Ultrasound
+ Doppler
Cardiotocography
Amniocentesis
Platsentometria
A woman is 26 years old. Her 34-35 weeks pregnancy is the fist. The patient was admitted to the maternity hospital with a diagnosis of fetal growth delay of 2-nd degrees. The doctor’s tactic is:
to prolong the pregnancy to full-term period
+ premature delivery
the conservative treatment
prevention of respiratory distress-syndrome
hyperbaric oxygenation
A pregnant alcohol abusers have a high risk of development:
Congenital malformations
+ Intrauterine growth retardation
Stillbirth
AIDS
HIV infected
The asymmetrical form of fetal growth retardation is:
+ one of the parameters of the size of the fetus does not meet the gestational age
the two parameters of the size of the fetus does not meet the gestational age
all parameters of the fetus does not meet the gestational age
all parameters match gestational age of fetus
the three parameters of the fetus does not meet the gestational age
Criteria of severity of pre-eclampsia is:
the duration of the disease
the presence of extragenital diseases
the amount of amniotic fluid
the lack of effect of the therapy
+ fetal growth retardation
If the mother has an infection, the fetus is developing:
normal fetal
+ embryopathy
fetopathy
Oligohydramnios
Polyhydramnios
Antenatal period is the period:
from the moment of fertilization to 22 weeks
from 22 to 28 weeks
+ from 22 weeks before delivery
from 28 weeks to delivery
at 28 weeks before birth
Gravidogramma is a graphical display of the:
+ height of the uterus
the fetal movement
the fetal heart
the fetal movements
fetal breathing
At what stage of pregnancy is carried Doppler:
12-13 weeks
16-17 weeks
14-15 weeks
18-19 weeks
+ 22-23 weeks
In women who are pregnant for the first time when there is a stirring of the fetus:
18 weeks
+ 20 weeks
22 weeks
24 weeks
25 weeks
The growth of the placenta at term pregnancy is terminated:
20-21 weeks
30-31 weeks
33-34 weeks
+ 35-36 weeks
37-40 weeks
Describe the main sonographic criteria for anencephaly:
a pronounced decrease in biparietal and fronto-occipital head sizes
+ absence of cerebral hemispheres and the bones of the cranial vault
the absence of the middle structure, the lateral ventricles and transparent septumcavity
the inability to visualize the structures of the brain
lack of facial bones of the skull
The main criterion for ultrasound fetal death is:
+ no fetal cardiac activity
absence of fetal motor activity
absence of fetal respiratory activity
changes in brain structures
the presence of a double loop in the projection of the head and abdomen of the fetus
Polyhydramnios is often associated with:
+ small bowel atresia
the bilateral renal agenesis
the premature maturation of the placenta
malformations
intrauterine growth retardation
Echographic signs of fetal gastroschisis is:
increasing the size of the stomach, increasing the diameter of the umbilical cord
reducing the size of the stomach, the normal diameter of the umbilical cord
+ eventration of abdominal organs in the hernial sac
absence of gastric ehoteni
the presence of a single umbilical artery
The risk of aspiration syndrome in infants with delayed development of the fetus is at:
does not sort of anesthetized
the weakness of labor
+ hypoxia during labor
the operative delivery
preterm labor
Risk factor for HIV transmission from mother to child during childbirth is NOT:
chorioamnionitis
the dry period of more than 4 hours
low maternal viral load
invasive intervention in labor
+ first baby in multiple births
Risk factor for HIV transmission from mother to child during childbirth is NOT:
low maternal viral load
high maternal viral load
infection, sexually transmitted
+ poor diet pregnant
invasive diagnostic manipulations
What factors contribute to the development of chronic placental insufficiency during pregnancy:
anemia
an anatomically narrow pelvis
+ infectious diseases
the lateral position of the fetus
hypertensive status
What is the lead in the diagnosis of fetal growth retardation in fetal fetometrii:
the size of the fetal head biparietal
the fetal abdominal circumference
the fetal chest circumference
the length of the fetus
+ the length of the femur
Principles of 2-nd period of labor, when there is growth retardation, include:
the introduction of antihypertensive drugs
+ shortening the period expulsion
prevention of bleeding in the sequence and early postnatal periods
infusion therapy
amniotomy
The optimal variant of delivery at a delay of fetal development is:
vaginal delivery with the development of an independent labor
+ pre-term births with early amniotomy
vaginal delivery with a shortened period expulsion
Cesarean section
forceps
Ultrasound test for premature placental abruption is:
+ an ehonegative space between the wall of the uterus and placenta
thickening of the placenta
the premature maturation of the placenta
the presence of "black holes" in the placenta
a local thickening of the myometrium in the attachment of the placenta
155. The main Ultrasound test for fetal death is:
+ no fetal cardiac activity
absence of fetal motor activity
absence of fetal respiratory activity
changes in brain structures
the presence of a double loop in the projection of the head and abdomen of the fetus
The main purpose of feeding a newborn baby with the probe is:
+ to avoid the risk of aspiration
rapid weight gain
prevention of dysbiosis
improvement of intestinal motility
prevention of dehydration
The most accurate indicator of the size of the fetus to determine the gestation age in I-st trimester is:
+ the crown-rump length or size of gestational sac
the size of the uterus
the biparietal diameter of the head
the length of the femur
the height of the uterus
The most reliable indicators used to determine the size of the fetus are:
biparietal head size, the average diameter of the abdomen, the length of the femur
the biparietal head size, the size of the humerus, the diameter of the abdomen
the biparietal head size, the diameter of the chest, the size of the humerus
+ the length of the femur, humerus length, the thickness of the placenta
the length of the femur, abdominal circumference
The cause of placental failure is NOT:
pre-eclampsia
kidney disease
hypertension
the anemia of pregnant women
+ adiposity
Seldom complication observed in pregnant women with preeclampsia:
growth retardation
+ chronic intrauterine fetal hypoxia
detachment of the retina
premature detachment of normally situated placenta
cardiac insufficiency
There is NOT a protective measure to prevent infections:
washing hands and wearing gloves
disinfection, washing and sterilization (disinfection or deep) instruments
use of an antiseptic solution for skin preparation before injection
+ washing instruments in running water
autoclaving
A rare source of infection in neonates is:
omfalit
conjunctivitis
+ otitis
ethmoiditis
enterocolitis
What complication of this pregnancy does not lead to a delay fetal development:
pre-eclampsia, eclampsia
the threat of termination of pregnancy
+ the cjmplications during previous pregnancy
polyhydramnios
multiple pregnancy
Which method is not used for the diagnosis of fetal growth retardation:
+ cordocentesis
gravidogramma
Doppler
measurement of the height of the uterus
Ultrasound study
To delay the development of the fetus is not typical:
is proportional to the lag of all sizes on ultrasound
+ violation of placental blood flow since 30 weeks pregnancy
oligohydramnios or polyhydramnios
the presence of malformations in the fetus are often
breach of placental blood flow to 20 weeks
NOT typical asymmetric form of fetal growth retardation is:
proportional laggin of all sizes on ultrasound
violation of placental blood flow since 30weeks pregnancy
oligohydramnios or polyhydramnios
frequent malformations in the fetus
+ violation of placental blood flow since 20 weeks pregnancy
172. Choose the most appropriate diet for a pregnant woman:
meat, fish, alcohol, cheese, bread
+ milk, yogurt, cottage cheese, meat, fish
cream cheese, mustard, meat, cheese, fruit
wine, fruit, bread, vegetables, cereals
potatoes, peppers, grains, vegetables, meat
The function of amniotic fluid does NOT include:
to protect the fetus from damage
creation of conditions for the movement of the fetus
prevention of contractures
pevention of adhesions between the fetus and amnion
+ participation in the fetal’s blood circulation
Oligohydramnios is not a case of: