Chapter 40: OB/GYN Examinations

Which of the following instruments is used to scrape the lining of the uterus for a specimen and to remove growths or remnants of an abortion?

a. Speculum

b. Forceps

c. Uterine sound

d. Curette

d. curette

The OB/GYN (obstetrics/gynecology) practice focuses on the female ___ system.

reproductive

The Papanicolaou (Pap) technique is a cytological screening test to detect cancer of the ___.

cervix

Pregnancy lasts about ___ weeks (starting from the first day of the patient's last normal period) and is grouped into three trimesters.

40

This test is used in the third trimester to monitor the overall health of the baby and to help decide if the baby should be delivered early.

a. First trimester screen

b. Biophysical profile (BPP)

c. Amniocentesis

d. Maternal serum screen

b. Biophysical profile (BPP)

In this case, the provider may perform a PH test by placing a sample of vaginal fluid on a piece of ___ paper to check the acidity or alkalinity of the sample.

litmus

The system most widely used to describe Pap test findings is the Bethesda system, which reports the test results by using _______ general categories.

a. two

b. three

c. six

d. four

b. three

Patients that may be at risk of their cervix opening before their baby is ready to be born may need to have a procedure performed known as a(n):

a. nonstress test (NST).

b. cervical cerclage.

c. ultrasound.

d. amniocentesis.

b. cervical cerclage

During the 26th to 28th week of gestation, the following blood test is obtained from the mother:

a. Hepatitis

b. HIV

c. Glucose tolerance test

d. Alpha-fetoprotein (AFP)

c. glucose tolerance test

Using Naegele's rule, the period of gestation (conception to birth) is determined by using the:

a. last day of the last menstrual period (LMP), subtracting three months, and then adding seven days plus one year.

b. last day of the last menstrual period (LMP), subtracting two months, and then adding seven days plus one year.

c. first day of the last menstrual period (LMP), subtracting nine months, and then adding seven days plus one year.

d. first day of the last menstrual period (LMP), subtracting three months, and then adding seven days plus one year.

d. the first day of the last menstrual period (LMP), subtraction three months, and then adding seven days plus one year.

An ultrasound performed in combination with a stress test that looks at the baby's breathing, movement, muscle tone, heart rate, and the amount of amniotic fluid is known as what?

a. Maternal serum screen

b. Amniocentesis

c. First trimester screen

d. Biophysical profile (BPP)

d. Biophysical profile (BPP)

Over what age is it recommended that women start routine yearly mammograms?

a. 40

b. 21

c. 30

d. 50

a. 40

Which of the following gynecological instruments are inserted into the uterus to explore the cavity and measure the depth of the uterus?

a. Sims' uterine curette

b. Thomas-Gaylor uterine punch

c. Sims' uterine sound

d. Randall uterine curette

c. Sims' uterine sound

The American Cancer Society recommends that patients not use ___ 48 hours before a Pap test.

tampons

A patient should schedule her Pap test approximately:

a. 5 days before her period

b. on the first day of her period

c. 5 days after her period

d. 10 days before her period

c. 5 days after her period

Which of these instruments is used to explore the uterine cavity and measure the depth?

a. Biopsy forceps

b. Uterine curette

c. Speculum

d. Uterine sound

d. uterine sound

When the patient is scheduled for a Pap test they should be advised not to have sexual intercourse for ___ hours before the test.

48 hours

The American Cancer Society recommends in their guidelines for early detection of cervical cancer that all women should begin cervical cancer testing (screening) at age ___.

21

A ___ or a Doppler fetal pulse monitor and gel are applied to the abdomen to determine the developing fetus's heart rate.

fetoscope

A Glucose Tolerance Test is commonly performed during weeks ___ of gestation.

26-28

When should patients do a breast self-examination?

a. Before their menstrual period

b. During their menstrual period

c. After their menstrual period

d. Anytime during the month

c. after their menstrual period

Excess weight gain during pregnancy could indicate:

a. fluid retention.

b. hypotension.

c. miscarriage.

d. the patient is having a boy.

a. fluid retention

Which of the following refers to the number of pregnancies a patient has had?

a. LMP

b. Births

c. Para

d. Gravida

d. gravida

According to the Centers for Disease Control and Prevention (CDC), what percent of sexually active people will have HPV at some time in their lives?

a. 10

b. 25

c. 50

d. 75

c. 50

When using Nagele's rule to determine the date of delivery, you first take the first day of the last menstrual period and:

a. subtract 3 months.

b. add 7 days plus 1 year.

c. add 3 months.

d. subtract 9 months.

a. subtract 3 months

Which of the following is used to measure the height of the fundus after the third month of pregnancy?

a. Fetoscope

b. Flexible centimeter tape

c. Ultrasonography equipment

d. Doptone

b. flexible centimeter tape