• Prenatal Care ob04-ob10.

1. Prenatal Visits.

***) All of the following are aims of antenatal care, except:

1. To monitor the well being of the fetus

2. To establish and maintain the physical health of the mother

3. The ideal time for first antenatal visit is before 14 weeks of pregnancy

4. Screening for fetal congenital abnormality

5. Screening for endometrial carcinoma

Answer: E* Screening for endometrial carcinoma

***) The embryonic life starts at:

1. The 3^rd week after ovulation

2. The 5^th week after ovulation

3. The 7^th week after ovulation

4. The 9^th week after ovulation

5. The 11^th week after ovulation

Answer: C* The 7^th week after ovulation

***) All of the following factors may reduce intrauterine death of the fetus, except:

1. Proper antenatal care

2. Localization of placenta in the first trimester

3. Antenatal fetal monitoring

4. Correct timing of delivery

5. Prevention of prematurity

Answer: B* Localization of placenta in the first trimester

***) In preventing anemia during pregnancy the ideal oral iron compound is:

1. 20 mg of iron

2. 100 mg of iron

3. 200 mg of iron

4. 400 mg of iron

5. 1000 mg of iron

Answer: A*20 mg of iron

***) All of the following are ideal routine blood tests carried out at first visit to an antenatal clinic, except:

1. Blood grouping and rhesus

2. Hemoglobin

3. Serological tests for syphilis

4. Rubella antibodies

5. Renal functional tests

Answer: E* Renal functional tests

***) All of the following are restriction on coitus during pregnancy, except:

1. Threatened abortion

2. History of premature labor

3. History of post partum hemorrhage

4. History of ante partum hemorrhage

5. When membranes are ruptured

Answer: C* History of post partum hemorrhage

***) Abdominal palpation in the latter half of pregnancy reveals all of the following, except:

1. The fundal height

2. The lie of the fetus

3. Cephalo-pelvic disproportion

4. The presentation of the fetal cephalic or breech

5. Whether the presenting part in engaged or not

Answer: C* Cephalo-pelvic disproportion (in the laber)

***) At 16 weeks of pregnancy, the uterine fundus is felt at:

1. Just above the pubic margin

2. At the level of umbilicus

3. Midway between umbilicus and pubic margin

4. 2 cm above the pubis

5. 2 cm above the umbilicus

Answer: C* Midway between umbilicus and pubic margin

***) At 14 weeks pregnancy a uterus may felt large for dates because of the following, except:

1. Wrong dates

2. Uterine fibroid

3. Full bladder

4. Polyhydramnios

5. Multiple pregnancy

Answer: C* Full bladder

***) A large for date uterus may be due to all of the following conditions, except:

1. Multiple pregnancy

2. Hydatidiform mole

3. Oligohydramnios

4. Uterine fibroid with pregnancy

5. Error in dates

Answer: C* Oligohydramnios

***) Causes of large for date pregnancies are the following, except:

1. Multiple pregnancy

2. Polyhydramnios

3. Hydatiform mole

4. Intrauterine fetal death

5. Diabetes with pregnancy

Answer: D* Intrauterine fetal death

***) The following factors may lead to wrong dates of delivery, except:

1. An irregular cycle

2. Regular cycles but in excess of 28 days (35-42 days)

3. Regular cycles of 28 days

4. Patient's poor memory

5. Breast feeding

Answer: C* Regular cycles of 28 days

***) To reduce the risk of recurrence of neural tube defects in a woman planning to get pregnancy, she should be advised to take:

1. Iron tablets 20 mg/day

2. Calcium tablets 1 gm/day

3. Vitamin E 200 mg/day

4. Vitamin B complex

5. Folic acid tablets 4 mg/day

Answer: E* Folic acid tablets 4 mg/day

***) Counseling of a pregnant woman during antenatal care should include advice and education on all of the following except one:

1. Smoking

2. Alcohol abuse

3. Drug abuse

4. Avoiding infection

5. Water consumption

Answer: E* Water consumption

***) The last menstrual period for a lady was June 30, the expected date of delivery is approximately:

1. March 23^rd

2. April 7^th

3. March 28^th

4. April 23^rd

5. March 7^th

Answer: B* April 7^th