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Prenatal Care

A 32-year-old nulligravida patient with no prenatal care presents in labor. You realize lack of prenatal care increases her risk of a poor outcome. Specifically, what is the increased risk of mortality for women who do not receive prenatal care as compared to women who do?

a. Risk unchanged

b. Twofold risk

c. Fourfold risk

d. Fivefold risk

Which of the following is more common when women do not obtain prenatal care?

a. Stillbirth

b. Preterm birth

c. Neonatal death

d. All of the above

A schematic of β-hCG levels in pregnancy is shown below. When do β-hCG levels peak in pregnancy?

Reproduced with permission from Cunningham FG, Leveno KJ, Bloom SL, et al (eds): Prenatal care. In William Obstetrics, 25th ed. New York, McGraw-Hill, 2018, Figure 9-2.

a. 40–50 days after last menstrual period

b. 60–70 days after last menstrual period

c. 80–90 days after last menstrual period

d. 120–140 days after last menstrual period

Which possible cause of a “false-positive” β-hCG is most common?

a. Malignancy

b. Heterophilic antibodies

c. Exogenous β-hCG use for weight loss

d. β-hCG produced in the pituitary gland

Which sign confirming an early intrauterine pregnancy is best demonstrated in the image below?

a. Yolk sac

b. Fetal pole

c. Intradecidual sign

d. Double decidual sign

A 33-year-old woman who presents for prenatal care is described as ...

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