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Large For Dates Pregnancy

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Large For Dates Pregnancy given on the Thursday of Week 3
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson almost 8 years ago
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Resource summary

Question 1

Question
Babies are considered to be large for dates if their development is above the ...
Answer
  • 50th centile
  • 75th centile
  • 90th centile
  • 95th centile
  • 100th centile

Question 2

Question
A large for dates baby has a fundal height of [blank_start]greater than 2cm[blank_end] above their expected gestational age
Answer
  • greater than 2cm
  • greater than 1cm
  • greater than 3cm

Question 3

Question
The term "fetal [blank_start]macrosomia[blank_end]" is used to describe a newborn who's significantly larger than average
Answer
  • macrosomia

Question 4

Question
One method of predicting foetal weight is by measuring the length of which foetal bone? The [blank_start]Femur[blank_end]
Answer
  • Femur

Question 5

Question
When a mother is found to have a macrosomic baby, which of the following conditions is it most important to rule out?
Answer
  • Maternal Diabetes
  • Hypertension
  • Cardiac Arrhythmia
  • Hyperthyroidism
  • Hyperprolactinaemia

Question 6

Question
The medical condition describing an excess of amniotic fluid in the amniotic sac is known as [blank_start]Polyhydramnios[blank_end]
Answer
  • Polyhydramnios

Question 7

Question
Obstructed labour, also known as labour [blank_start]dystocia[blank_end], is when, even though the uterus is contracting normally, the baby does not exit the pelvis during childbirth due to being physically blocked
Answer
  • dystocia

Question 8

Question
On ultrasound, an amniotic fluid index (AFI) of greater than [blank_start]25[blank_end]cm is diagnostic of polyhydramnios
Answer
  • 25

Question 9

Question
What is the depth of amniotic fluid diagnostic of polyhydramnios on ultrasound? Deepest pool = ...
Answer
  • 5cm
  • 8cm
  • 12cm
  • 15cm

Question 10

Question
Which endocrine condition is a common cause of polyhydramnios? Maternal [blank_start]Diabetes[blank_end]
Answer
  • Diabetes

Question 11

Question
Polyhydramnios can cause [blank_start]premature[blank_end] labour
Answer
  • premature (early)
  • post-term (late)

Question 12

Question
Which of the following is the main presenting symptom of polyhydramnios?
Answer
  • Abdominal pain
  • Prelabour rupture of membranes
  • Nausea and vomiting
  • Preterm labour
  • Cord prolapse

Question 13

Question
Which of the following investigative tests should be conducted in a mother of a polyhydramnios foetus?
Answer
  • Random blood sugar test
  • Oral glucose tolerance test
  • Dexamethasone suppression test

Question 14

Question
If a pregnant woman with a polyhydramnios foetus hasn't given birth by 37 weeks, labour should be induced.
Answer
  • True
  • False

Question 15

Question
What is the diagnosis?
Image:
Picture79 (binary/octet-stream)
Answer
  • Multiple Pregnancy
  • Polyhydramnios
  • Macrosomia
  • Uterus Didelphys (double uterus)

Question 16

Question
Assisted conception therapy for infertility is known to increase the chances of a multiple pregnancy
Answer
  • True
  • False

Question 17

Question
Low maternal age is a risk factor for multiple pregnancy
Answer
  • True
  • False

Question 18

Question
Monozygotic twins occur when ...
Answer
  • Two eggs are fertilised by two different sperm
  • One fertilised egg splits
  • One egg divides into two, which are then fertilised by two different sperm

Question 19

Question
Dizygotic twins occur when ...
Answer
  • Two eggs are fertilised by two different sperm
  • One fertilised egg splits
  • One egg splits into two and these are fertilised by two different sperm

Question 20

Question
In terms of dizygous twins, such pregnancies are always dichorionic and diamniotic.
Answer
  • True
  • False

Question 21

Question
In terms of monozygous twins, such pregnancies are always dichorionic and diamniotic.
Answer
  • True
  • False

Question 22

Question
The [blank_start]earlier[blank_end] the fertilised ovum divides, the more likely a monozygotic pregnancy is to be dichorionic diamniotic (DCDA)
Answer
  • earlier
  • later

Question 23

Question
Day 0-3 after fertilisation: [blank_start]Dichorionic, diamniotic (DCDA)[blank_end] Day 4-7 after fertilisation: [blank_start]Monochorionic , diamniotic (MCDA)[blank_end] Day 8-14 after fertilisation: [blank_start]Monochorionic , monoamniotic (MCMA)[blank_end] Day 15 after fertilisation onwards: [blank_start]Conjoined twins[blank_end]
Answer
  • Conjoined twins
  • Monochorionic , monoamniotic (MCMA)
  • Monochorionic , diamniotic (MCDA)
  • Dichorionic, diamniotic (DCDA)

Question 24

Question
Which sign, found using ultrasound scanning, shows two placentas with a conjoining membrane and can thus be used to differentiate DCDA and MCDA twins? The [blank_start]Lambda[blank_end] sign
Answer
  • Lambda

Question 25

Question
In multiple pregnancy, hCG levels are [blank_start]higher[blank_end] than in a usual pregnancy
Answer
  • higher
  • lower

Question 26

Question
Severe nausea and vomiting in pregnancy (which can be exacerbated by multiple pregnancy) is known as [blank_start]hyperemesis gravidarum[blank_end]
Answer
  • hyperemesis gravidarum

Question 27

Question
Which supplement which is not generally required in normally pregnancy is a necessity in multiple pregnancy patients?
Answer
  • Folic Acid
  • Vitamin D
  • Vitamin C
  • Zinc
  • Iron

Question 28

Question
Women with a multiple pregnancy are at a higher risk of developing pre-eclampsia. They are therefore prophylactically prescribed low dose [blank_start]aspirin[blank_end] in order to protect against this.
Answer
  • aspirin

Question 29

Question
Women with a multiple pregnancy are at a higher risk of developing pre-eclampsia. They are therefore prophylactically prescribed low dose [blank_start]aspirin[blank_end] (antiplatelet medication) in order to protect against this.
Answer
  • aspirin

Question 30

Question
Which vitamin is also supplemented to women with multiple pregnancy in order to protect the foetus against neural tube defects? [blank_start]Folic Acid[blank_end] Supplementation
Answer
  • Folic Acid

Question 31

Question
What is twin-twin transfusion syndrome?
Answer
  • When one twin has polyhydramnios and the other has oligohydramnios due to imbalanced amniotic fluid
  • When one twin has hypotension and the other has hypertension due to incorrect formation of blood vessels from a single placenta (only occurs in MCDA and MCMA twins)
  • When one twin is macrosomic and the other is small for dates due to incorrect formation of blood vessels from a single placenta meaning that there is uneven distribution of nutrients (only occurs in MCDA and MCMA twins)

Question 32

Question
Which type of drugs are given during preterm labour to promote pulmonary surfactant production? [blank_start]Steroids[blank_end]
Answer
  • Steroids

Question 33

Question
What is the target HbA1c in pregnant women?
Answer
  • < 48 mmol/mol
  • < 53 mmol/mol
  • < 58 mmol/mol

Question 34

Question
Pregnancy should be avoided is the HbA1c is above [blank_start]86 mmol/mol[blank_end]
Answer
  • 86 mmol/mol
  • 58 mmol/mol
  • 65 mmol/mol
  • 76 mmol/mol

Question 35

Question
Patients with known diabetes should be started on a high dose of which supplement 3 months prior to pregnancy?
Answer
  • Folic acid
  • Iron
  • Zinc
  • Vitamin D
  • Vitamin C
  • Thiamine

Question 36

Question
In diabetic patients, high dose Folic Acid (5mg) should be started 3 months prior to conception and continued at a high dose until ...
Answer
  • 12 weeks gestation
  • 14 weeks gestation
  • 20 weeks gestation
  • 24 weeks gestation

Question 37

Question
Diabetic patients are also given low dose [blank_start]aspirin[blank_end] in order to protect against the potential development of pre-eclampsia
Answer
  • aspirin
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