Diagnosis of pregnancy. Methods of examination of a pregnant woman.

!The embryonic period of human development ends in the next week of pregnancy

* 5-6th

* 7-8th

* 9-10th

* 11-12th

* 13-14th

!The fetal period of human development begins from next week of pregnancy

* 5-6th

* 7-8th

* 9-10th

* 11-12th

* 13-14th

! The first critical period of fetal development is

* Placentation

* Fertilization

* Transport of the fertilized ovum

* Pre-implantation stage and implantation

* Development of the rudiments of organs and systems, the formation of placenta

!The second critical period of fetal development is

* Placentation

* Implantation

* Fertilization

* Pre-implantation stage

* Development of rudiments of organs and systems, the formation of placenta

!The most accurate method of determining the term of pregnancy and

the expected date of birth is

* Size of the uterus in the first visit to the doctor

* Ultrasound of the uterus in the first trimester

* Ultrasound of the uterus in the second trimester

* Ultrasound of the uterus in the third trimester

* Date of last menstruation

!According to the clinical protocols of the Ministry of Health of the Republic of Kazakhstan (2013), the first ultrasound is performed in following weeks of pregnancy

* 2-5

* 6-9

* 10-14

* 15-19

* 20-24

!According to the clinical protocols of the Ministry of Health of the Republic of Kazakhstan (2013), the second ultrasound is performed in following weeks of pregnancy

* 2-5

* 6-9

* 10-14

* 18-20

* 20-24

! The auscultation of fetal heart tones with the obstetric stethoscope can be carried out after the next weeks of pregnancy

* 16

* 20

* 24

* 28

* 25

! One of the methods of obstetrical examination in labor is

* amnioscopy

* X-ray of pelvis

* Vaginal examination

* Determination of human chorionic gonadotropin

* study of sexually transmitted infections

! How many Leopold maneuvers does external obstetric examination include?

* 1

* 2

* 3

* 4

* 5

! Which Leopold maneuver is shown below?

Diagnosis of pregnancy. Methods of examination of a pregnant woman. - student2.ru

* 1

* 2

* 3

* 4

* 2-3

!The picture shows the fourth Leopold maneuver, which measures the location of head to the

Diagnosis of pregnancy. Methods of examination of a pregnant woman. - student2.ru

* plane of the pelvic inlet

* Ilium bones

* ischium bones

* symphysis

* sacrum

!The aim of the first Leopold maneuver is the definition of

* position of the presenting part of the fetus to plane of the pelvic inlet

* Part of the fetus located in the lateral parts of the uterus

* Lie, position and variety of position of the fetus

* Presenting part of the fetus

* Fundal height

! The aim of the second Leopold maneuver is the definition of

* Relationships of the presenting part of the fetus to plane of the pelvic inlet

* Part of the fetus located in the lateral parts of the uterus

* Lie, position and variety of position of the fetus

* Presenting part of the fetus

* Fundal height

! The aim of the third Leopold maneuver is the definition of

* Relationships of the presenting part of the fetus to plane of the pelvic inlet

* Part of the fetus located in the lateral parts of the uterus

* Lie, position and variety of position of the fetus

* Presenting part of the fetus

* Fundal height

!The aim of the fourth Leopold maneuver is the definition of

* position of the presenting part of the fetus to plane of the pelvic inlet

* Part of the fetus located in the lateral parts of the uterus

* Lie, position and variety of position of the fetus

* Presenting part of the fetus

* Fundal height

!The probable sign of pregnancy is

* Pigmentation of skin of linea alba

* Frequent urination

* Enlargement of abdomen

* Enlargement of uterus

* Moving of fetus

! The presumptive sign of pregnancy is

* cessation of menstruation

* cyanosis of the vaginal mucosa and cervix

* nausea, vomiting in the morning, change in appetite

* enlargement of breast, emergence of colostrum

* change in size, shape and consistency of the uterus

! The positive (doubtless) sign of pregnancy is

* when the doctor feels the movements of fetus

* nausea, vomiting in the morning, change in appetite

* change in size, shape and consistency of the uterus

* pigmentation on face and white line of the abdomen, in the area of the nipple

* malaise, drowsiness, irritability, instability of mood

! Horvitz-Hegar’s symptom which is identified on bimanual examination in early pregnancy is

* Asymmetry of the uterus

* Softening in the isthmus area of the uterus

* Easy mobility of the cervix

* Cyanosis of the mucous membrane of the vagina and cervix

* The thickening in crest shape on the anterior surface of the uterus

!Snegirev’s symptom which is identified on bimanual examination in early pregnancy is

* Asymmetry of the uterus

* Softening in the isthmus area of the uterus

* Easy mobility of the cervix

* Cyanosis of the mucous membrane of the vagina and cervix

* The thickening in crest shape on the anterior surface of the uterus

!Piskachek’s symptom which is identified on bimanual examination in early pregnancy is

* The thickening in crest shape on the anterior surface of the uterus

* Cyanosis of the mucous membrane of the vagina and cervix

* Easy changeability of consistency of the uterus

* Softening in the isthmus area of the uterus

* Asymmetry of the uterus

!Genter’s symptom which is identified on bimanual examination in early pregnancy is

* Asymmetry of the uterus

* Softening in the isthmus area of the uterus

* Easy changeability of consistency of the uterus

* Cyanosis of the mucous membrane of the vagina and cervix

* The thickening in crest shape on the anterior surface of the uterus

! In obstetrical examination of the pregnant woman's the abdominal circumference is 100 cm, the fundal height is 32 cm. The estimated fetal weight by the formula of Jordania is (gram)

* 2800,0

* 3000,0

* 3200,0

* 3400,0

* 3600,0

!The estimated fetal weight can be determined from multiplication of indicators of the circumference of the abdomen and fundal height. That is a formula of

* Yakubov

* Rudakov

* Johnson

* Jordania

* Nurkasymov

!The formula of Jordania for determining the estimated fetal weight (EFW), where CA - the circumference of the abdomen, FH – the fundal height

* EFW =CA+FH

* EFW =CA/FH

* EFW =CA*FH

* EFW =CA - FH

* EFW = (CA*FH)/4

! The weight of the uterus immediately after childbirth is (gram)