Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

2nd year > MATERNAL 28-39 > Flashcards

MATERNAL 28-39 Flashcards

1
Q

The average length of pregnancy is

A

280 days (40
weeks), 10 lunar months, or 9 calendar months),

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

To calculate the EDD by Naegele’s rule

A

count
backward 3 calendar months from the month in
which the last menstrual period occurred. Using
the date of the first day of this menses, add 7
days. Change the year, if necessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The following are ways to date the pregnancy
when LMP is unknown.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

inspection and palpation of the breasts for normal

Questionable changes include

A

recent lumps or
masses that feel hard or fixed, dimpling,
redness, edema, ulceration and nipple
retraction or elevation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Subsequent prenatal assessments, pregnancy, prenatal
visits are scheduled every ___weeks for the first 28 weeks

A

4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Subsequent prenatal assessments, pregnancy, prenatal
visits are scheduled every _ weeks from 28 to 36 weeks, and then weekly until
delivery

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

During the course of the pregnancy, a total
weight gain of ____ lb. is recommended

A

24 to 30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A normal pattern of weight gain is lb. in the
first 10 weeks,
lbs. at 20 weeks,
lbs. by 30
weeks, and
lbs. by 40 weeks.

A

1.5
9
19
27.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

(excessive salivation) occurs, probably as
a local reaction to the influence of estrogen

A

Ptyalism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

(increased vaginal discharge that is
white in color) results from the increased activity
of vaginal epithelial cells as they prepare for
distention during the birth process.

A

Leukorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ankle Edema

A

Rest your feet elevated. Avoid standing for long periods Avoid restrictive garments on the lower half of your body-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Backache

A

Apply local heat. Avoid long periods of standing. Stoop to pick up objects.
Paracetamol in usual adult dose may help. Wear low-heeled shoes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Breast tenderness

A

Wear a supportive bra. Decrease the amount of caffeine and carbonated beverages ingested.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Constipation

A

Increase fiber in your diet.
Drink additional fluids.
Have regular time for bowel movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Difficulty sleeping

A

Drink a warm, caffeine -free drink before bed and practice relaxation techniques.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fatigue

A

Schedule a rest period daily. Have a regular bedtime routine.
Use extra pillows for comfort.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Faintness

A

Move slowly. Avoid crowds. Remain in a cool environment.
Lie on your left side when at rest.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Headache

A

Avoid eye strain. Visit your eye doctor. Rest with a cool cloth on your forehead. Take Paracetamol in regular adult dose, as needed. Report frequent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Heartburn

A

Eat small, frequent meals each day. Avoid overeating, as well as spicy, fatty and fried foods.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hemorrhoids

A

Avoid constipation and straining with a bowel movement take a sitz bath. Apply a witch hazel compress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Leg cramps

A

Avoid pointing your toes. Straighten your leg and dorsiflex your ankle.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Nausea

A

Eat six small meals per day rather than three. Eat a piece of dry toast or some crackers before getting out of bed. Avoid foods or situations that worsen the nausea. If it persists, report the problem to your primary care provider.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Some expectant fathers develop a cluster of
signs and symptoms of pregnancy similar to the
mother. This is called

A

couvade syndrome.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
  • noted at 20 weeks in Primi & 16 weeks in
    multigravidas
A

Quickening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Three periods of three months each.
Months are the first trimester
Months are the second trimester
Months are the third trimester

A

1 - 3
4 - 6
7 - 9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Prenatal development is often measured in

A

lunar
months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Each lunar month consists of days, organized into
four weeks of seven days each.

A

28

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

a pregnancy is lunar months long

A

10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Assessment of Fundic Height
McDonald’s Rule

A

Fundic height (cm) x 2/7 = AOG in lunar months
Fundic Height (cm) x 8/7 = AOG in weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

another symphysis-fundal height measurement
(not thoroughly reliable) is an easy method of
determining mid pregnancy growth.

A

McDonald’s Rule

31
Q

Estimates AOG by the position of the uterus in the
abdominal cavity

A

Bartholomew’s Rule

32
Q

Bartholomew’s Rule

12 weeks

A

symphysis pubis

33
Q

Bartholomew’s Rule

16 weeks

A

halfway bet. Umbilicus & SP

34
Q

Bartholomew’s Rule

20 weeks

A

level of umbilicus

35
Q

Bartholomew’s Rule

24 weeks

A

2 FB above umbilicus

36
Q

Bartholomew’s Rule

30 weeks

A

half way bet umbilicus & xiphoid process

37
Q

Bartholomew’s Rule

36 weeks

A

level of xiphoid process

38
Q

Bartholomew’s Rule

40 weeks

A

just below xiphoid process

39
Q

Estimates the weight of fetus in grams relative to
height of the fundus
Fetal weight = fundic height (cm) – N x K
K – 155 (constant)
N – 12 if engaged, 11 if not yet engaged

A

Johnson’s Rule

40
Q

To determine the length of fetus in cm.
1st half of pregnancy (1 to 5 lunar months ) - square
the no. of months
2nd half of pregnancy (6 to 10 lunar months) - multiply
the no. of months by 5

A

Hasse’s Rule

41
Q

FH = 34 cm 34cm multiply by 8 divided by 7
Ans. = 38 to 39 weeks
34cm multiply by 2 divided by 7
Ans.= 9 to 10 lunar months

A

MC Donald’s Rule

42
Q

Women train for the role of expectant parent and
interact with babies and children.

B. Psychosocial Stages of Pregnancy

A

Anticipatory stage

43
Q

Women fully assume the pregnancy role and initially
may seek help from family members,

B. Psychosocial Stages of Pregnancy

A

Honeymoon stag

44
Q

The pregnancy role is fully exercised; the expectant
parent validates the adequacy of the current role.

B. Psychosocial Stages of Pregnancy

A

Plateau stage

45
Q

The termination stage precedes and includes
termination of the pregnancy role (i.e. Labor and birth
of the infant (although the pregnancy role may
terminate in other ways))

B. Psychosocial Stages of Pregnancy

A

Disengagement

46
Q

Common emotional reactions of the woman or the
couple to pregnancy include the following:

Ambivalence, fear, fantasies, or
anxiety

A

First trimester.

47
Q

Common emotional reactions of the woman or the
couple to pregnancy include the following:

Well-being, increased need to learn
about fetal growth and development, narcissism,
passivity, or introversion (may seem egocentric and
self-centered)

A

Second trimester

48
Q

Common emotional reactions of the woman or the
couple to pregnancy include the following:

Feels awkward, clumsy, unattractive;
becomes more introverted; or reflects on own
childhood.

A

Third trimeste

49
Q

refers to the medical and nursing
care given to the pregnant woman between
conception and the onset of labor

A

Antepartum care

50
Q

The total energy cost of pregnancy is __ calories.

A

85, 000

51
Q

Protein requirements increase to provide sufficient
amino acids for fetal development, increased blood
volume, and breast and uterine tissue growth; the
recommended daily allowance is ____ more than
nonpregnant needs

A

30 g/d

52
Q

Commonly recommended prenatal nutritional
supplements contain vitamins

A

B6, D, E, and C; folic
acid; pantothenic acid; iron; calcium; magnesium;
zinc, and copper

53
Q

causes relaxation of the smooth muscle,
including the gastrointestinal tract, and reduced
motility, allowing more nutrients to be absorbed

A

Progesterone c

54
Q

increases water retention.

A

Estrogen

55
Q

is implicated in nausea

A

HCG

56
Q

FHR usually is auscultated at the __
region with a Doppler ultrasound transducer at 10 to
12 weeks’ gestation.

A

midline suprapubic

57
Q

An FHR of ____ beats per minute can be
distinguished from the slower maternal heart rate by
palpating the mother’s pulse while auscultating the
FHR.

A

120 to 160

58
Q

Serial sonograms provide useful information when
assessing fetal growth and well being.

A

Ultrasonography (sonograms)

59
Q

Measurement of fundal height (Mcdonald rule)

Assessment begins during the ___ trimester when
the fundus is palpable at the level of the umbilicus

A

second

60
Q

Measurement of fundal height (Mcdonald rule)

Assessment begins during the second trimester when
the fundus is palpable at the level of the umbilicus (at
_weeks) and continues until it reaches the xiphoid
process (at _weeks)

A

20

36

61
Q

Measurement of fundal height (Mcdonald rule)

Measurement involves using a nonelastic, flexible
measuring tape, placing the zero point on the
___border of the ____, and
stretching the tape across the abdomen at the
midline to the top of the __

A

superior , symphysis pubis

fundus.

62
Q

In primigravida (first-time mothers), quickening
normally is detected between _
gestation.

A

18 and 20 weeks’

63
Q

In multigravidas, quickening may occur as early as __
week

A

16

64
Q

is typically described as a light fluttering
feeling; it may be mistaken for flatus

A

Quickening

65
Q

may be used during the antepartum period to
evaluate fetal status. It can demonstrate fetal heart
rate changes in response to fetal movement and
spontaneous or induced uterine contractions .

A

EFHM

66
Q

Common EFHM studies are the

A

nonstress test (NST)
and the contraction stress test (CST).

67
Q

This test would not be performed until about 38+
weeks and only if there were other indications of a
problem like the biophysical profile or MSAFP

A

Contraction Stress Test (CST)

68
Q

Other procedures

also referred to as “kick counts”
assessed by the mother, and a is placed on the
monitor strip.
Fetal heart rate in relation to fetal movement is
explained. There should be a slight rise in fetal
heart rate immediately before movement

A

Fetal activity determination

69
Q

Other procedures

help monitor fetal status
For example, serum human chorionic
gonadotropin indicates a viable fetus, and serum
estriol and human placental lactogen reflect fetal
homeostasis.

A

Routine maternal urinalysis & serum assays

70
Q

Other procedures

Includes MSAFP, human chorionic gonadotropin,
and unconjugated estriol. Together they increase
the detection of trisomy 18 and trisomy 21
performed between 15 and 22 weeks and are
considered positive, if all three markers are low.
Further testing for karyotyping is usually offered.

A

Triple screening

71
Q

Other procedures

a first trimester (10 to 12 weeks) alternative to
amniocentesis for prenatal diagnosis of genetic
abnormalities.
accomplished by needle aspiration of a sample of
chorionic villi, either by the transcervical on
transabdominal route.

A

CVS

72
Q

Other procedures

can determine fetal maturity, and detect certain
birth defects (eg. Down syndrome or spina bifida),
hemolytic disease of the newborn, and sex and
chromosomal abnormalities

A

Amniocentesis

73
Q

Other procedures

also called cordocentesis
may be performed in the second or third
trimesters to investigate or treat conditions
requiring direct access to the fetal vascular
system

A

Percutaneous umbilical blood sampling (PUBS)

74
Q

Other procedures

enables direct fetal visualization through a
fetoscope; a fiberoptic optical instrument,
inserted through the abdominal and uterine walls
to identify fetal developmental abnormalities.
The fetoscope can retrieve tissue and blood
samples to detect hemophilia or other disorders
and may be used for some types of fetal surgery

A

Fetoscopy

2nd year (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions