B(III)Rh
+. What is the cause of anemia?
Rhesus incompatibility
234) Criteria for diagnosis of mild preeclampsia are:
Diastolic BP 100-109 mm Hg, proteinuria 3,0-5,0 g/24 h, edema (face and/or hands)
235) Clinical forms of hemolytic disease of infants:
Jaundice, anemic, edematic, mixed
236) The following methods are provided for prevention of complications in breech delivery
except:
Operation of extraction fetus on pelvic side
237) The most spread method of cesarean section is:
Cesarean section in low segment of uterus by transverse incision
238) Menstruation doesn’t depend on:
Permeability of uterine tubes