ch 11_ assessment of pregnant fam - Sheet1

Question 1

What are the major causes of serious illness or death during pregnancy?

Answer 1

1. Hypertension 2. Hemorrhage 3. Embolism 4. Infection 5. Morbid obesity 6. Cardiac arrest

Question 2

Why is folic acid recommended during pregnancy?

Answer 2

Folic acid (400 mg daily) prevents neural tube defects.

Question 3

Why is daily exercise important during pregnancy?

Answer 3

Daily exercise reduces common pregnancy discomforts and promotes overall health.

Question 4

What questions should be asked about hobbies during prenatal visits?

Answer 4

Ask if hobbies are safe for pregnancy.

Question 5

What risks are associated with smoking, alcohol, and drugs during pregnancy?

Answer 5

Increased risk of preterm birth and low birth weight.

Question 6

Why is screening for intimate partner violence (IPV) important during pregnancy?

Answer 6

Violence often increases in severity during pregnancy and needs to be identified to ensure safety.

Question 7

Define gravida.

Answer 7

A person who is or has been pregnant.

Question 8

Define para.

Answer 8

The number of pregnancies that have reached viability (20 weeks).

Question 9

Define primigravida.

Answer 9

A person who is pregnant for the first time.

Question 10

Define grand multipara.

Answer 10

A person who has carried five or more pregnancies to viability.

Question 11

Define nulligravida.

Answer 11

A person who has never been pregna

Question 12

What does GTPAL stand for in obstetric history?

Answer 12

G: Number of pregnancies (including current) T: Term births (≥37 weeks) P: Preterm births (20–37 weeks) A: Abortions (before 20 weeks) L: Living children.

Question 13

What weight gain is considered healthy during pregnancy for a person with a BMI within normal limits?

Answer 13

Gaining 20–36 lbs is considered healthy.

Question 14

What are danger signs related to blood pressure and weight gain during pregnancy?

Answer 14

Sudden BP increase or sudden weight gain may indicate gestational hypertension.

Question 15

Why is a Pap smear important at the first prenatal visit?

Answer 15

To screen for precancerous or cancerous conditions of the cervix.

Question 16

What is a gynecoid pelvis?

Answer 16

A “female” pelvis, ideal for childbirth.

Question 17

What is an android pelvis?

Answer 17

A “male” pelvis; difficult for fetal exit.

Question 18

What is an anthropoid pelvis?

Answer 18

An “apelike” pelvis; less accommodating for fetal head than gynecoid.

Question 19

What is a platypelloid pelvis?

Answer 19

A “flattened” pelvis; fetal head may not rotate properly.

Question 20

What are the ischial spines used for during labor?

Answer 20

To mark the midpoint of the pelvis and assess fetal descent into the birth canal.

Question 21

What are the ischial spines used for during labor?

Answer 21

They mark the midpoint of the pelvis and assess how far the fetus has descended into the birth canal.

Question 22

What first-trimester and second-trimester screenings are performed during pregnancy?

Answer 22

First trimester: Nuchal translucency (NT) scan; Second trimester: Maternal serum alpha-fetoprotein (MSAFP).

Question 23

What are the danger signs of possible pregnancy complications?

Answer 23

1. Vaginal bleeding 2. Chills, fever, or painful urination 3. Persistent vomiting 4. Sudden escape of clear vaginal fluid 5. Abdominal or chest pain 6. Gestational HTN signs 7. Decreased fetal movement 8. Preterm contractions.

Question 24

What are the specific signs of gestational hypertension?

Answer 24

Sudden weight gain, facial swelling, visual disturbances, severe headache, decreased urine output, right upper quadrant pain, BP > 140/90.