Fundamentals of Antenatal & Postnatal Care Exam Qs Flashcards Preview

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

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

A

True

2
Q

Which hormone is involved in increased heat generation in pregnancy?

A

Progesterone

3
Q

True or False?

HCG is produced by the anterior pituitary gland

A

False - It is produced by the placenta

4
Q

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

A

Oxytocin

5
Q

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

Lentils
Chicken
Bread
Beans

A

Bread

6
Q

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

A

Increased body temperature - bacteria like heat

7
Q

How should the respiratory rate be counted?

A

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

8
Q

True or False?

The booking visit is where the woman visits her GP and a detailed history is taken

A

False

9
Q

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

Epidural analgesia
Dehydration
Increased muscular activity
Infection

A

All of them

10
Q

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

A

Baby Friendly Initiative - 10 steps

11
Q

True or False?

Visual inspection and visual palpation are two stages involved in choosing a vein

A

True

12
Q

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

A

True

13
Q

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

A

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

14
Q

What does SBAR stand for?

A

Situation Background Assessment Recommendation

15
Q

How is blood pressure defined?

A

Blood Pressure = cardiac output x systemic vascular resistance

16
Q

What is a normal respiratory rate?

A

12-20 breaths per minute

17
Q

True or False?

Pregnant women with diabetes have a higher risk of caesarean section

A

True

18
Q

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

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

A

Midwives Rules - rule 6 to be precise

19
Q

What is an acceptable oral temperature range?

A

36 - 37.3 degrees celcius

20
Q

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

Haemoglobin
Toxoplasmosis
Syphillis
Blood group and rhesus status

A

Toxoplasmosis

21
Q

True or False?

The femoral pulse is the most convenient and frequently used pulse point in midwifery care

A

False - The radial (wrist) is the best one

22
Q

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

A

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

23
Q

What is the innermost layer of the vein called?

A

Tunica Intima

24
Q

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

A

100-120 per minute

25
Q

True or False?

During the active feeding phase of breastfeeding, the baby should give short rapid sucks

A

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
Q

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

A

Vitamin D

27
Q

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

Presentation
Denominator
Numerator
Lattitude

A

Presentation

Denominator

28
Q

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

A

25 years

29
Q

Which of the following are possible complications of venepuncture?

Nerve injury
Fainting
Haematoma
Infection
Arterial puncture
A

All of them

30
Q

List FIVE extrinsic factors that might contribute to pressure ulcers

A
Continuous force
Shearing
Direct pressure
Friction
Local ischaemia
31
Q

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

A

Five

32
Q

What is the outer layer of the vein known as?

A

Tunica Adventitia

33
Q

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

Shoulder
Brow
Flexed
Breech

A

Flexed

34
Q

True or False?

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

A

False

35
Q

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

A

30

36
Q

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

A

Oestrogen

37
Q

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

Dehydration
Immobility
Malnutrition
Infection
Age
A

All of them

38
Q

List SIX sources of vitamin D

A
Sunlight 
Oily fish
Eggs
Margarine
Fortified cereals
Supplement 10mcg daily
39
Q

True or False?

The veins commonly used for venepuncture are found in the popliteal fossa

A

False - Antecubital fossa

40
Q

True or False?

In abdominal palpation, the lie is the long axis of the fetus to the long axis of the uterus

A

True

41
Q

Give FIVE sources of dietary iron

A
Meat
Eggs
Pulses
Wholegrain bread
Dark green vegetables
42
Q

What are the THREE aspects of abdominal palpation?

A

Fundal
Lateral
Pelvic

43
Q

Which hormone relaxes smooth muscle and causes decreased peripheral resistance?

A

Progesterone

44
Q

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

  1. Auscultation
  2. Inspection / observation
  3. Palpation / measurement
A

2
3
1

45
Q

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

Serosa
Alba
Rubra

A

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
Q

List ELEVEN fundamental parts of the postnatal check

A
Pain
Breast Care
Involution of uterus
Lochia
Perineal care
Wound care
Elimination
Feeding 
Vital signs
Haemaglobin
Emotional well being
47
Q

When is involution of the uterus normally completed by?

A

6-8 weeks

48
Q

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

A

Involution

49
Q

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

A

True

50
Q

Following birth, which occurs first, ovulation or menstruation?

A

Ovulation

51
Q

How soon following birth should women have passed urine?

A

It should be within 6 hours

52
Q

What does the mnemonic DrsABC stand for?

A
Danger 
Response 
Shake and shout 
Airways 
Breathing 
Circulation