Maternal and Child

Question 1

Fertilization occurs __ hours after __ and occurs at the ___.

Answer 1

24 hours after ovulation at the outer third of the fallopian tube.

Question 2

Implantation occurs at the ___. The best time for implantation is __ after __.

Answer 2

Upper 2/3 of the uterus; between 6-10 days after ovulation

Question 3

Hormone

__is the highest on the day before ovulation while __ is lowest at this time.

Answer 3

Estrogen; Progesterone

Question 4

The self-breast examination is best done on the __ day of __. What is the rationale?

Answer 4

3rd day of menstrual cycle since estrogen is lowest causing decrease blood flow to the breast.

Question 5

The placenta is formed by the __week of pregnancy. It is functional by the __ week, and at term is 1/6 of the newborn’s weight.

Answer 5

8th to 10th week; 12th week

Question 6

Normal weight gain in pregnant women would total to __ pounds.
Cardiac volume increase by __ causing increased CO, increased pulse rate by __ breaths/min.
A ___ in BP (30%) during the 2nd and 3rd trimesters is due to the vasodilating effects of estrogen.

Answer 6

22-27 pounds
40-50
10-15 bpm
Decrease

Question 7

What are the 3 germ layers?

Answer 7

Ectoderm
Mesoderm
Endoderm

Question 8

All organ systems are complete at __ of gestation.

Surfactant starts to be secreted by the alveolar cells at about the __ week of pregnancy.

Answer 8

8 weeks; 24th week

Question 9

Lecithin-sphingomyelin ration is __, which indicates what?

Answer 9

2:1; indicates fetal lung maturity

Question 10

What indicates if there are high alpha-fetoprotein levels in the amniotic fluid.
It may occur because of a lack of __.

Answer 10

Neural tube defects; folic acid

Question 11

Quickening or also called __ can be detected by ultrasound as early as __ week but can only be felt by the mother until almost __ weeks

Answer 11

Fetal movement; 11th week; 20 weeks

Question 12

__ maternal antibodies cross the placenta providing temporary __ immunity to the fetus.

Answer 12

IgG; Passive

Question 13

FHR is heard by Doppler at __ weeks, using a fetoscope by the __ week, and using a stethoscope by __ weeks.

Answer 13

10 weeks; 16th; 18-20 weeks

Question 14

Fetal biophysical profile assesses six (6) parameters. They are?

Answer 14

Fetal breathing movement 
Fetal body movement 
Fetal tone 
Amniotic fluid index 
Non-stress test 
Placental grade

Question 15

__ refers to the degree of flexion a fetus assumes during labor or the relation of fetal parts to each other.

Answer 15

Fetal attitude

Question 16

Indicate if it is a good, moderate, or poor attitude.
A. Back is arched, extended neck
B. Complete flexion
C. Chin not touching the chest; brow partial extension

Answer 16

A. Poor
B. Good
C. Moderate

Question 17

Abortion is the termination of pregnancy before __ of gestation

Answer 17

20 weeks