Question 1

Asymmetric intrauterine growth restriction (IUGR)  may show all of the following except:

Accepted Answer

A)   a placental problem.
B)   head measurements correlating with dates.
C)   body disproportionately smaller.
D)   body and head small for dates.E) All of the above
F) None of the above

Question 2

Which one of the following fetal body organs is most severely affected by IUGR?

Accepted Answer

A)   Brain
B)   Liver
C)   Kidney
D)   HeartE) B) and C)
F) All of the above

Question 3

The single most sensitive indicator of IUGR is which one of the following?

Accepted Answer

A)   Last menstrual period
B)   FL
C)   HC:AC ratio
D)   ACE) C) and D)
F) A) and B)

Question 4

The normal amniotic fluid index (AFI)  should range between ___________ centimeters (cm) .

Accepted Answer

A)   1 and 5
B)   5 and 8
C)   7 and 16
D)   8 and 22E) B) and C)
F) None of the above D

Question 5

An S/D ratio of the umbilical artery can be used to evaluate fetal well-being:

Accepted Answer

A)   beginning at 20 weeks of gestation.
B)   after 25 weeks of gestation.
C)   after 30 weeks of gestation.
D)   throughout the pregnancy.E) A) and B)
F) C) and D)

Question 6

Which one of the following statements about IUGR is false?

Accepted Answer

A)   The BPD used alone is a poor indicator of IUGR.
B)   The HC:AC ratio is useful in determining the type of IUGR.
C)   The FL may decrease in size with symmetric IUGR.
D)   The FL:AC ratio is a good positive predictive value of IUGR.E) None of the above
F) A) and B)

Question 7

IUGR is most commonly defined as an estimated fetal weight (EFW)  _____________ for a given gestational age.

Accepted Answer

A)   below the 10th percentile
B)   at or below the 10th percentile
C)   at or below the 5th percentile
D)   below the 5th percentileE) A) and C)
F) B) and D)

Question 8

Increased vascular resistance to the fetus is reflected by a(n)  ______________.

Accepted Answer

A)   decrease in the systolic-to-diastolic (S/
D)   ratio
B)   decrease in pulsatility index
C)   increase in the S/D ratio
D)   decrease in both the S/D ratio and the pulsatility indexE) B) and C)
F) A) and D)

Question 9

The assessment of the fetus to determine fetal well-being, including an evaluation of a cardiac nonstress test and the observation of fetal breathing movement, gross fetal body movements, fetal tone, and amniotic fluid volume, is known as which one of the following?

Accepted Answer

A)   Apgar score
B)   Nonstress test
C)   Biophysical profile
D)   Reflex indexE) B) and D)
F) A) and D) C

Question 10

Macrosomia is defined as a estimated fetal weight (EFW)  or birth weight of which one of the following?

Accepted Answer

A)   EFW above 90% for estimated gestational age
B)   Birth weight above 3900 grams (g)  for birth weight
C)   EFW at 95% for estimated gestational age
D)   EFW above 95% for estimated gestational ageE) C) and D)
F) A) and B) A

Question 11

The S/D ratio cannot be measured when which one of the following conditions is present?

Accepted Answer

A)   Diastolic flow is continuous.
B)   Systolic flow exceeds 100 cm/sec.
C)   Acceleration time is decreased.
D)   Diastolic flow is absent.E) A) and C)
F) C) and D)

Question 12

An AFI of 9 cm is considered which one of the following?

Accepted Answer

A)   Polyhydramnios
B)   Oligohydramnios
C)   Within the lower limits of the normal amniotic fluid volume
D)   Premature rupture of membranesE) B) and D)
F) B) and C)

Question 13

Clinical observations for IUGR include all of the following except:

Accepted Answer

A)   increased fundal height.
B)   decreased fetal motion.
C)   grade 3 placenta before 36 weeks.
D)   decreased placental thickness.E) A) and D)
F) B) and C)

Question 14

Symmetric IUGR is usually the result of which one of the following?

Accepted Answer

A)   Second-trimester infection
B)   Placental insufficiency
C)   First-trimester insult
D)   Maternal renal diseaseE) All of the above
F) None of the above

Question 15

Which one of the following measurements incorporates several fetal growth parameters such as BPD, head circumference (HC) , AC, and femur length (FL) ?

Accepted Answer

A)   Estimated fetal weight (EFW) 
B)   IUGR
C)   Biophysical profile
D)   Fetal growth chartE) A) and B)
F) All of the above

Question 16

Which one of the following is not a parameter of a biophysical profile?

Accepted Answer

A)   Nonstress test
B)   Amniotic fluid volume
C)   Fetal swallowing
D)   Fetal breathing movementE) All of the above
F) A) and B)

Question 17

Calculating a macrosomic index can be performed by subtracting the __________ from the ___________.

Accepted Answer

A)   chest circumference; AC
B)   BPD; chest circumference
C)   BPD; AC
D)   chest circumference; BPDE) C) and D)
F) B) and C)

Question 18

An increased incidence of morbidity and mortality as the result of head and shoulder injuries is found in which one of the following?

Accepted Answer

A)   Microsomic fetus
B)   Neural tube fetus
C)   Macrosomic fetus
D)   Fetus with radial dysplasiaE) None of the above
F) A) and C)

Question 19

Which one of the following statements about amniotic fluid is false?

Accepted Answer

A)   Oligohydramnios occurs if the fetus cannot urinate.
B)   Polyhydramnios develops if the fetus cannot swallow.
C)   An amniotic fluid pocket greater than 5 cm may represent IUGR.
D)   Not all oligohydramnios are associated with IUGR.E) All of the above
F) B) and D)

Question 20

The placenta of the macrosomic fetus can become which one of the following?

Accepted Answer

A)   Significantly thin
B)   Significantly calcified
C)   Extremely small
D)   Significantly largeE) All of the above
F) C) and D)

Exam 53: Fetal Growth Assessment by Sonography

Asymmetric intrauterine growth restriction (IUGR) may show all of the following except:

Correct AnswerverifiedShow Answer

Which one of the following fetal body organs is most severely affected by IUGR?

Correct AnswerverifiedShow Answer

The single most sensitive indicator of IUGR is which one of the following?

Correct AnswerverifiedShow Answer

The normal amniotic fluid index (AFI) should range between ___________ centimeters (cm) .

Correct AnswerverifiedD

An S/D ratio of the umbilical artery can be used to evaluate fetal well-being:

Correct AnswerverifiedShow Answer

Which one of the following statements about IUGR is false?

Correct AnswerverifiedShow Answer

IUGR is most commonly defined as an estimated fetal weight (EFW) _____________ for a given gestational age.

Correct AnswerverifiedShow Answer

Increased vascular resistance to the fetus is reflected by a(n) ______________.

Correct AnswerverifiedShow Answer

The assessment of the fetus to determine fetal well-being, including an evaluation of a cardiac nonstress test and the observation of fetal breathing movement, gross fetal body movements, fetal tone, and amniotic fluid volume, is known as which one of the following?

Correct AnswerverifiedC

Macrosomia is defined as a estimated fetal weight (EFW) or birth weight of which one of the following?

Correct AnswerverifiedA

The S/D ratio cannot be measured when which one of the following conditions is present?

Correct AnswerverifiedShow Answer

An AFI of 9 cm is considered which one of the following?

Correct AnswerverifiedShow Answer

Clinical observations for IUGR include all of the following except:

Correct AnswerverifiedShow Answer

Symmetric IUGR is usually the result of which one of the following?

Correct AnswerverifiedShow Answer

Which one of the following measurements incorporates several fetal growth parameters such as BPD, head circumference (HC) , AC, and femur length (FL) ?

Correct AnswerverifiedShow Answer

Which one of the following is not a parameter of a biophysical profile?

Correct AnswerverifiedShow Answer

Calculating a macrosomic index can be performed by subtracting the __________ from the ___________.

Correct AnswerverifiedShow Answer

An increased incidence of morbidity and mortality as the result of head and shoulder injuries is found in which one of the following?

Correct AnswerverifiedShow Answer

Which one of the following statements about amniotic fluid is false?

Correct AnswerverifiedShow Answer

The placenta of the macrosomic fetus can become which one of the following?

Correct AnswerverifiedShow Answer

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C

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A

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Calculating a macrosomic index can be performed by subtracting the from the _.

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