Assessing & Admitting Pregnant Woman

Question 1

It is a subjective symptom

Answer 1

PAIN

Question 2

It is the upper margin of the uterus

Answer 2

FUNDUS

Question 3

When does the growth of fundic height begin?

Answer 3

12 WEEKS GESTATION

Question 4

The size of the uterus usually reaches its peak at _______

Answer 4

36 weeks gestation

Question 5

How to measure fundic height

Answer 5

1. Obtain maternal consent
2. Empty bladder if she doean’t done so in last 30 mins
3. Position woman in supine position

Question 6

What position should the woman be when measuring fundic height?

Answer 6

SUPINE

Question 7

It will help estimate AOG and EDC

Answer 7

Fundic Height Measurement

Question 8

The fundal height can be ____ cm higher at 17-20 wks gestation if the woman ha a full bladder

Answer 8

3 cm

Question 9

Fundic height BELOW umbilicus is

Answer 9

less than 20 wks gestation

Question 10

Fundic height ABOVE umbilicus is

Answer 10

more than 20 wks gestation

Question 11

To ensure accuracy of fundic height measurement, the woman should _____

Answer 11

EMPTY HER BLADDER

Question 11

2 ways in estimating fundic height

Answer 11

MCDONALD RULE
BARTOLOMEW RULE
JOHNSON’S RULE

Question 12

Used to determine age of gestation in lunar months we by measuring from the fundus to the symphysis pubis

Answer 12

MCDONALD RULE

Question 13

It is used to estimate the weight of the fetus in grams

Answer 13

JOHNSON’S RULE

Question 13

Fundic height (cm) x 2/7 = AOG in lunar months

Answer 13

MCDONALD’S RULE

Question 13

N is __ if the fetus is engaged
It is __ if the fetus is not yet engaged

Answer 13

12
11

Question 14

Used to determine AOG in weeks by relating fundic height to diff landmarks in the abdomen

Answer 14

BARTOLOMEW RULE

Question 14

Fundic height: slighlty above the symphysis

Answer 14

12 weeks

Question 14

In the Bartolomew rule, different landmarks in the abdomen are:

Answer 14

1. Symphysis pubis
2. Umbilicus
3. Xiphoid process

Question 15

Fundic height: level of the umbilicus

Answer 15

20 weeks

Question 16

Fundic height: Below xiphoid process

Answer 16

6 weeks

Question 16

Fundic height: same level due to lightening on the 40th week

Answer 16

32 and 40th week

Question 17

Weeks in Bartolomew’s Rule

Answer 17

12
16
20
24
28-30
36
34-40

Question 18

Fundus is at level of symphysis. What week?

Answer 18

12 WEEKS

Question 18

Fundus half way between umbilicus & symphysis pubis. What week?

Answer 18

16 WEEKS

Question 18

Fundus is at level of umbilicus. What week?

Answer 18

20 WKS

Question 19

Fundus is halfway between umbilicus and xyphoid process. What week?

Answer 19

28-30 WKS

Question 20

Fundus at level of xiphoid process?

Answer 20

36 WEEKS

Question 21

Fundus at level due to lightening

Answer 21

34-40 WEEKS

Question 21

Is the measuring of the fetus’s heart rate during the labor by using a special instruments.

Answer 21

FETAL HEART RATE (FHR MONITORING)

Question 22

Types and methods of fetal heart monitoring:

Answer 22

I. Intermittent Auscultation II. Electronic Fetal Monitoring (EFM)

Question 22

Fetal heart sounds are transmitted best through the _______ of the fetus because that is the part that lies in closest contact with uterine wall

Answer 22

CONVEX PORTION

Question 22

In this presentation, fetal heart sounds are usually best heard through the fetal back

Answer 22

BREECH PRESENTATION

Question 23

In a face presentation, the back becomes concave so the sounds are best heard through the more _____

Answer 23

CONVEX THORAX

Question 23

In this presentation, the fetal heart sounds are heard loudest low in a woman’s abdomen.

Answer 23

CEPHALIC PRESENTATION

Question 24

Normal FHR

Answer 24

120 - 160 or 110-160

Question 25

Baseline FHR above 160

Answer 25

TACHYCARDIA

Question 26

In Bradycardia, baseline FHR is ___

Answer 26

less than 120 bpm

Question 27

❑Auscultation is a method of listening to the fetal heartbeat for how many seconds?

Answer 27

60 SECONDS

Question 28

Types of fetal stethoscope

Answer 28

1. FETOSCOPE 2. PINARD 3. HAND-HELD DOPPLER

Question 29

Which type of auscultation technique is advisable for normal pregnancies?

Answer 29

INTERMITTENT AUSCULTATION

Question 30

During the active phase of 1st stage labor, intermittent auscultation should be done every?

Answer 30

15-30 mins

Question 31

During the pushing phase of 2nd stage labor, intermittent auscultation should be done every _____

Answer 31

5-15 mins

Question 31

Refer to fluctualtion caused by balancing acts of sympathetic (increase FHT) and parasympathetic branches ( decreases FHT ) of the automatic nervous system.

Answer 31

BASELINE VARIABILITY

Question 32

electronic monitor used to continuously measures the fetus’s heart rate and using a pressure sensor to monitor the mother’s contractions at the same time.

Answer 32

Electronic Fetal Monitoring (EFM)

Question 33

Measure the heart rate through a wire called (electrode) contains a needle, inserted through the vagina and cervix, and placed under the baby's scalp.

Answer 33

INTERNAL MONITORING

Question 34

These are temporary normal increases in FHR caused by fetal movement, a change in maternal position, or administration of an analgesic.

Answer 34

ACCELERATIONS

Question 34

Rate of FHT decreases at the onset of uterine contraction but return to normal before the end of contraction this is normal response of the fetus to head compression caused by umbilical cord

Answer 34

DECELERATIONS

Question 35

Frequency of monitoring FHT

Answer 35

1. Latent Phase - every hr 2. Active Phase - 15-30 mins 3. Second stage - 5-15 mins

Question 36

The tightening and shortening of the uterine muscles.

Answer 36

UTERINE CONTRACTION

Question 37

Healthcare practitioner and nurse will be checking fetal heart rate and uterine contraction.

Answer 37

LABOR WATCH

Question 38

The _____ of the contractions also changes as labor progresses and this is a good sign that labor is progressing well.

Answer 38

INTENSITY

Question 38

is the time from the beginning of one contraction to the end of that same contraction.

Answer 38

DURATION

Question 39

is measured from the beginning of one contraction to the beginning of the very next contraction.

Answer 39

FREQUENCY

Question 40

Refers to the time that lapse between two uterine contractions. It is measured from the end of a contraction to the beginning of the next contraction.

Answer 40

INTERVAL

Question 41

cervix will dilate to around 10 centimeters, which is about equal to the diameter of a softball.

Answer 41

DILATATION

Question 42

Is a part of the fetal body that enters the true pelvis first and which is also the first part to come out during delivery.

Answer 42

PRESENTING PART

Question 42

Thinning & shortening of the cervix

Answer 42

EFFACEMENT

Question 42

These are used to help midwife and nurses determine fetus’ presentation and position.

Answer 42

LEOPOLD'S MANEUVER

Question 42

The presentation of the fetus is determined by?

Answer 42

FETAL LIE & ATTITUDE

Question 42

is the relationship of the presenting part of the fetus to an imaginary line drawn at the level of the ischial spines of the mother.

Answer 42

STATION

Question 43

Timing of Leopold's Maneuver

Answer 43

After 24-26 wks

Question 43

4 Classic Maneuver of Leopold's Maneuver

Answer 43

1. Fundal Grip 2. Lateral Grip 3. Pawlick's Grip 4. Pelvic Grip

Question 44

Palpate the upper abdomen of women in lie down position. During palpation, both hands should be in cupping position and able to grip and palpate the upper part of the abdomen in order to know which fetal part

Answer 44

FUNDAL GRIP

Question 45

This process is done to identify the location of a fetal back

Answer 45

LATERAL GRIP

Question 46

Palpate the lower part of the abdomen which is above the symphysis portion

Answer 46

PAWLICK'S GRIP

Question 47

In this stage of labor, labor pain is associated with dilatation of the cervix, hypoxia of uterine muscle cells and stretching of lower uterine segment.

Answer 47

FIRST STAGE OF LABOR

Question 47

Palpation of the pelvis is done

Answer 47

PELVIC GRIP

Question 48

This stage of labor is associated with hypoxia of muscle cells, distention of vagina and perineum and pressure on adjacent structures.

Answer 48

SECOND STAGE OF LABOR

Question 48

Maternal assessment during labor

Answer 48

1. OBTAIN DATA 2. MATERNAL CONDITION 3. OBSTETRICAL HISTORY 4. PLANS FOR NEWBORN 5. ABDOMINAL EXAMINATION 6. VITAL SIGNS 7. LABORATORY TESTS

Question 48

This stage of labor is associated with uterine contractions and cervical dilatation during the birth of placenta.

Answer 48

THIRD STAGE OF LABOR

Question 49

It is a record of all the observation made on a woman in labor , the central feature of which is the graphic recording of the dilatation of the cervix as assessed by vaginal examination.

Answer 49

PARTOGRAPH