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SOAL OBS I ( 8 januari 2010)

1. Cahdwik’s sign
2. What is the mean gestational age at which the fetal heart beat can be detected by
auscultation with a stetocshope
a. 15 week
b. 17 week
c. 19 week
d. 21 week
e. 23 week
3. The auscultated sound of blood rising through the umbilical or uterine vessels is refered
to by what term..
a. Murmur
b. Pate
c. Souffle
d. Thrill
e. Peak wave
4. Maternal HCG level peak at how many days following implantation?
a. 20-30
b. 30-40
c. 60-70
d. 90-100
e. 120-130
5. Primigraviada 20 WGA which of following labotarories tesnot obtained during first
prenatal visit?
a. Antibody screen
b. Group B streptococcus culture
c. HIV screen
d. Pap’s smear
e. Hb level
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6. The third week of development

a. Somits began to differenciated from the lateral mesoderm
b. The notochord develops in the midline between the cloacal and the primitive node
c. The intra embryonic coelom develops in the paraxial mesoderm
d. Blood and blood vesels formation begins
e. Formation intra embryonic mesoderm
7. Raised maternal serum AFP ascociated…… EXCEPT
a. Polycistic kidney
b. Closed spina bifida
c. Gastroschizis
d. Congenital nephrosis
e. Epydermolysis bulosa
8. Maybe use in the first trimester of pregnancy
a. Melphalan
b. Chlorambucil
c. Aminophterin
d. Doxorubicin
e. All above
9. Associated with cleft lips and palates
a. Chlorambucil
b. Aminophterin
c. Doxorubicin
d. Prednison
e. Melphalan
10. Associated with sindroma renal aplasia, cleft palate, and skeletal abnormalities
a. Melphalan
b. Chlorambucil
c. Aminophterin
d. Doxorubicin
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e. All above
11. In breast feeding technique, firstly the mother need to lubricate her nipple with
a. Warm water
b. Body cream
c. Soapy water
d. Breast milk
e. Cold water
12. The particularly good breast feeding position for SC mother
a. Front hold
b. Under arm
c. Twin hold
d. Footing hold
e. Lying hold
13. ASI at 25 (room temperature) can be stored..
a. 2-4 hour
b. 4-8 hour
c. 8-12 hour
d. 12-16 hour
e. 16-20 hour
14. Th followings are some method to alleviate some nipples, EXCEPT
a. Applying warm cloth before feeding
b. Expressing breast milk to lubricate the nipple
c. Using creams and liquid to lubricate the nipple
d. Applying ice pack after feeding
e. Wetling the nipple with breastmilk after feeding
15. Langkah-langkah yang benar pada proses menyusui, EXCEPT
16. The following are factors that appear to first breath of air EXCEPT
a. Physical stimulation
b. Deprivation of O2
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c. Accumulation of CO2
d. Compression of the thorax
e. Accumulation of O2
17. What causes Respiratory distress syndrome?
a. Decreased alveolar surface tension
b. Decreased alveolar surfactant
c. Increased alveolar fluid
d. Increased mucus plugging
18. Which of the following stimulates new born respiration?
a. O2 accumultion and CO2 accumulation
b. O2 aacumulation and CO2 deprivation
c. O2 deprivation and CO2 deprivation
d. O2 deprivation and CO2 accumulation
19. A low 1-min Apgar score helps identify which of the following?
a. Infant who need special attention
b. Infant with birth asphyxia
c. Infant destined to develop neurological problems
d. Normal infant
20. What is Apgar Score of a male infant at 5 minutes of life whose respiratory effort
irregular, pulse is 90, who is floppy, cyanotic and with minimal grimaces?
a. 1
b. 3
c. 4
d. 7
21. Which of the following is NOT part of APGAR Score?
a. Heart rate
b. Respiratory rate
c. Color
d. Amniotic fluid consistency
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22. Resusitasi pada bayi dengan HR 60 x/mnt..

Ventilasi tekanan positif dan kompresi dada
23. Hal rutin yang diberikan pada bayi baru lahir, EXCEPT
Pemberian antibody aktif
24. Wanita BB 75 kg kehilangan darah setelah melahirkan 750 ml, HB 12,5….
Syok derajat I
25. Berapa banyak tranfusi yang harus diberikan
Tidak perlu tranfusi
26. Leopold I
27. Leopold II
28. Leopold III
29. Leopold IV
30. Pada presentasi bokong di fundus teraba
31. Pada presentasi kepala di fundus teraba
32. - 43

44. Which of the following skeletal dysplacia is not lethal?

a. Achondroplasia
b. Thanatophoric dysplacia
c. Osteogenesis imperfect type II
d. Achondrogenesis
e. Short rib polydactyl syndrome
45. Bulb like brain stem bulging inside the fluid filled intracranial cavity is typical of
a. Alobar holoprosencephaly
b. Pore encephaly
c. Hydranencephaly
d. Microcephaly
e. None the above
46.
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47. The following are factor of puerpureal infection, EXCEPT

a. General asthenia
b. Anemia
c. PROM
d. Obese
e. Infection of amniotic cavity

48. Following are the kind of pathogen that cause puerpurial infection, EXCEPT
a. B Hemolytic streptococcus
b. Anaerob streptococcus
c. Anaerob bacillus
d. Staphylococcus
e. Bacillus colli
49. following are clinical manifestation of retained fragment of placenta, EXCEPT
a. Blood loss repeated or bleeding excessive suddenly
b. Subinvolusion of uterus
c. Relax of cervix
d. Placenta tissue can be palpable
e. Lochia rubra present in the third day
50.The normal clinical manifestation of puerpurial period is..
a. After pains in the first 3 days
b. Temp > 38 C
c. Subinvolusi of uterus
d. Lochia purulenta
e. Relax of cervix

ESSAY

1. Jelaskan tentang IMD

2. a. Sebutkan obat uterotonika pada kala III
b. Jelaskan tentang efek samping obat tersebut
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