ANTERPARTAL LAST PART

Question 1

can be felt by mother as quickening which begins approx. 18-20 weeks of pregnancy and peaks at 28-38 weeks.

Answer 1

FETAL MOVEMENT

Question 2

Healthy fetus moves at least

Answer 2

10x a day

Question 3

mother lying in left recumbent position after meal and record how many fetal movements she
feels over the next hour; normal is twice every 10 minute or average of 10-12 x/hr

Answer 3

SANDOVSKY METHOD

Question 4

twice every 10 minute or average of 10-12 x/hr

Answer 4

SANDOVSKY METHOD NORMAL

Question 5

“count to ten”; the mother records the time interval it takes for her to feel ten fetal
movements, usually occurs within 60 mins.

Answer 5

CARDIFF METHOD

Question 6

can be heard and counted as early as the 10-11th week of pregnancy by the
use of ultrasonic doppler

Answer 6

FETAL HEART RATE

Question 7

120-160 beats/minute

Answer 7

FTH NORMAL

Question 8

 Diagnose pregnancy as early as 6 wks. AOG
 Confirm presence, size and location of placental and amniotic fluid
 Establish presentation and position of the fetus
 Predict maturity by measurement of the biparietal diameter

Answer 8

ULTRASOUND

Question 9

recorded as early as 11th week of pregnancy

Answer 9

ELECTROCARDIOGRAPHY (ECG)

Question 10

substance produced by the fetal liver that is present in amniotic fluid and maternal serum

Answer 10

MATERNAL SERUM ALPHA-FETOPROTEIN

Question 11

increase in maternal serum AF indicates

Answer 11

-open spinal or abdominal defects
-chromosomal defects (down syndrome/trisomy 21)

Question 12

analysis of three indicators (serum alpha fetoprotein, unconjugated estriol and HCG).
Together they increase the detection of trisomy 18 and 21.

Answer 12

TRIPLE SCREENING

Question 13

biopsy and analysis of chorionic villi for chromosomal analysis done at 10 - 12 wks. AOG to determine the fetus’ chromosomal condition

Answer 13

CHORIONIC VILLI SAMPLING

Question 14

They are performed between 15 and
22 weeks and considered positive if all markers are low

Answer 14

TRIPLE SCREENING

Question 15

aspiration of AF from the pregnant uterus for examination at 14-16 wks. AOG;

– Informed consent, empty bladder, encourage expression of fears and concerns

Answer 15

AMNIOCENTESIS

Question 16

test for fetal maturity

Answer 16

AMNIOCENTESIS

Question 17

inspection of the AF through the cervix and membranes with an amnioscope to
detect meconium staining

Answer 17

AMNIOSCOPY

Question 18

aspiration of blood from umbilical vein for analysis

Answer 18

PERCUTANEOUS UMBILICAL BLOOD SAMPLING (CORDOCENTESIS OR FUNICENTESIS)

Question 19

visualizing the fetus by inspection through a fetoscope. Helps in assessing fetal
well-being

Answer 19

FETOSCOPY

Question 20

combines 4-6 parameters into one assessment:
 Amniotic fluid
 Placental grading and fetal heart activity
 Fetal breathing movements
 Fetal movement and fetal tone

Answer 20

BIOPHYSICAL PROFILE

Question 21

1. LABORATORY TESTS
2. HOME PREGNANCY TEST
   3.Roll-Over Test (ROT)

Answer 21

DIAGNOSTIC TESTS

Question 22

detecting the presence of human chorionic gonadotropin (HCG), a hormone created
by the chorionic villi of the placenta, in the uterine or blood serum of the pregnant
women

Answer 22

LABORATORY TESTS

Question 23

-accuracy: 95-98%

-test are performed by radioimmunoassay (RIA), enzyme-linked immunosorbent
assay (ELISA), radio-receptor assay (RRA)

Answer 23

LABORATORY TESTS

Question 24

-accuracy: 97%

-not accurate for those who take psychotic drugs like anti-anxiety agents, also
those with oral contraception.

-Oral contraception should be discontinued 5 days before the test

Answer 24

HOME PREGNANCY TEST

Question 25

Performed to pregnant mother suspected to develop Pregnancy Induced Hypertension (PIH) between 28th and 32ndweeks of gestation

Answer 25

Roll-Over Test (ROT)

Answer 26

Roll-Over Test (ROT)

Question 27

an excessive increase in blood pressure when she rolls to the supine position during ROT indicates

Answer 27

increased risk of toxemia

Question 28

To determine the onset of hypertension and proteinuria

Answer 28

Roll-Over Test (ROT)

Question 29

Mother is positive if diastolic blood pressure increases to 20 mm/hg at 5 minute interval

Answer 29

Roll-Over Test (ROT)

Question 30

1. CBC
2. Urinalysis – hPL (insulin)
3. Random Blood Sugar (RBS)
4. Blood Typing
5. Venereal Disease Research Laboratory (VDRL)
6. Hepatitis B Screening
7. Ultrasonography

Answer 30

LABORATORY AND DIAGNOSTIC EXAMINATIONS (ACCORDING TO DOH STANDARDS)

Question 31

1. Childbirth Education
2. Preconception Classes
3. Expectant Parenting Classes
4. Childbirth Plan – hospital, type of delivery, etc.
5. Childbirth Classes
6. Responsible Parenthood- contraceptives like LAM (4-6months), use of condom, knowledge on fertility (cycle, spinnbarkeit/ mucus), etc.

Answer 31

Preparation for Labor and Delivery