Nokea
The presence of bilirubin in amniotic fluid usually indicates
- A. chromosomal abnormalities
- B. Rh-sensitized pregnancy
- C. infection
Correct Answer: B
Rationale: Bilirubin in amniotic fluid suggests fetal hemolysis in Rh-sensitized pregnancies.
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A prolapsed uterus results from weakening of the supporting ligaments of the uterus, which permits retroflexion (backward tilt) and descent of the uterus into the vagina.
- A. TRUE
- B. FALSE
- C. NA
- D. NA
Correct Answer: A
Rationale: Weakening of the supporting ligaments can lead to a prolapsed uterus.
Early decelerations with a normal fetal heart rate variability during labor have which of the following indications?
- A. they often indicate fetal congenital heart disease
- B. they do not indicate fetal hypoxia
- C. they may indicate fetal acidemia
Correct Answer: B
Rationale: Early decelerations are typically benign and related to head compression during contractions.
What is an example of a patient’s comment that demonstrates the patient understands fibroids?
- A. I will only need to treat the fibroids when I am menopausal.
- B. A sonogram can help determine the size of my fibroids.
- C. There is little treatment to help my fibroids.
- D. Oral contraceptives will only make my fibroids worse.
Correct Answer: B
Rationale: The correct answer is B because mentioning the use of a sonogram to determine the size of fibroids shows understanding of the diagnostic process. This indicates awareness of the importance of imaging in assessing fibroids. Choice A is incorrect as fibroids may require treatment before menopause. Choice C is incorrect as there are various treatment options available. Choice D is incorrect as oral contraceptives do not necessarily worsen fibroids.
Extra follicles that remain after ovulation:
- A. Release their ovum during the last half of the reproductive cycle.
- B. Resume maturation during the next reproductive cycle.
- C. May be fertilized during another reproductive cycle.
- D. Are never active in another reproductive cycle.
Correct Answer: D
Rationale: After ovulation, remaining follicles degenerate and do not participate in future cycles.
The chromosomal disorder CORRECTLY matched with its karyotype is:
- A. Turner’s syndrome – 45X0
- B. Klinefelter’s syndrome – XYY
- C. Patau’s syndrome – Trisomy 21
- D. Edward’s syndrome – Trisomy 13
Correct Answer: A
Rationale: Step-by-step rationale:
1. Turner's syndrome is characterized by a missing X chromosome, resulting in a karyotype of 45X0.
2. Klinefelter's syndrome involves an extra X chromosome, leading to a karyotype of 47XXY.
3. Patau's syndrome is Trisomy 13, not Trisomy 21.
4. Edward's syndrome is Trisomy 18, not Trisomy 13.
Therefore, the correct answer is A because Turner's syndrome is correctly matched with a karyotype of 45X0.