First Trimester

Question 1

The estimated due date (EDD) is calculated from what?

Answer 1

The first day of the last menstrual period (LMP)

Question 2

If a woman had a regular menstrual cycle of 33 days, when calculating her EDD you will what?

Answer 2

Minus three months, add seven days and then add an additional five days to account for the difference from 28 day cycle. Subtract if her cycle is less than 28 days by the corresponding days to 28. E.G. a woman has a 25 day cycle = subtract 3 days from EDD.

Question 3

Elevated human chorionic gonadotrophin is a what of pregnancy?

Answer 3

A diagnostic of pregnancy

Question 4

Using Naegele’s rule calculate the estimated due date for Miriama. Her last menstrual period was 16th July 2019.

Answer 4

23rd April 2020

Question 5

What is the hormone used to indicate pregnancy?

Answer 5

Human Chorionic Gonadotrophin (hCG)

Question 6

Ideally the NZCOM First Decision point in pregnancy should over by when?

Answer 6

12 weeks of pregnancy

Question 7

What are the most important histories that we take at the booking visit?

Answer 7

Medical, obstetric, social and psychological

Question 8

What screen is not offered at every antenatal visit?

Answer 8

Ultrasound scan

Question 9

What is not included in the routine booking visit bloods?

Answer 9

Varicella immunity screen

Question 10

What is thought to be responsible for causing haemorrhoids during pregnancy?

Answer 10

Progesterone and increase blood volume

Question 11

How much does the blood volume increase in pregnancy?

Answer 11

40 - 50%

Question 12

In a full blood count (FBC) the normal pregnancy range for haemoglobin is what?

Answer 12

100 – 145 grams/litre (g/L)

Question 13

The main reason for measuring fundal height during pregnancy is to detect what?

Answer 13

Normal fetal growth

Question 14

During a woman’s pregnancy it is the professional duty of a midwife to screen women for what three things?

Answer 14

• Domestic violence
• Smoking
• Anemia