Pregnancy

Question 1

Hegar’s sign

Answer 1

Softening and compressibility of lower uterus

Question 2

Chadwick’s sign

Answer 2

Deepened violet blue color of vaginal mucosa due to increased vascularity in the area

Question 3

Goodell’s sign

Answer 3

Softening of cervical tip

Question 4

Ballottement

Answer 4

Rebound of unengaged fetus

Question 5

Nägele’s rule

Answer 5

• Subtract 3 months
• Add 7 days

Question 6

GTPAL

Answer 6

• Gravidity
• Term births
• Preterm births
• Abortions/miscarriages
• Living kids

Question 7

Gravidity

Answer 7

Number of pregnancies including the current one

Question 8

Term births

Answer 8

38 weeks or more

Question 9

Preterm births

Answer 9

20 weeks - 37 weeks

Question 10

Abortions/miscarriages

Answer 10

Prior to viability

Question 11

TORCH

Answer 11

• Toxoplasmosis
• Other infections
• Rubella
• Cytomegalovirus
• Herpes

Question 12

16-22 week appointments

Answer 12

Screen for NTDs with maternal alpha-fetoprotein

Question 13

28 week appointment

Answer 13

• Screen for diabetes
• Give RhoGam if Rh negative
• Begin NST testing twice a week for any pregnancy at risk for intrauterine fetal death

Question 14

35 week appointment

Answer 14

Test for group B strep

Question 15

Placenta previa symptoms (2)

Answer 15

• Bright red vaginal bleeding ranging from mild to severe
• Usually painless

Question 16

Abruption placentae symptoms (2)

Answer 16

• Dark red vaginal bleeding ranging from none to severe
• Board like, tender abdomen