IUGR
INTRAUTERINE GROWTH RESTRICTION

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1. Fetal intrauterine growth restriction is associated with all of the following neonatal adverse outcomes except.

 a. hyperglycemia
 b. hypocalcemia
 c. intrapartum fetal distress
d. meconium aspiration


2. Risk factors for fetal intrauterine growth restriction include all except

a. fetal congenital anomalies
b. placenta previa
 c. incompetent cervix
d. maternal hypertension


3. Fetal IUGR is most commonly defined as

a. birthweight < 2500 grams
b. delivery before 37 weeks
c. estimated fetal weight < 5th percentile
d. estimated fetal weight < 10th percentile

4. The best ultrasound detection of IUGR is with
a. FL
b. EFW
c. HC
d. Fl/AC

5. Appropriate evaluation for IUGR should include all of the following except
a. amniocentesis to r/o aneuploidy
b. serologies for CMV, toxo, rubella infection
 c. ultrasound to r/o fetal nomalies
d. MRI scan of the fetal brain


6. The fetal artery doppler measurement most useful in detecting IUGR is the

a. renal artery
b. umbilical artery
c. middle cerebral artery
d. splenic artery


7. Antenatal fetal monitoring should begin at around
a. 28 weeks gestation
b. 37 weeks gestation
c. 32 weeks gestation
d. 30 weeks gestation


8. Once IUGR is diagnosed, antenatal testing should be initiated with
a. biophysical profile.
b. contraction stress test
c. acoustic stimulation test
d. amniotic fluid index

9. The incidence of IUGR in the U.S. is
a. approximately 4-8%
b. 10%
c. 12-15%
d. 30%


10. asymmetric IUGR is
a. less frequently encountered than symmetric IUGR
b. often seen with fetal aneuploidy
c. seen with growth sparing of the fetal brain
 d. easy to diagnose with doppler studies of the uterine artery



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