Fundamentals of Antenatal & Postnatal Care Exam Qs Flashcards Preview

Midwifery > Fundamentals of Antenatal & Postnatal Care Exam Qs > Flashcards

Flashcards in Fundamentals of Antenatal & Postnatal Care Exam Qs Deck (52):
1

True or False?
Minimising unnecessary technological interventions and identifying and referring women who require obstetric or other specialist attention are key features of midwife-led care

True

2

Which hormone is involved in increased heat generation in pregnancy?

Progesterone

3

True or False?
HCG is produced by the anterior pituitary gland

False - It is produced by the placenta

4

Which hormone is responsible for the reflex which makes breastmilk flow to the lactiferous ducts?

Oxytocin

5

Which of the following is not a source of dietary protein?

Lentils
Chicken
Bread
Beans

Bread

6

Which of the following are reasons why women are more at risk of infection in pregnancy?

Exposure to increased health professionals
Increased body temperature
Increased secretions
Contamination from hospitals

Increased body temperature - bacteria like heat

7

How should the respiratory rate be counted?

Over a minute, without telling the woman so she does not become conscious of her breathing and change it

8

True or False?
The booking visit is where the woman visits her GP and a detailed history is taken

False

9

Which of the following would be reasons for maternal temperature rise during labour?

Epidural analgesia
Dehydration
Increased muscular activity
Infection

All of them

10

What does BFI stand for and how many steps are there in the initiative launched in 1994 in the UK?

Baby Friendly Initiative - 10 steps

11

True or False?
Visual inspection and visual palpation are two stages involved in choosing a vein

True

12

True or False?
Pregnancy associated plasma protein, produced by the placenta, is lower in pregnancies where the fetus has Trisomy 21 (Downs syndrome), and is part of the combined screening test offered in the first trimester

True

13

True or False?
Women should be bathed as quickly as possible after birth, regardless of the method of birth, in order to prevent infection

False - Women need individualised care and an assessment should be made as to whether it is appropriate or not

14

What does SBAR stand for?

Situation Background Assessment Recommendation

15

How is blood pressure defined?

Blood Pressure = cardiac output x systemic vascular resistance

16

What is a normal respiratory rate?

12-20 breaths per minute

17

True or False?
Pregnant women with diabetes have a higher risk of caesarean section

True

18

Which of the following give guidance regarding record keeping for midwives.

The Midwives Chronicle
The Midwives Legislation
The Midwives Rules
The Midwives Standards

Midwives Rules - rule 6 to be precise

19

What is an acceptable oral temperature range?

36 - 37.3 degrees celcius

20

Which ONE of the following blood tests would not routinely be taken at 'booking'?

Haemoglobin
Toxoplasmosis
Syphillis
Blood group and rhesus status

Toxoplasmosis

21

True or False?
The femoral pulse is the most convenient and frequently used pulse point in midwifery care

False - The radial (wrist) is the best one

22

Which THREE of the following is it essential to record on the laboratory form to ensure as much accuracy as possible in relation to Down's syndrome screening?

Smoking status at booking
Ethnic origin of woman
Units of alcohol consumed per week
Weight of woman at screening

Smoking status at booking
Ethnic origin of woman
Weight of woman at screening

23

What is the innermost layer of the vein called?

Tunica Intima

24

In adult basic life support what is the ideal rate of chest compressions?

100-120 per minute

25

True or False?
During the active feeding phase of breastfeeding, the baby should give short rapid sucks

False - This is at the beginning of a feed, it should be long, slow and rhythmic in the active or middle phase of a feed

26

Which vitamin is recommended to be taken by women in pregnancy as a supplement to their normal dietary intake, particularly because Scotland is so dark and wet and cold

Vitamin D

27

Which TWO of the following are recorded as part of the abdominal palpation?

Presentation
Denominator
Numerator
Lattitude

Presentation
Denominator

28

All records relating to the care of the woman or baby must be kept securely for how many years?

25 years

29

Which of the following are possible complications of venepuncture?

Nerve injury
Fainting
Haematoma
Infection
Arterial puncture

All of them

30

List FIVE extrinsic factors that might contribute to pressure ulcers

Continuous force
Shearing
Direct pressure
Friction
Local ischaemia

31

If someone is choking, how many back blows would you give them after you had encouraged them to cough?

Five

32

What is the outer layer of the vein known as?

Tunica Adventitia

33

Which of the following is not a type of presentation in relation to abdominal palpation?

Shoulder
Brow
Flexed
Breech

Flexed

34

True or False?
Alpha feto protein levels would be reduced in a result where neural tube defects were present in the fetus

False

35

How many chest compressions should you give if the victim is not breathing (or you are unsure)?

30

36

Which hormone stimulates the formation of new blood vessels and increases blood flow to tissues?

Oestrogen

37

Which of the following are likely to contribute to the development of pressure ulcers?

Dehydration
Immobility
Malnutrition
Infection
Age

All of them

38

List SIX sources of vitamin D

Sunlight
Oily fish
Eggs
Margarine
Fortified cereals
Supplement 10mcg daily

39

True or False?
The veins commonly used for venepuncture are found in the popliteal fossa

False - Antecubital fossa

40

True or False?
In abdominal palpation, the lie is the long axis of the fetus to the long axis of the uterus

True

41

Give FIVE sources of dietary iron

Meat
Eggs
Pulses
Wholegrain bread
Dark green vegetables

42

What are the THREE aspects of abdominal palpation?

Fundal
Lateral
Pelvic

43

Which hormone relaxes smooth muscle and causes decreased peripheral resistance?

Progesterone

44

Put the following in the order that you would undertake these procedures during abdominal examination:

1. Auscultation

2. Inspection / observation

3. Palpation / measurement

2
3
1

45

Describe the colour and composition of the following types of lochia:

Serosa
Alba
Rubra

Serosa - brown/pink altered blood and serum containing leukocytes

Alba - yellowish/white consisting of cervical mucus and leukocytes

Rubra - red blood from placental site

46

List ELEVEN fundamental parts of the postnatal check

Pain
Breast Care
Involution of uterus
Lochia
Perineal care
Wound care
Elimination
Feeding
Vital signs
Haemaglobin
Emotional well being

47

When is involution of the uterus normally completed by?

6-8 weeks

48

The process involving the gradual reduction of the size of the uterus as it reenters the pelvis is known as what?

Involution

49

True or False?
Oxytocin is produced in the posterior pituitary and is involved in uterine contractility and 'the let down' reflex in breastfeeding

True

50

Following birth, which occurs first, ovulation or menstruation?

Ovulation

51

How soon following birth should women have passed urine?

It should be within 6 hours

52

What does the mnemonic DrsABC stand for?

Danger
Response
Shake and shout
Airways
Breathing
Circulation