COMPREHENSIVE MATERNAL

Question 1

What is the average duration of pregnancy?

Answer 1

40 weeks

Acceptable range is 38 to 42 weeks.

Question 2

How many calendar months does pregnancy typically last?

Answer 2

9 calendar months

Question 3

What is the range of uterine blood supply during pregnancy?

Answer 3

20% - 40%

Question 4

What is the term for the expulsion of the fetus and placenta?

Answer 4

Parity

Question 5

What is the maximum cervical dilation during labor?

Answer 5

10cm

Question 6

What are the three phases of labor?

Answer 6

• Latent
• Active
• Transitional

Question 7

What is the dilation range for the Latent phase?

Answer 7

0-3cm

Question 8

What is the average duration of the Latent phase for a Nullipara?

Answer 8

8 to 20 hours

Question 9

What is the average dilation rate for a Nullipara during the Active phase?

Answer 9

1.2cm/hr

Question 10

What is the dilation range for the Active phase?

Answer 10

4-7cm

Question 11

What is the average duration of the Transitional phase?

Answer 11

Shortest phase

Question 12

What is the typical duration for fetal delivery in a Nullipara?

Answer 12

1 to 2 hours

Question 13

What is the average time for placenta delivery?

Answer 13

5 to 15 minutes

Question 14

What is the mnemonic sign for placental separation?

Answer 14

LUVS

Question 15

What does the ‘L’ in the mnemonic LUVS stand for?

Answer 15

Lengthening Cord

Question 16

What is the ‘Calkin Sign’ indicative of?

Answer 16

Uterus Firm (grape - fruit like)

Question 17

What is a sign of uterine inversion?

Answer 17

Uterus is pulled inside out as placenta exits

Question 18

What technique is used for controlled cord traction?

Answer 18

Brandt - Andrews Maneuver

Question 19

What medication is commonly used to prevent postpartum hemorrhage?

Answer 19

Oxytocin

Question 20

What is the normal blood loss in the first 24 hours postpartum?

Answer 20

300 to 400ml

Question 21

What is the definition of ‘involution’ in the postpartum context?

Answer 21

Return of uterus and vagina to their pre-pregnancy state

Question 22

What does the ‘C’ in the postpartum acronym C.A.N. stand for?

Answer 22

Contraction ‘after pains’

Question 23

What is the term for not decreasing in size during postpartum check-up?

Answer 23

Subinvolution

Question 24

What is the average volume of ejaculate?

Answer 24

2.5ml

Question 25

How many sperm are typically found per milliliter of ejaculate?

Answer 25

20 to 200M sperms (per ml)

Question 26

What hormone is primarily produced by the ovaries?

Answer 26

Estrogen

Question 27

What hormone is primarily produced by the testes?

Answer 27

Testosterone

Question 30

What is the average length of the menstrual cycle?

Answer 30

28 days (range: 23 to 35 days) ## Footnote The menstrual cycle can vary significantly among individuals.

Question 31

At what age does menarche typically occur?

Answer 31

Age 9 to 16, average is 12 years and 4 months ## Footnote Menarche marks the beginning of a female's menstrual cycles.

Question 32

What hormone does the hypothalamus release during puberty?

Answer 32

GNRH ## Footnote Gonadotropin-releasing hormone (GNRH) is crucial for initiating the reproductive hormone cascade.

Question 33

What does FSH stand for?

Answer 33

Follicle Stimulating Hormone ## Footnote FSH is produced by the anterior pituitary gland and is essential for the growth of ovarian follicles.

Question 34

What phase follows the proliferation phase in the ovarian cycle?

Answer 34

Ischemic Phase ## Footnote This phase occurs if fertilization does not take place, leading to the disintegration of the corpus luteum.

Question 35

What does the corpus luteum produce?

Answer 35

Progesterone ## Footnote Progesterone is crucial for maintaining the uterine lining for a potential pregnancy.

Question 36

What is the primary function of progesterone?

Answer 36

Thicker lining, thicker mucus, intact lining, and relaxes uterus ## Footnote These functions help prepare the uterus for possible implantation of a fertilized egg.

Question 37

What is the term for the fertilized egg?

Answer 37

Zygote ## Footnote The zygote is the initial stage of development following the union of sperm and egg.

Question 38

What is the blastocyst stage?

Answer 38

Ready to implant ## Footnote The blastocyst is formed after the morula stage and is the stage that implants into the uterine lining.

Question 39

At what point is the embryo referred to as a fetus?

Answer 39

After organogenesis is completed (8 weeks) ## Footnote This marks a significant developmental milestone in pregnancy.

Question 40

What day does ovulation typically occur in a regular menstrual cycle?

Answer 40

Day 14 ## Footnote Ovulation occurs approximately 14 days before the next menstrual period.

Question 41

What is the shortest and longest cycle length for irregular cycles?

Answer 41

Shortest: 25 days; Longest: 35 days ## Footnote Monitoring menstrual cycles over several months can help determine individual patterns.

Question 42

What is the significance of the first trimester?

Answer 42

Most sensitive period for fetal development ## Footnote Major developmental processes occur during this time, including organ formation.

Question 43

What is the role of folic acid during early pregnancy?

Answer 43

Reduces risk for neural tube defects (NTD) ## Footnote Folic acid is critical for proper spinal cord development.

Question 44

Fill in the blank: The first lunar month of pregnancy is considered to be _____ weeks AOG.

Answer 44

Four weeks ## Footnote AOG stands for Age of Gestation.