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Answers to tests and clinical situations

Chapter 1. Fertilization, implantation and organogenesis

Tests: 1 - a; 2 - a; 3 - a; 4 - d; 5 - c; 6 - b; 7 - a; 8 - a; 9 - c; 10 - b; 11 - c; 12 - a.

Situations. 1. Insufficient first wave of cytotrophoblast invasion in spiral arteries. 2. No, the umbilical cord should have three vessels: two arteries and one vein.

Chapter 2. Physiological changes during pregnancy

Tests: 1 - a; 2 - d; 3 - c; 4 - d; 5 - a; 6 - a; 7 - a; 8 - d. Situations. 1. Compensatory heart rate increase typical of this gestational age. 2. Physiological hemodilution that requires no treatment.

Chapter 3. Antenatal and postpartum care

Tests: 1 - c; 2 - d; 3 - c; 4 - b; 5 - c; 6 - d; 7 - b; 8 - a; 9 - b; 10 - d; 11 - b; 12 - b; 13 - b.

Situations. 1. Provide adequate latching to the breast.

2. Recommend the patient to see a pediatrician to establish the cause of the infant's restlessness: weight gain of over 500 g indicates that the mother has enough breast milk.

Chapter 4. Diagnostics of pregnancy. Estimation of gestational age and expected date of delivery. Methods of examination

Tests: 1 - c; 2 - b; 3 - c; 4 - b; 5 - c; 6 - b; 7 - c; 8 -d; 9 - b; 10 - c;

11 - a; 12 - d; 13 - a; 14 - b; 16 - d; 16 - a; 17 - a; 18 - c; 19 - d; 20 - b; 21 - b; 22 - a.

Situations. 1. The due date is June 6. 2. Normal female pelvis dimensions.

Chapter 5. Female pelvis in obstetrics. Fetus in labor Tests: 1 - b; 2 - c; 3 - b; 4 - c; 5 - b; 6 - a. Situations. 1. 12 cm - 1.5 cm = 10.5 cm. 2. Transverse fetal lie.

Chapter 6. Origins of labor onset Tests: 1 - a; 2 - b; 3 - b; 4 - c.

Chapter 7. Mechanism of labor in cephalic (vertex) presentation Tests. 1 - a; 2 - d; 3 - b; 4 - a.

Situations. 1. Second stage of labor, occipitoanterior position. 2. First stage of labor, occipitoposterior position.

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