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 сare 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