MODULE 1 OB

Question 1

Presumptive signs of Pregnancy

Answer 1

Breast changes (2 weeks)
Nausea/Vomiting (2 weeks)
Amenorrhea (2 weeks)
Frequent Urination (3 weeks will continue till week 9 and start again at 30 weeks)
Fatigue (12 weeks)
Quickening (16-20 weeks)
Linea nigra (24 weeks)
Melasma on face/Cholasma (24 weeks) doesn't go away
Striae gravidarum (24 weeks) hereditary

Question 2

Probable signs of Pregnancy

Answer 2

Uterine Enlargement (12 weeks) 
Positive serum HCG (1 week)
Chadwicks Sign (6 weeks)
Goodells sign (6 weeks)
Hegars sign (6 weeks)
Sonographic evidence of gestational sac (6 weeks)
Braxton hicks contractions (20 weeks)
Palpations of fetal outline by mom (20 weeks)
Ballotement (16 weeks)

Question 3

Positive signs of Pregnancy

Answer 3

Sonographic evidence of fetal outline (8 weeks)
Fetal heart audible (8-12 weeks)
Palpation of fetal movement -other then mom (20 weeks)

Question 4

Chadwicks sign

Answer 4

bluish coloration of the mucous membranes of cervix, vagina, and vulva; vagina changes color from pink to violet.
Other possible causes: hyperemia of cervix, vagina, or vulva

Question 5

Goodells Sign

Answer 5

softening of the cervix; occurs at the beginning of the second month of gestation and is a probable sign of pregnancy; cervix softens.
Other possible causes: estrogen-progestin hormonal contraceptives.

Question 6

Hegars Sign

Answer 6

compressibility and softening of the lower uterine segment; occurs at about week six of gestation; a probable sign of pregnancy; lower uterine segment softens.
Other possible causes: excessively soft uterine walls.

Question 7

Ballotement

Answer 7

rebounding of the fetus against the examiner’s finger on palpation. When the cervix is tapped, the fetus floats upward in the amniotic fluid. A rebound is felt by the examiner when the fetus falls back; fetus can be felt to rise against abdominal wall when lower uterine segment is tapped during bimanual examination.
Other possible causes: ascites, uterine tumor or polyps.

Question 8

EDC

EBD

Answer 8

Estimated date of conception

Estimated Birth Date

Question 9

Normal pregnancy lasts

Answer 9

280 days or 38-42 weeks

Question 10

Nageles Rule

Answer 10

First day of the last menses, Subtract 3 months and add seven days. Verify correct birth year (add year if necessary)

Question 11

Uterus Capacity

Blood volume?

Answer 11

increases from 10ml to 5000 ml
Becomes an abdominal organ at 14 weeks
1/6th of moms blood volume, 500ml/min

Question 12

Where can you palpate the uterus by week

Answer 12

Week 12- just above symphysis publis
20 weeks - umbilicus
28-31 halfway between the umbilicus and typhoid process
32-35 weeks- just below xiphoid process

Question 13

GPTAL

Answer 13

GRAVIDA- total number of pregnancies
TERM- total number of pregnancies 37 weeks or more
PRETERM- total number pregnancies between 20 weeks and 37 weeks
ABORTIONS- total number of pregnancies ending between conception and 20 weeks
LIVING- total number of living children

Question 14

Gravida
Gavidity
Nulligravida
Primigravida
Multigravida
Parity
nulipara
primipara
multipara
grandmultipara

Answer 14

Gravida refers to a pregnant woman.
Gravidity refers to the number of pregnancies.
Nulligravida is a woman who has never been pregnant.
Primigravida is a woman who is pregnant for the first time.
Multigravida is a woman in at least her second pregnancy.
Parity is the number of births (not the number of fetuses, e.g., twins) past 20 weeks (some books say 24 weeks), gestation, whether or not the fetus was born alive.
Nullipara is a woman who has not had a birth at more than 20 weeks of gestation.
Primipara is a woman who has had one birth that occurs after the 20th week of gestation.
Multipara is a woman who has had two or more pregnancies resulting in viable offspring.
Grandmulitpara- more than 5 pregnancies