Exam 3

Question 1

What are the three phases of pregnancy?

Answer 1

Antepartum
Intrapartum
Postpartum

Question 2

What is antepartum?

Answer 2

before birth

Question 3

What is Intrapartum

Answer 3

during birth

Question 4

What is postpartum

Answer 4

after birth

Question 5

What is the best way to insure a good outcome for both mother and baby?

Answer 5

Regular prenatal care

Question 6

How often should you have prenatal visits?

Answer 6

Every 4 weeks up to 28 weeks
every 2 to 3 weeks from 29-36 weeks
every week 36 weeks or until baby is delivered

Question 7

What is gravida

Answer 7

refers to the number of pregnancies including the current one

Question 8

Primigravida

Answer 8

first pregnancy

Question 9

multigravida

Answer 9

woman who has had more than one pregnancy

Question 10

What is para?

Answer 10

communicates the outcome of previous pregnancies. (given birth to one or more children who have reached at least 20 weeks gestation)

Question 11

What is the age of viability?

Answer 11

20 weeks

Question 12

What is nagele’s rule

Answer 12

add 7 days to the first day of LMP then subtract 3 months to determine EDD

Question 13

What are presumptive signs of pregnancy?

Answer 13

subjective signs the woman reports- amenorrhea, frequency, quickening

Question 14

What are probable signs of pregnancy?

Answer 14

detected by a trained examiner- goodell’s sign (softening of the lower uterine segment), McDonalds sign, Braxton hicks contractions, striae gravidarum, presence of HCG in a pregnancy test

Question 15

Positive signs of pregnancy

Answer 15

no other condition can cause, fetal heartbeat, fetal movement which is felt by examiner, seeing fetus on ultrasound

Question 16

What does the mucus plug do?

Answer 16

prevents bacteria from getting into the uterus

Question 17

What happens to the breasts in the last few months of pregnancy

Answer 17

they enlarge, are tender and secret colostrum

Question 18

What does the growing uterus do to the heart?

Answer 18

moves the heart up and to the left

Question 19

What is supine hypotensive syndrome?

Answer 19

after 20 weeks when lying supine, the uterus presses on the IVC, resulting in low BP and dizziness, encourage the woman to lie on her left side

Question 20

Why can glycosuria and proteinuria occur?

Answer 20

Due to the increase in GFR and the fact that the tubules cannot keep up.

Question 21

How can heartburn be helped?

Answer 21

sit up for at least thirty mins after eating

Question 22

folic acid supplements help how?

Answer 22

to reduce the incidence of neural tube defects

Question 23

How many extra calories should a pregnant woman consume?

Answer 23

300

Question 24

What is the weight gain for pregancy?

Answer 24

normal weight (25-35 lbs)
under weight (28 to 40 lbs)
over weight (15-25 lbs)

Question 25

The uterus accounts for how much weight in pregnancy?

Answer 25

2.5 lbs

Question 26

What is PICA?

Answer 26

craving substances that are not food

Question 27

What is fetal alcohol syndrome?

Answer 27

malformations found in an infant when the mother drank large amounts of alcohol, microcephaly, flat nasal bridge and mental retardation

Question 28

How do you care for varicose veins?

Answer 28

avoid lengthy standing or sitting, walk frequently , rest with legs elevated, wear support stockings, relieve hemorrhoid swelling with warm sitz bath, or analgesic ointment, avoid crossing legs when sitting

Question 29

What is primipara?

Answer 29

woman who has given birth to her first child regardless of whether the child was alive, also describes a woman before birth of her first child

Question 30

What is a nullipara?

Answer 30

woman who has not given birth to a child who has reached the point of viability

Question 31

What is the TPALM system?

Answer 31

``` T- number of term infants P- number of preterm infants A- Number of pregnancies aborted L- number of children living now M- multiple births ```

Question 32

What is chadwick's sign?

Answer 32

purplish or bluish discoloration of the cervix and vagina caused by vascular congestion

Question 33

What is goodell's sign?

Answer 33

softening of the cervix and vagina caused by vascular congestions

Question 34

What is hegar's sign?

Answer 34

softening of the lower uterine segment

Question 35

What is McDonald's sign?

Answer 35

the cervix softens, it's easy to flex body of uterus against the cervix

Question 36

What is the abdominal/ uterine enlargement during pregnancy?

Answer 36

12 weeks- above the symphysis pubis | 20 weeks- extends to umbilicus

Question 37

What is ballottement

Answer 37

a maneuver by which the fetal part is displaced by a light tap of the examining finger on the cervix, rebounds quickly

Question 38

How much fluid can a uterus hold?

Answer 38

5 quarts of fluid

Question 39

How much does the uterus normally weigh before pregnancy

Answer 39

2 oz

Question 40

What is pseudoanemia

Answer 40

RBC's decrease, not a true anemia, 6 days post partum returns to normal

Question 41

How much does the placenta weight?

Answer 41

1.0-1.5 lbs

Question 42

How much do the breasts weight during pregnancy?

Answer 42

1.5-3 lbs

Question 43

What is the blood volume during pregnancy?

Answer 43

3.5-4 lbs