L1 Normal Pregnancy

Question 1

Answer 1

Question 2

Characteristics of each Trimester

Answer 2

Question 3

At what age can you see fetal heartbeat?

Answer 3

6-7 Weeks

Question 4

At what week can sex of baby be determined?

Answer 4

13-14- Weeks

Question 5

Hematological Changes of pregnancy?

Answer 5

Changes in clotting factors to pro-coagulant state

Question 6

GI Changes of pregnancy?

Answer 6

Decreased gastric motility

Loss of physiological sphincter at the esophageal gastric junction

Increased insulin resistance (mostly third trimester)

Question 7

Cardiovascular/Respiratory changes of pregnancy?

Answer 7

Question 8

Bloods taken during first trimester of pregnancy?

Answer 8

Question 9

Nutrition in pregnancy?

Answer 9

Normal foods in normal amounts - Don’t eat for 2!!

Avoid unpasturised cheeses and raw meat

Supplements as required (Folic Acid/Vitamin D Supplementation)

Question 10

When is the Fetal Anatomy Scan Conducted?

Answer 10

18-22 weeks GA

Studies all organ systems, growth and placenta

May add on full fetal echocardiogram in high risk populations

Question 11

How often are antenatal visits in the 3rd trimester?

Answer 11

Fortnightly to weekly antenatal checks

BP/Urine/Symphysis fundal height (SFH):

Glucose/Protein Urinalysis: Looking for DM, UTI, Pre-Eclamsia

Question 12

Stages of Labor?

Answer 12

Question 13

Diagnosis of labor? (Signs/Symptoms?)

Answer 13

Question 14

Classification of Labor Contractions?

Answer 14

Question 15

Period immediately after childbirth when the womb is returning to its normal size, lasting approximately six weeks

Answer 15

The Puerperium

Question 16

Vaginal discharge along with decidua, clots and membrane after delivery of the placenta during the puerperium

Fishy in odour

Continues for up to 6 weeks but continually reducing

Answer 16

Lochia

Question 17

Answer 17

Question 18

The Pereneum

• Swelling and engorgement resolved within _______
• Perineal injury: heals by the first intention
• Integrity and strength recovered by ________
• Pelvic floor strength recovered by __________
• Kegel exercises

Answer 18

The Puerperium

• Swelling and engorgement resolved within 2 weeks
• Perineal injury: heals by the first intention
• Integrity and strength recovered by 6 weeks
• Pelvic floor strength recovered by 6 weeks
• Kegel exercises

Question 19

The Uterus

• 1000g to 100-200g by_________
• Umbilicus by ___________________________
• Midway between umbilicus and symphysis by ________
• Pelvis by _________

Lochia continues up to______

Answer 19

The Uterus => 1000g to 100 200g by 6 weeks

• Umbilicus immediately following delivery
• Midway between umbilicus and symphysis by 2 weeks
• Pelvis by 4 weeks

Lochia continues up to 6 weeks

Question 20

Cervix is closed by ____________

Answer 20

Cervix is closed by 2 weeks

Question 21

Ovaries

• Ovulation may return within __________ in non breastfeeding mothers with likely return of menstruation
• Suppression of lactation due to the pulsatile nature of ___________ release

Protective?

Answer 21

Ovaries

• Ovulation may return within 6-8 weeks in nonbreatsfeeding mothers with likely return of menstruation
• Suppression of lactation due to the pulsatile nature of prolactin release

Ovulation will return even if mothers continue to breastfeed not protective

Question 22

What triggers Lactational function of breasts?

Answer 22

Lactational function of breasts triggered by DECR in estrogen after delivery of the placenta and INCREASED prolactin

Question 23

Colostrum vs. Milk?

Answer 23

Colostrum: Secreted for 2-3 days. Protein, fat, minerals, IgA, and IgG

Milk: Protein, lactose, water, fat, IgG, IgA, and IgM

Question 24

Most common position of babies head during delivery

Answer 24

Occiput Anterior