Ch. 10 & 11 Quiz

Question 1

Define “Gravida” and “Gravidity”

Answer 1

Gavida = a pregnant woman. Gravidity = pregnancy.

Question 2

What do “Post term” and “Pre term” mean?

Answer 2

Post term is after 42 weeks. Pre term is from 20-37 weeks.

Question 3

What is Nulligravida?

Answer 3

A woman who has never pregnant.

Question 4

What is Nullipara?

Answer 4

A woman who has never carried a fetus to viability.

Question 5

What is Parity in regards to pregnancy?

Answer 5

Number of pregnancies that reach viability.

Question 6

What does Primigravida mean?

Answer 6

A woman who is pregnant for the 1st time.

Question 7

What does Primipara mean?

Answer 7

A woman who has completed one pregnancy to viability.

Question 8

What does carrying a baby to “term” mean?

Answer 8

Beginning of 38th week to the end of the 42nd week.

Question 9

What is fetal viability?

Answer 9

Capacity to live outside the womb. Usually 22-24 weeks, or fetal weight above 500g.

Question 10

Explain GTPAL.

Answer 10

G = # of pregnancies. T = # carried to term. P = # of pre term births. A = # of aborted fetuses. L = # of living. If you just use the G/P system - G = Gravidity & P = Parity

Question 11

What is the most popular type of pregnancy test?

Answer 11

Elisa - over the counter (OTC).

Question 12

How early can pregnancy be detected?

Answer 12

7-10 days after conception.

Question 13

When must a urine base test be run?

Answer 13

First void of urine in the morning.

Question 14

What can cause false positives?

Answer 14

Diuretics, promethazine, anti-seizures, tranquilizers.

Question 15

When does quickening occur?

Answer 15

Around 16 weeks, earlier if multiple pregnancies.

Question 16

What happens to the breasts during pregnancy?

Answer 16

Full/heavy, sensitive, darker areolae, Montgomery’s tubules, colostrum. Pre-colostrum at 12 weeks and colostrum at 16 weeks.

Question 17

How do you take BP on a pregnant woman?

Answer 17

Sitting, same arm, same equipment.

Question 18

How does pregnancy affect the heart and blood?

Answer 18

Blood volume increases by 40%, cardiac output increases by 20%. Heart enlarges, moves up and to the left.

Question 19

What happens to the lungs and diaphragm?

Answer 19

Diaphragm moves up as much as 4cm. Chest breathing.

Question 20

What happens to the head?

Answer 20

Sinuses congest and swell along with the pharynx, larynx, trachea, bronchi, ears.

Question 21

What happens to the urinary tract?

Answer 21

Renal pelvis and ureters dilate. More prone to UTIs.

Question 22

In the chart labeled “Fundus height”, where does the belly button lie? (# weeks)

Answer 22

Between 22 and 24 weeks.

Question 23

What are some neuro affects from pregnancy?

Answer 23

Carpal tunnel, headache, cramps from hypocalcemia.

Question 24

A pregnant client’s husband complains that she has been eating some pretty weird stuff, like paper and baby powder. What is this called?

Answer 24

Pica.

Question 25

Excess salivation is called \_\_\_\_\_.

Answer 25

Ptyalism.

Question 26

Is a woman more or less susceptible to yeast infections during pregnancy?

Answer 26

More.

Question 27

What are positive signs of pregnancy?

Answer 27

Fetal heart beat, movement felt by someone else, visual.

Question 28

What are some presumptive indicators of pregnancy?

Answer 28

Missed period, fatigue, quickening (16-20 weeks), nausea, vomiting, urinary frequency.

Question 29

What are some probable indicators of pregnancy?

Answer 29

Positive test, uterine souffle, ballottement, Goodell sign, Chadwick's sign, Hegar sign, Braxton Hick's contractions.

Question 30

How do you figure a due date?

Answer 30

Add 7 days to LMP and then add 9 months to that.

Question 31

How many days in a lunar month?

Answer 31

28. 10 lunar months = 280 days gestation.

Question 32

What weeks are considered the 1st trimester? 2nd? 3rd?

Answer 32

Weeks 1-13. Weeks 14-26. Weeks 27-40.

Question 33

What syndrome is described as men with pregnancy symptoms?

Answer 33

Couvade's Syndrome.

Question 34

What is the purpose of prenatal care?

Answer 34

To identify existing risk factors and other deviations from normal.

Question 35

What schedule of prenatal doctor visits is normal?

Answer 35

Every month until the 28th week, then every 2 weeks until the 36th week, then weekly.

Question 36

When is the 1-hour glucose test done?

Answer 36

28th week.

Question 37

If the 1-hour glucose test is positive, what happens next?

Answer 37

3-hour test done. Need 2 positive tests for a diagnosis.

Question 38

Name some other labs routinely given to a pregnant woman?

Answer 38

Triple marker, RPR/VRDL, CBC, blood, anti-Rh, Hgb, Hct, WBC, rubella, tuberculin, BUN, creatinine, HIV.

Question 39

What must be considered with immunizations?

Answer 39

No immunizations with the live virus can be given to a pregnant woman.

Question 40

Where is the nuchal skin fold and what is it tested for?

Answer 40

Nape of a fetus's neck. Detects increased odds for Down's Syndrome.

Question 41

What are the 3 types of midwives and how are they different?

Answer 41

Nurse midwife, Direct entry midwife (not a nurse, but is trained), Independent midwife (no training).

Question 42

If you have heartburn, your newborn will have a full head of hair. Is this an old wives tale or true?

Answer 42

True. The hormones that often triggers heartburn also causes fetal hair growth.

Question 43

Can sex late in pregnancy trigger childbirth?

Answer 43

Yes. Consult physician before having any sexual intercourse during marriage.

Question 44

Are congenital deformities common in twins?

Answer 44

2x more common in monozygotic twins. No difference in dizygotic.

Question 45

Are home births a safe alternative to the clinical setting?

Answer 45

Yes. Less of a risk of infection.

Question 46

How does the decision to have an epidural affect the birthing process?

Answer 46

More likely to end in a c-section due to slowing the progression of labor. 30% of US births are c-section.