Mid Science Flashcards
(229 cards)
At what gestation do you anticipate
a woman will become nauseated and
what is the possible reason for this?
6-12-20 weeks
hCG increase,
Progesterone increase
decreased peristalsis
What element contributing to
conception is viable for 30- 80
hours?
Spermatozoa
List 5 common discomforts of
pregnancy and midwifery advice to
address these
N&V- small frequent healthy meals
Fatigue- rest when able
Constipation/ Haemorrhoids - A FEW
Heartburn- small meals avoid lying down after eating
Skin changes- sunscreen, moisturising
Dizziness- slow to stand, check iron, hydration, BP
What is the name given to the thick,
white mucousy discharge from a
woman’s vagina during pregnancy?
Leucorrhoea
Name the seven most common
blood tests taken at the first
antenatal booking visit?
Blood Group, Rh factor, Antibodies,
Vit D, FBC, Rubella, Varicella, Hep B,
HIV,
What is the term that describes the
mother’s first perception of fetal
movements?
Quickening
At what gestation are the trimesters
determined?
T1 = Wk 1 - 12 T2 = Wk 13- 27 T3 = Wk 28-42
What does the acronym EPDS stand
for and what does it assess?
Edinborough Postnatal Depression
Scale
Trick: it doesn’t assess- it screens;)
Melanie is 29 years old,
At age 19, Melanie had a TOP at 6 weeks gestation.
At age 22, Melanie had a miscarriage at 12 weeks
At age 24, she had a stillborn baby at 22 weeks gestation at FSH born by Spontaneous labour and birth. Intact perineum. Autopsy: cause unknown, girl.
In 2011 Melanie had a liveborn girl Chloe at 41 + 3 weeks gestation at KEMH. Melanie was induced for post-dates. Intact perineum. Baby weighed 3,450g. Breastfeeding duration 6 months. Melanie is currently pregnant, with the due date 22 September 2017
by her 6 week U/S
G 5 P2 -1
What is the term for the ~butterfly
effect’ or mask of pregnancy seen on
a woman’s face during pregnancy?
Chloasma
What is the name of the brown
pigment line that appears in the
middle of a woman’s abdomen
during her pregnancy?
Linea Nigra
At 24 weeks gestation where would
you expect to find the fundus?
Maternal Umbilicus
Why are the 28th and 34th weeks of
gestation important for a woman
who is Rhesus negative?
Recommended gestation for Anti-D
‘prophylaxis’
PV, PR Screening for the presence of
which bacteria is offered to women
from 34 weeks gestation?
Group B Streptococcus
When is Term gestation?
40-42 weeks
RANZCOG - > 37 I 40
ACOG- 39/40- 40+6
RCOG 41 completed weeks
Name the seven bones that make up
the vault of the fetal skull.
Frontal x2
Parietal x2
Occipital
Temporal
Name the four sutures of the vault of
the fetal skull that are of importance in
midwifery care.
Frontal Suture
Coronal suture
Saggital Suture
Lambdoidal Suture
Name the 2 major fontanelles,
describe their shape and when each
of them closes.
Anterior fontanelle- diamond- 18- 24 months
Posterior fontanelle- triangle- 2 -3 months
Indicate the position of the fetus when the occiput points to the right S1 joint; and the saggital suture is in the right oblique diameter of the maternal pelvis
ROP
What is the word to describe the
movement of fetal bones that allows
the fetal head to reduce its
diameters.
Moulding
5 reasons to have a CTG antenatally
Reduced fetal movements Over dates Pain To check for early labour PROM
5 reasons to have a CTG intrapartum
High risk pregnancy Epidural in place Bleeding SROM over 24 hours Mech/ blood lycor Prolongued second stage
How do you assess that someone is in labour?
-Assess the frequency, duration and strength of any contractions.
-Perform a vaginal examination. Note the following
The colour of the amniotic fluid if present., Cervical dilatation and effacement., Any caput or moulding present., Level and position of presenting part.
What is the definition of third stage and what are the recommendations
Third stage of labour: The part of labour from the birth of the baby until the placenta and foetal membranes are delivered
Active management of third stage should be recommended to all women as it shortens the third stage and reduces the risk of postpartum haemorrhage and the need for blood transfusion.