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J Prieto-Arranz. H Rauer. Center for Astronomy and Astrophysics, TU Berlin, Hardenbergstr. I Rebollido. J Saario. Nordic Optical Telescope, Apartado , E Santa Cruz de La Palma, Spain.

O V Zakhozhay. Main Astronomical Observatory, National Academy of Sciences of the Ukraine, 27 Akademika Zabolotnoho St.

Select Format Select format. Permissions Icon Permissions. Close search filter This issue All Monthly Notices of the Royal Astronomical Society All RAS Journals All Journals search input Search.

Issue Section:. You do not currently have access to this article. Download all slides. Sign in Don't already have an Oxford Academic account?

You could not be signed in. Sign In Forgot password? Don't have an account? Sign in via your Institution Sign in. G3 P d. G3 P Which of the following tests is diagnostic rather than screening?

MSAFP b. Nuchal translucency US c. Amniocentesis d. USG at 10 weeks. An elevated maternal AFP result is associated with which of the following?

Down syndrome b. Neural tube defect c. Autosomal recessive gene d. X-linked recessive inheritance. Which of the following factors would predispose a pregnant woman to having a baby with GBS disease?

History of previous GBS-positive infant b. Bacterial vaginosis in current pregnancy c. Frequent urinary tract infections prior to pregnancy d.

Streptococcal pharyngitis in the third trimester. She is now concerned that she might have the same.

What information would you share with her about this? The likelihood of her having this occur is basically zero at this time. It is associated with risk factors such as hypertension, smoking, and trauma.

Genotype refers to: a. The expression of genes present in an individual b. The dominant genes that will be inherited by a fetus c.

The pair of genes for each characteristic inherent in an individual d. The recessive genes that will be passed on to a fetus.

Which of the following women should receive RhoGAM postpartum? Nonsensitized Rh negative mother with an Rh negative baby b.

Nonsensitized Rh negative mother with an Rh positive baby c. Sensitized Rh negative mother with an Rh negative baby d.

Sensitized Rh negative mother with an RH positive baby. Aneuploidy describes which of the following situations? BRCA 1 and 2 inheritance c.

Cystic fibrosis genes d. Sickle cell anemia. Her history indicates she had a pregnancy loss at 18 weeks. She is gravely concerned that it will happen again in this pregnancy.

You discuss cervical cerclage, mentioning the following facts: a. Benzathine penicillin G 2. At an initial prenatal visit, a woman is diagnosed with bacterial vaginosis.

She is not having any symptoms of vaginal infection. You will advise her that: a. All pregnant women should be treated if they have asymptomatic bacterial vaginosis.

Pregnant women who are at risk for preterm delivery should be treated if they have asymptomatic bacterial vaginosis.

Only pregnant women at risk for preterm delivery should be treated for symptomatic bacterial vaginosis. Pregnant women who are at risk for preterm delivery should be tested for asymptomatic bacterial vaginosis in early third trimester.

Metronidazole 2 g orally b. Clindamycin mg orally bid x 7 days c. Azithromycin 1 g orally d. Ceftriaxone mg IM.

Symmetric intrauterine growth restriction: a. Generally becomes evident in midpregnancy b. Is usually associated with placental abnormalities c.

Is caused by conditions that result in a reduction in cell size d. Is a neonatal diagnosis made when the infant falls below the 10th percentile.

Your plan for M. Referring her to a nutritionist to help her limit further weight gain to no more than 10 lb. Referring her to a perinatologist for periumbilical blood sampling to determine fetal blood glucose levels d.

Screening for diabetes at 6—12 weeks postpartum. She is feeling regular fetal movement and fetal heart rate is bpm.

The most appropriate management for this patient is: a. Ordering a biophysical profile b. Ordering an ultrasound c. Performing a nonstress test at this visit d.

Scheduling her next visit for 4 weeks from today. Ectopic pregnancy is consistent with no intrauterine sac on transvaginal ultrasound and an hCG titer of less than: a.

She has a positive chlamydia test. Appropriate management includes: a. Erythromycin base mg orally qid for 7 days and ceftrixone mg IM b.

Azithromycin 1 g orally in a single dose and perform test of cure in 3—4 weeks c. Ofloxacin mg orally bid for 7 days and rescreen in the third trimester d.

Spectinomycin 2 g IM now and repeat in 1 week. You respond that: a. True labor occurs when contractions are 7—8 minutes apart and last for 45 seconds.

Real labor is when contractions are 2—3 minutes apart and are very painful. Labor contractions usually become more regular and more intense over time.

Contractions begin slowly; once they are 4—5 minutes apart, it is real labor. Hyperthyroidism in pregnancy is diagnosed by: a. Elevated free thyroxine T4 levels b.

Low free T3 levels c. Elevated TSH d. Elevated total thyroxine TT4 levels. ABO incompatibility occurs in what percentage of pregnancies?

Her first pregnancy was uneventful, and she received RhoGAM after the birth. She read on the Internet that problems were much more likely with the second pregnancy.

Since she reports she has had no transfusions since the previous birth, there is no problem. The RhoGAM she received in the last pregnancy will prevent any problems in this pregnancy.

She was not sensitized in the first pregnancy, and you will provide monitoring and treatment to prevent it in this pregnancy.

It is likely that her fetus is Rh— so there is no real concern that she will have any problems related to this. At her initial first trimester visit, her Hgb was Management will include: a.

Obtaining a CBC and ferritin level b. Asking if she is having difficulty tolerating her iron supplement and change to a different type if needed c.

Rechecking her history to see if she may be at risk for an inherited anemia d. Encouraging her to continue getting dietary iron and taking her iron supplement.

Folic acid deficiency anemia is characterized by: a. Low ferritin levels c. Elevated serum iron binding capacity d. Macrocytic erythrocytes.

Which of the following statements is true concerning sickle cell hemoglobinopathies: a. Trait indicates that one parent has sickle cell disease. Disease is present when the person inherits a sickle cell gene from each parent.

GPD deficiency is a potential complication of sickle cell disease. Normal changes of pregnancy may confound a diagnosis of appendicitis.

With this in mind, you should note the following as a critical sign or symptom pointing to possible appendicitis in pregnancy: a.

Persistent abdominal pain and tenderness b. Intermittent lower abdominal cramping c. Elevated WBC level d. Nausea and vomiting.

Delve further into what occurred and how she came to the conclusions that led her to stop breastfeeding. Reassure her that she was listening to her body and had done the right thing for herself and her infant.

What am I supposed to do about my birth? She is concerned about the possibility of a UTI since her sister was recently hospitalized for pyelonephritis.

What facts would you give her to enhance her understanding? If she has a history of UTIs before pregnancy, she will be screened with a urine culture each trimester.

Pregnant women are typically screened for asymptomatic bacteruria in early pregnancy. Who is at greatest risk for developing a UTI in pregnancy?

Adolescents b. Woman pregnant with twins c. Women older than 35 years d. Woman with diabetes. You read the result as 10 mm of induration.

How do you interpret this result to her? It is positive and she needs referral to an infectious disease specialist. It is unclear and she should have a chest radiograph to be certain.

It is positive and you should give her a prescription for INH. It is negative since she has no high-risk characteristics for the disease.

Which of the following statements concerning HIV in women is correct? The main route of acquiring the infection in women is IV drug use. Viral load is the strongest predictor for transmission of infection to infant during birth process.

C-section is the recommended route of delivery for all HIV-infected women to reduce the risk of transmission of infection to infant.

On abdominal exam you measure a fundal height of 42 cm. What factors would help to ease your mind about the fetal size? She has wide hips and will have no problem with a big baby.

She is 5 ft 10 in with an anthropoid pelvis and her husband is 6 ft 4 in. She is totally unconcerned and knows this baby will fit.

The fetus is not yet engaged so the height is greater than expected. Many conditions are associated with preterm birth. IUGR b.

Preeclampsia c. Fetal demise d. Abruptio placenta. A patient who is 32 weeks pregnant has had symptoms of preterm labor and has a history of preterm delivery at 34 weeks.

A fetal fibronectin test is negative. You advise her that: a. Dachu Galvanized Construction Material Frame Scaffolding. Find Similar Products By Category.

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Ku'damm 56 Teil 3 - Monika Schöllack Sonja Gerhardt. Ku'damm 56 - Freddy Donath Trystan Pütter. Your period can often change by becoming lighter or heavier, longer or shorter.

This does not necessarily mean something is wrong. Pain during your period is common and can be felt as muscle cramps in the tummy, back and thighs.

Some months you may have little or no discomfort while other months you may experience a lot of pain. Pain can also be felt as intense spasms or as a more constant, dull pain.

This pain is often caused by the wall of the womb contracting during your period as it encourages the womb lining to shed.

Pain can also be caused by an underlying condition such as endometriosis , fibroids, pelvic inflammatory disease and adenomyosis. Average blood loss can vary from woman to woman so a normal period for one woman maybe heavy for another.

An indication of a heavy bleed maybe if you find yourself needing to change your pad or tampon more often or having to use both together.

Heavy bleeding can be very distressing for a woman and disrupt everyday life. It may be caused by an underlying medical condition or from some medicines.

Your GP may suggest the combined oral contraceptive pill to ease period pain and treat heavy periods. The pill can be an effective treatment as it thins the womb lining.

This also effectively makes your period lighter. The average menstrual cycle last 28 days however, your own cycle could be a little longer or shorter than this.

You would normally expect a regular cycle of a similar length of time by the time you are 18 and you have been having your period for a couple of years or more.

If you do experience irregular periods this does not have to indicate a problem, but if you have gone through puberty and are experiencing any or the follow problems, see your GP:.

In some cases, your GP may recommend the combined oral contraceptive pill to regulate your period. If, however, they feel there maybe an underlying health issue that needs to investigated, you should expect to be referred to a specialist gynaecologist.

This is known as premenstrual syndrome PMS or premenstrual tension PMT. Women can experience mild or severe symptoms which may also vary in severity from month to month.

These symptoms tend to disappear or greatly improve once your period actually starts. For more information on Premenstrual Syndrome PMS and Premenstrual Tension PMT , please follow the link.

It can cause painful, heavy and irregular period as well as pain when going to the toilet and during or after sex.

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