First Trimester Flashcards

1
Q

The estimated due date (EDD) is calculated from what?

A

The first day of the last menstrual period (LMP)

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2
Q

If a woman had a regular menstrual cycle of 33 days, when calculating her EDD you will what?

A

Minus three months, add seven days, add 1 year and then add an additional five days to account for the difference from 28 day cycle. Subtract if her cycle is less than 28 days by the corresponding days to 28. E.G. a woman has a 25 day cycle = subtract 3 days from EDD.

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3
Q

Elevated human chorionic gonadotrophin is a what of pregnancy?

A

A diagnostic of pregnancy

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4
Q

Using Naegele’s rule calculate the estimated due date for Miriama. Her last menstrual period was 16th July 2019.

A

23rd April 2020

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5
Q

What is the hormone used to indicate pregnancy?

A

Human Chorionic Gonadotrophin (hCG)

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6
Q

Ideally the NZCOM First Decision point in pregnancy should over by when?

A

12 weeks of pregnancy

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7
Q

What are the most important histories that we take at the booking visit?

A

Medical, obstetric, social and psychological

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8
Q

What screen is not offered at every antenatal visit?

A

Ultrasound scan

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9
Q

What is not included in the routine booking visit bloods?

A

Varicella immunity screen

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10
Q

What is thought to be responsible for causing haemorrhoids during pregnancy?

A

Progesterone and increase blood volume

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11
Q

How much does the blood volume increase in pregnancy?

A

40 - 50%

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12
Q

In a full blood count (FBC) the normal pregnancy range for haemoglobin is what?

A

100 – 145 grams/litre (g/L)

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13
Q

The main reason for measuring fundal height during pregnancy is to detect what?

A

Normal fetal growth

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14
Q

During a woman’s pregnancy it is the professional duty of a midwife to screen women for what three things?

A
  • Domestic violence
  • Smoking
  • Anemia
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15
Q

What is the germinal period?

A

From 0 to 2 weeks

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16
Q

What is the embryonic period?

A

From 3 to 8+6 weeks

17
Q

What is the fetal period?

A

From 9 weeks

18
Q

Describe the luteal (secretory) phase of the menstrual cycle?

A

Post ovulation, high levels of progesterone, thickening of the stratum functionalis

19
Q

Where does fertilisation occur?

A

The fallopian tube

20
Q

Where does implantation occur?

A

Endometrium (lining of the uterus)