Multifetal gestation Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 28-year-old primigravid woman presents for her first antenatal appointment following a positive home pregnancy test 8 weeks after her last menstrual period. The patient reports no abdominal pain, vaginal bleeding, or abnormal discharge. The medical history is unremarkable, and her only medication is a prenatal vitamin. Temperature is 36.5°C (97.7°F), pulse is 74/min, respirations are 12/min, and blood pressure is 114/68 mmHg. On examination, the abdomen is non-tender, although the uterine fundus is higher than expected based on gestational age. A bedside ultrasound shows two viable intrauterine fetuses. A thin membrane is identified within the amniotic fluid that forms a “T” with the uterine wall. Which of the following is a major implication of this finding?

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An increased likelihood of premature placental separation compared to other types of twin gestations

The two placentas are not located immediately adjacent to one another

An increased risk of cord entanglement

Blood may be shunted from one twin to the other via the placenta

This pregnancy has lower risks than twin pregnancies with a lambda sign