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Williams Obstetrics Study Guide, 25e >
Quiz Results

Your Score: 47 %
You answered 20 of 42 questions correctly.

Question 1: Incorrect
Concerning the gastrointestinal tract during
pregnancy, which of the following is correct?

A Gastric emptying time increases during

pregnancy.

✓ B Intraesophageal pressures are lower during

pregnancy.

C Lower esophageal sphincter tone is

increased during pregnancy.

✗ D None of the above

The correct answer is B . You answered D .

Explanation:
b Gastrointestinal Tract

38
38% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 2: Incorrect
This graphic suggests which of the following?

Adapted with permission from Wilson M,

Morganti AA, Zervoudakis I, et al: Blood
pressure, the renin-aldosterone system
and sex steroids throughout normal
pregnancy, Am J Med 1980 Jan;68(1):97–
104.

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A Diastolic pressures decrease more than

systolic pressures.

B Arterial pressure usually declines to a nadir

at 24–26 weeks’ gestation.

✗ C Brachial artery pressure when supine is

higher than that when in the lateral
recumbent position.

✓ All the above

D

The correct answer is D . You answered C .

Explanation:
d Figure 4-10

Related Topics:
renin
renin
aldosterone
aldosterone
blood pressure
blood pressure
steroids
steroids
supine position
supine position
normal pregnancy
normal pregnancy
graphical displays
graphical displays
recumbent body position
recumbent body position

60
60% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 3: Incorrect
This graphic suggests which of the following?

Adapted with permission from Wilson M,

Morganti AA, Zervoudakis I, et al: Blood
pressure, the renin-aldosterone system
and sex steroids throughout normal
pregnancy, Am J Med 1980 Jan;68(1):97–
104.

View Full Size | |

Download Slide (.ppt)

A Diastolic pressures decrease more than

systolic pressures.

B Arterial pressure usually declines to a nadir

at 24–26 weeks’ gestation.

✗ C Brachial artery pressure when supine is

higher than that when in the lateral
recumbent position.

✓ All the above

D

The correct answer is D . You answered C .

Explanation:
d Figure 4-10

Related Topics:
renin
renin
aldosterone
aldosterone
blood pressure
blood pressure
steroids
steroids
supine position
supine position
normal pregnancy
normal pregnancy
graphical displays
graphical displays
recumbent body position
recumbent body position

60
60% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 4: Incorrect
During normal pregnancy, which of the following is
true regarding gallbladder physiology and function?

A Gallbladder contractility is increased

B Decreased cholesterol saturation of bile

✓ C Impaired emptying and increased stasis

✗ D None of the above

The correct answer is C . You answered D .

Explanation:
c Gallbladder

84
84% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 5: Correct
Which of the following statements regarding
hemodynamic changes from the third trimester to the
postpartum period is not accurate?

A Heart rate decreases in the postpartum

period.

B Serum colloid oncotic pressure is lower

during pregnancy.

C Pulmonary capillary wedge pressure is

higher during pregnancy.

✓ Systemic vascular resistance decreases in

D the postpartum period.

The correct answer is D . You answered D .

Explanation:
d Table 4-4

42
42% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 6: Correct
Which of the following accurately characterize
Braxton Hicks contractions?

A Are usually non-rhythmic

B Have an intensity of 5–25 mmHg

C Can be detected by bimanual examination

✓ All the above

D

The correct answer is D . You answered D .

Explanation:
d Uterine Contractility

79
79% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 7: Incorrect
The following scatter plot depicting 24-hour total
urinary protein excretion by gestational age illustrates
which of the following changes concerning renal
function in pregnancy?

Modified with permission from Higby K,

Suiter CR, Phelps JY, et al: Normal values of
urinary albumin and total protein excretion
during pregnancy, Am J Obstet Gynecol
1994 Oct;171(4):984–989.

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A Proteinuria remains the same throughout

pregnancy.

B Excretion of more than 200 mg/24 hours is

abnormal in the third trimester.

✓ C Excretion of more than 300 mg/24 hours is

abnormal in the second trimester.

✗ D None of the above

The correct answer is C . You answered D .

Explanation:
c Figure 4-14

Related Topics:
pregnancy
pregnancy
excretory function
excretory function
albumins
albumins
gestational age
gestational age
gynecology
gynecology
reference values
reference values
urinary tract
urinary tract
graphical displays
graphical displays
total protein measurement
total protein measurement

64
64% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 8: Correct
Based on the graph below, which of the following is
true?

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A Blood osmolality increases a!er 4–6 weeks’

gestation.

B Blood osmolality decreases a!er 4–6 weeks’

gestation.

C Plasma osmolality stays about the same

during pregnancy.

✓ Plasma osmolality decreases by about 10

D mOsm/kg during pregnancy.

The correct answer is D . You answered D .

Explanation:
d Water Metabolism

Related Topics:
pregnancy
pregnancy
plasma osmolality
plasma osmolality
graphical displays
graphical displays

59
59% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 9: Correct
Which of the following inflammatory markers are
unaltered in pregnancy?

A Procalcitonin

B Erythrocyte sedimentation rate

C Leukocyte alkaline phosphatase levels

✓ All of the above are altered in pregnancy

D

The correct answer is D . You answered D .

Explanation:
d Inflammatory Markers

75
75% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 10: Incorrect

Concerning bladder function in pregnancy, which of
the following is true?

✓ A Urethral length increases to compensate for

decreased bladder capacity.

B In primigravidas bladder pressure increases

from 8 cm H2O to 20 cm H2O at term.

C Maximal urethral pressure increases from 70

cm H2O to 93 cm H2O to maintain
continence.

✗ D All of the above

The correct answer is A . You answered D .

Explanation:
a Bladder

19
19% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 11: Incorrect

A 33-year-old multigravida at 21 weeks’ gestation
presents for her prenatal care visit. She reports that
she is having di"iculties at work doing her secretarial
and administrative duties. She is experiencing aching,
numbness, and weakness in her upper extremities.
What is the likely diagnosis?

A Rheumatoid arthritis

✗ B Carpal tunnel syndrome

C Early-onset preeclampsia

✓ Traction on the median and ulnar nerves

D from lordosis

The correct answer is D . You answered B .

Explanation:
d Musculoskeletal System

44
44% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 12: Correct

Concerning the musculoskeletal system, which of the
following is not true?

✓ A Most relaxation takes place during the

second half of pregnancy.

B Symphyseal separation greater than 1 cm

may cause significant pain.

C Progressive lordosis is a characteristic

feature of normal pregnancy.

D Sacroiliac, sacrococcygeal, and pubic joints

have increased mobility during pregnancy.

The correct answer is A . You answered A .

Explanation:
a Musculoskeletal System

50
50% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 13: Incorrect

A 32-year-old multigravida presents to you at 8 weeks’
gestation. Her baseline serum creatinine is 1.0 mg/dL,
and her blood pressure is 145/105 mmHg. Which test
might you consider next?

A Kidney ultrasound

B 50-gram glucose screen

✓ C 24-hour total urine protein

✗ D Serum anti-double-stranded DNA

The correct answer is C . You answered D .

Explanation:
c Measuring Urine Protein

84
84% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 14: Correct

Regarding the thyroid gland during pregnancy, which
of the following is true?

Modified with permission from Burrow GN,

Fisher DA, Larsen PR: Maternal and fetal
thyroid function, N Engl J Med 1994 Oct
20;331(16):1072–1078.

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A The highest concentration of maternal free

T4 is early in gestation.

B Fetal concentration of thyroxine-binding

globulin increases throughout pregnancy.

C Maternal concentration of thyroid-

stimulating hormone reaches a plateau by
the mid-second trimester.

✓ All the above

D

The correct answer is D . You answered D .

Explanation:
d Figure 4-16

Related Topics:
fetus
fetus
mothers
mothers
thyroid function tests
thyroid function tests
graphical displays
graphical displays
burrow wound
burrow wound

77
77% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 15: Correct

Levels of which of the following coagulation factors
are unchanged in pregnancy?

A Protein C

B Fibrinogen

C Factor VII

✓ Antithrombin III
D

The correct answer is D . You answered D .

Explanation:
d Table 4-3

39
39% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 16: Incorrect

Which of the following is inaccurate concerning fetal
and maternal skeletal metabolism?

✓ A All markers of bone turnover decrease

during pregnancy.

B Fetal skeletal mineralization requires

approximately 30 grams of calcium.

C Prevention of possible pregnancy-related

maternal osteoporosis is di"icult.

✗ D Greater maternal calcium absorption occurs

and is mediated by elevated maternal 1,25-
dihydroxyvitamin D concentrations.

The correct answer is A . You answered D .

Explanation:
a Parathyroid Hormone

36
36% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 17: Correct

The fetus gains the most weight proportionately
during which time period in pregnancy?

✓ A 10–20 weeks’ gestation

B 20–30 weeks’ gestation

C 30–40 weeks’ gestation

D 40–42 weeks’ gestation

The correct answer is A . You answered A .

Explanation:
a Table 4-2

28
28% of users answered correctly.
Source: Williams Obstetrics Study Guide, 25e

Question 18: Correct

Which of the following is not a consequence of
vascular changes in women during pregnancy?

A Angiomas

B Palmar erythema

✓ C Melasma gravidarum

D Dissipate excess heat generated by increased

metabolism

The correct answer is C . You answered C .

Explanation:
c Vascular Changes

49
49% of users answered correctly.