CGFNSEXAMINATIONSECTIONTEST3
Questions19-25.
DIRECTIONS：Questions19through25aretobeansweredonthebasisofthefollowingin-formation.
Ms.LindaYoung，a17-year-oldhighschoolstudent，attendstheantepartalcliniconaregularbasis.ThisisLinda’sfirstpreg-nancy.
19.Lindaisnow7monthspregnant.
InassessingwhetherLindaisretainingabnormalamountsoffluid，itwouldbeES-PECIALLYsignificantthatshehasgained
A.3lb.(1，361gm.)duringthepastweek
B.4.5lb.(2，041gm.)sinceherlastclinicvisitamonthago
C.11lb.(4，990gm.)inthesecondtrimesterofpregnancy
D.14lb.(6，350gm.)sincetheonsetofpregnancy
20.Whichofthesemeasureswillcontrib-uteMOSTtothepreventionofpostpartalu-terineinfections？
A.Routineuseofserologictestsforsyph-
ilisearlyintheantepartalperiod
B.Limitationofsexualintercourseduringthelastsixweeksofpregnancy
C.Maintenanceofcleanlinessoftheperi-nealareaduringlabor
D.Takingshowersorspongebathsex-clusivelyduringthelastsixweeksofpreg-nancy
21.Atterm，Lindaisadmittedtothehospitalinactivelabor.Linda’scervixis2cm.dilatedand80%effaced.Whichoftheseinterpretationsofthesefindingsis
CORRECT？
The
A.cervixis2cm，shortofcompletedi-
latation，anditis80%thinnerthanitwasbeforelaborstarted
B.cervixisstill2cm.long，and80%ofthethinningofthecervixiscompleted
C.wallsofthecervixare2cm.thick，and80%ofthewideningofthecervicalo-peninghasbeenachieved
D.openingofthecervixis2cm.wide，andthecervicalcanalis80%shorterthannormal
22.Lindahasanepisiotomyanddeliversa7lb.(3，175gm.)boy.BabyBoyYoungistransferredtothenurseryandLindaistransferredtothepostpartumunit.Lindaplanstobottle-feedherbaby.Thenurse
isassessingBabyBoyYoung.
Whichoftheseobservations，ifmade，wouldbeconsideredcharacteristicsofanewborn？
A.Branlikedesquamationofthehandsandfee；alternatinglimpnessandstiffnessofthebody；andpink，moistskin
B.Cool，mottledhandsandfeet；quiveringlowerjaw；andflexionofbodyparts
C.Clenchedfists；archingofthebackwhenrecumbent；andfrequentcrying
D.Butterfly-shapedareaofpigmenta-tionatthebaseofthespine；extensionofthearmsandlegswhentheheadisturnedtotheside；anddiaphragmaticbreathing, http://www.100md.com
DIRECTIONS：Questions19through25aretobeansweredonthebasisofthefollowingin-formation.
Ms.LindaYoung，a17-year-oldhighschoolstudent，attendstheantepartalcliniconaregularbasis.ThisisLinda’sfirstpreg-nancy.
19.Lindaisnow7monthspregnant.
InassessingwhetherLindaisretainingabnormalamountsoffluid，itwouldbeES-PECIALLYsignificantthatshehasgained
A.3lb.(1，361gm.)duringthepastweek
B.4.5lb.(2，041gm.)sinceherlastclinicvisitamonthago
C.11lb.(4，990gm.)inthesecondtrimesterofpregnancy
D.14lb.(6，350gm.)sincetheonsetofpregnancy
20.Whichofthesemeasureswillcontrib-uteMOSTtothepreventionofpostpartalu-terineinfections？
A.Routineuseofserologictestsforsyph-
ilisearlyintheantepartalperiod
B.Limitationofsexualintercourseduringthelastsixweeksofpregnancy
C.Maintenanceofcleanlinessoftheperi-nealareaduringlabor
D.Takingshowersorspongebathsex-clusivelyduringthelastsixweeksofpreg-nancy
21.Atterm，Lindaisadmittedtothehospitalinactivelabor.Linda’scervixis2cm.dilatedand80%effaced.Whichoftheseinterpretationsofthesefindingsis
CORRECT？
The
A.cervixis2cm，shortofcompletedi-
latation，anditis80%thinnerthanitwasbeforelaborstarted
B.cervixisstill2cm.long，and80%ofthethinningofthecervixiscompleted
C.wallsofthecervixare2cm.thick，and80%ofthewideningofthecervicalo-peninghasbeenachieved
D.openingofthecervixis2cm.wide，andthecervicalcanalis80%shorterthannormal
22.Lindahasanepisiotomyanddeliversa7lb.(3，175gm.)boy.BabyBoyYoungistransferredtothenurseryandLindaistransferredtothepostpartumunit.Lindaplanstobottle-feedherbaby.Thenurse
isassessingBabyBoyYoung.
Whichoftheseobservations，ifmade，wouldbeconsideredcharacteristicsofanewborn？
A.Branlikedesquamationofthehandsandfee；alternatinglimpnessandstiffnessofthebody；andpink，moistskin
B.Cool，mottledhandsandfeet；quiveringlowerjaw；andflexionofbodyparts
C.Clenchedfists；archingofthebackwhenrecumbent；andfrequentcrying
D.Butterfly-shapedareaofpigmenta-tionatthebaseofthespine；extensionofthearmsandlegswhentheheadisturnedtotheside；anddiaphragmaticbreathing, http://www.100md.com