Key definitions

Question 1

What does gestational age refer to?

Answer 1

refers to the duration of the pregnancy starting from the date of the last menstrual period

Question 2

What is Gravida(G)?

Answer 2

the total number of pregnancies a woman has had

Question 3

What does primigravida refer to?

Answer 3

refers to a patient that is pregnant for the first time

Question 4

What does multigravida refer to?

Answer 4

refers to a patient that is pregnant for at least the second time

Question 5

What does Para(P) refer to?

Answer 5

refers to the number of times the woman has given birth after 24 weeks gestation, regardless of whether the fetus was alive or stillborn

Question 6

What does nulliparous(nullip) refer to?

Answer 6

refers to a patient that has never given birth after 24 weeks gestation

Question 7

What does primiparous refer to?

Answer 7

refers to a patient that has given birth after 24 weeks gestation once before

Question 8

What does multiparous(multip) refer to?

Answer 8

refers to a patient that has given birth after 24 weeks gestation two or more times

Question 9

antepartum haemorrhage definitions:
a) spotting
b) minor haemorrhage
c) major haemorrhage
d) massive haemorrhage

Answer 9

a) Spotting: spots of blood noticed on underwear

b) Minor haemorrhage: less than 50ml blood loss

c) Major haemorrhage: 50 – 1000ml blood loss

d) Massive haemorrhage: more than 1000 ml blood loss, or signs of shock

Question 10

A 32-year-old female presents to her antenatal appointment. She informs the midwife that this is her fourth pregnancy and she is approaching her 31st week of gestation. Her first pregnancy resulted in a miscarriage at 12 weeks’ gestation. Following this, she successfully delivered healthy twins in her second pregnancy. However, during her third pregnancy, she sadly delivered a stillbirth due to placental abruption at 26 weeks’ gestation.

What is her current gravidity and parity?

A. G3, P3+1

B. G4, P3+1

C. G3, P3

D. G4, P2+1

E. G4, P2

Answer 10

D. G4, P2 +1

Gravida is the number of times a woman has been pregnant (current and previous), no matter the outcome. Since this is her fourth pregnancy, G4 is correct.

Parity is the number of times a woman has delivered a potentially viable baby (ie. after 24 weeks or weighing above 500 g) including stillbirth, neonatal death or intrauterine death (twins count as one) plus the number of times a woman has delivered a potentially non-viable baby (ie. less than 24 weeks or weighing below 500 g) including miscarriage, molar or ectopic pregnancy.

P2+1 is correct, as she delivered a twin and a stillbirth at 26 weeks’ pregnancy plus one miscarriage at 12 weeks’ pregnancy.

Question 11

terminology (gravid, nulligravida, primigravida, multigravida)

Answer 11

A person who is currently pregnant is described as “gravid”
“Nulligravida” = G0 = a person who has never been pregnant
“Primigravida” = a person who is currently pregnant for the first time
“Multigravida” = a person who has been pregnant more than once

-Giving birth to a multiple pregnancy is counted as one parous event