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The role of the women's clinic in antenatal care




! The first ultrasound examination of pregnant women is carried out at the following weeks of pregnancy

* 5-7

* 8-10

* 10-14

* 15-17

* 18-19

! The main purpose of ultrasound screening in the second trimester is determining

* An amount of amniotic fluid

* The estimated fetal weight

* Fetal malformation

* Condition of the placenta

* Uterine tone

! Puncture of fetal umbilical cord vessels called

* horion biopsy

* amniocentesis

* cordocentesis

* venipuncture

* fetometry

! Perinatal mortality is the death of the fetus/infant in the next period

* the first trimester of pregnancy

* after birth and up to 7 days of life

* from 22 weeks and to 7 days of life

* childbirth and up to 28 days of life

* 12 weeks before childbirth

! The rate of stillbirths is the number of fetuses/infants who died in the next period

* 7 days of life after birth

* 22 weeks of pregnancy and 7 days of life

* 22 weeks of pregnancy and during childbirth

* 12 weeks of pregnancy and during childbirth

* 28 weeks of pregnancy and during childbirth

! The neonatal mortality rate is the number of infants who died in the next period of life after birth

* 168 minutes

* 168 hours

* 168 days

* 168 weeks

* 168 months

! During the antenatal are at the women's clinic the survey of biochemical genetic markers of pregnant women are carried out to the next group of pregnant women

* all of pregnant women

* multiparous

* deutipara

* primigravida

* pregnant women with congenital malformations of the fetus in history

! The main method of assessment of fetal heart rate is

* electrocardiography

* phonocardiography

* cardiotocography

* dopplerography

* sonography

! In the first visit the pregnant woman underwent ultrasound screening and sonographic markers of congenital malformations in the fetus in 11 gestation weeks were revealed. Future tactic

* Repeat ultrasound after 2 weeks

* Chorionic villus sampling

* Platsentotsentez

* Cordocentesis

* Amniocentesis

! In 33 gestation weeks the primigravida notes the weak fetal movements. In auscultation the fetal heartbeat is clear, rhythmic, 140 beats in 1 minute. The most informative method of fetal assessment is

* Counting the fetal movements during the day

* Ultrasound examination of the fetus

* Hormonal Examination

* Cardiotocography

* Dopplerography

! To reveal hemodynamic disturbances in the mother-placenta-fetus system the following is applied

* electrocardiography

* phonocardiography

* cardiotocography

* dopplerography

* sonography

! Routine method for diagnosis of fetal growth retardation

* Cardiotocography

* Biophysical tests

* Conducting gravidogramm

* Ultrasound biometry

* Doppler of umbilical artery

! The asymmetric shape of fetal growth retardation is diagnosed when the size of the fetal head corresponds to the week of pregnancy but reduced the following sizes of the

* circumference of the chest fetus

* circumference of the shoulders

* circumference of the abdomen

* the spine

* the length of foots

! The symmetrical shape of fetal growth retardation is diagnosed when the following changes are not appropriate gestational

* Reduction in the circumference of the abdominal

* Reduction in the circumference of the chest

* Proportional increase in all sizes

* Proportional reduction in all sizes

* Disproportionate reduction in all sizes

! Conformity or non-conformity of fetal weight at concrete term of pregnancy in gravidogramm is depicted as

* mathematical formula

* scheme

* drawing

* table

* graphic

! Antenatal cardiotocography is performed only on the testimony, beginning with the next weeks of pregnancy

* 22

* 28

* 32

* 36

* 40

! Reaction of cardiac activity of healthy fetus to the uterine contractions or the own motion of fetus in the uterine which accelerates heart rate is called

* acceleration

* deceleration

* basal rhythm

* early deceleration

* variability of basal rhythm

! Acceleration, deceleration, basal rhythm, variability of basal rhythm are characteristic for the next type of research

* amnioscopy

* gravidogramm

* ultrasonography

* doppler

* cardiotocography

! At cardiotocography average heart rate of the fetus, which remains unchanged for the period of 10 minutes or more is called

* acceleration

* deceleration

* basal rhythm

* early deceleration

* variability of basal rhythm

! Normally, the basal rhythm is the next number of beats per 1 minute

* 60-100

* 110-160

* 120-170

* 130-180

* 140-190

! The variability of the basal rhythm is the next change of the instantaneous of the fetal heartbeat from beat to beat

* periodical

* episodic

* constant

* later

* early

! In cardiotocogram the transient episodes of acceleration heart rhythm of the fetus for 15 beats or more compared to the basal rhythm and with duration 15 seconds or more are called

* acceleration

* deceleration

* basal rhythm

* early deceleration

* variability of basal rhythm

! In cardiotocogram the transient episodes of deceleration heart rhythm of the fetus for 15 beats or more and with duration 15 seconds or more are called

* acceleration

* deceleration

* basal rhythm

* early deceleration

* variability of basal rhythm

! In cardiotocogram are the following types of decelerations

* Primary, secondary

* Acute, subacute, chronic

* Early, late, variable

* Monotone, low variability, sinusoidal

* Compensated, subcompensated, decompensated

! The late decelerations in cardiotocogram show the

* Lack of disturbance of blood flow in the mother-placenta-fetus system

* Disturbance of blood flow in the mother-placenta-fetus system

* Compression of the fetal head during childbirth

* Normal status of the fetus

* Availability of a large fetus

! Cells of syncytiotrophoblast begin to synthesize a chorionic gonadotropin in the next weeks of pregnancy

* 1

* 2

* 3

* 4

* 5

! Indications for examination of amniotic fluid are the following minimum titer of antibodies to the Rh factor in pregnant women with Rh-negative blood

* 1:2

* 1:4

* 1:16

* 1:32

* 1:64





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