1-Prenatal Care

Question 1

What is prenatal or antenatal care?

Answer 1

Preconception care

Antepartum care: before birth but after conception

Question 2

What is intrapartum?

Answer 2

Care for a woman in labor

Question 3

What are the advantages of prenatal care?

Answer 3

Provide regular appointments
Prevents birth defects
Decrease maternal mortality
Improves outcomes for diabetes, hypertension and infections

Question 4

What is inadequate prenatal care?

Answer 4

Delayed or no prenatal care

Due to many reasons

Question 5

What are the focus of pre pregnancy counseling?

Answer 5

Lifestyle- smoking, drugs
Teratogen exposure- ionizing radiation, TORCH
Medical problems such as diabetes, hypertension

Question 6

When should evaluation of the gravid woman take place?

Answer 6

As soon as pregnancy is diagnosed

No later than the second missed period

Question 7

What are the major goals during evaluation of a gravid woman?

Answer 7

Assess maternal/ fetal health
Determine gestational age
Estimated date of confinement
Start care plan for pregnant woman

Question 8

What is the duration of a normal pregnancy ?

Answer 8

280 days or 40 weeks

Calculated from first day of last period

Question 9

What is the Naegele’s rule?

Answer 9

Helps determine the age of confinement

Minus 3 months plus 7 days from date of first day of last normal menstrual period

Question 10

What is gravidity?

Answer 10

Number of times a woman has been pregnant regardless if interrupted or carried to full term
Nulligravida: woman who never has been pregnant

Question 11

What is parity?

Answer 11

Number of pregnancy carried to viable gestational age

Nulliparous: woman who never carried a pregnancy beyond 20 weeks

Question 12

What is parturient?

Answer 12

Woman in labor

Question 13

What is puerpera?

Answer 13

Woman who just given birth

Question 14

What is the OB history by series digits?

Answer 14

GPA system: gravid/parity/abortus
TPAL: term birth/ pre term/abortus/ living children
G3P1021: history of 3 pregnancies, 1 full term,0 pre term, 2 abortions and 1 living

Question 15

What is the fundal height?

Answer 15

Height of the uterus above symphysis
Estimated the gestation age
Height in cm= gestation age in weeks
Only accurate from 20-31 weeks
Can be skewed with a full bladder

Question 16

What is the schedule for visits in uncomplicated pregnancy?

Answer 16

Q4 weeks until 28 weeks
Q2 weeks until 36 weeks
Weekly until delivery

Question 17

What do you check during each visit?

Answer 17

Blood pressure
Weight 
Urine
Uterine size
Fetal movements
Sign of bleeding or leaking fluid