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Category: Obstetrics & Gynecology--->Preconception Counseling, Genetics, and Prenatal Diagnosis
Page: 3

Question 11# Print Question

A 25-year-old G0 presents to your office for preconception counseling. She is a long-distance runner and wants to continue to train should she conceive. She wants to know whether there are any potential adverse effects to a developing fetus if she were to pursue a program of regular exercise during her pregnancy.

You provide her with the following counseling about exercise during pregnancy?

A. During pregnancy, she should stop exercising because such activity is commonly associated with intrauterine growth retardation in the fetus
B. She should perform exercises in the supine position to maximize venous return and cardiac output
C. She may continue to exercise throughout pregnancy as long as her heart rate does not exceed 160 beats per minute
D. She should only perform nonweight-bearing exercises because they minimize the risks of maternal and fetal injuries
E. She should reduce her daily exercise routine by one-half during the pregnancy but following delivery, she may resume her activities to pre-pregnancy levels


Question 12# Print Question

A 25-year-old G0 presents to your office for preconception counseling. She is a long-distance runner and wants to continue to train should she conceive. She wants to know whether there are any potential adverse effects to a developing fetus if she were to pursue a program of regular exercise during her pregnancy.

She asks you what other exercises would be appropriate during pregnancy. You counsel her that which of the following exercises would also be safe during pregnancy?

A. Riding a stationary bicycle
B. Horseback riding
C. Downhill skiing
D. Ice hockey
E. Scuba diving


Question 13# Print Question

Your patient presents for her first prenatal visit. She is 27-year-old and this is her first pregnancy. She is an achondroplastic dwarf. Her husband is of normal stature.

Which of the following statements should you tell her regarding achondroplasia?

A. The inheritance pattern is autosomal recessive therefore there is a one-in-four chance that her child will be affected
B. Achondroplasia is caused by a new genetic mutation therefore it cannot be passed on to her child
C. Because she has achondroplasia she has a low risk of cesarean section for delivery
D. She is fortunate to have lived to reproductive age
E. She likely has some degree of spinal stenosis which could present a difficulty with spinal or epidural anesthesia


Question 14# Print Question

A 25-year-old G3P0 presents for preconception counseling. She has had three first-trimester pregnancy losses. As part of her evaluation for recurrent abortion, she had karyotyping done on herself and her husband. Her husband is 46, XY. She carries a balanced 13;13 translocation.

What is the likelihood that her next baby will have an abnormal karyotype?

A. < 5%
B. 10%
C. 25%
D. 50%
E. 100%


Question 15# Print Question

A 31-year-old G1P0 presents to your office at 22 weeks’ gestation for a second opinion. She was told that her baby has a birth defect. She has copies of the ultrasound films and asks you to review them for her. The ultrasound image shows the birth defect. Which of the following is the most likely defect?

A. Cystic hygroma
B. Encephalocele
C. Hydrocephaly
D. Anencephaly
E. Omphalocele




Category: Obstetrics & Gynecology--->Preconception Counseling, Genetics, and Prenatal Diagnosis
Page: 3 of 11