Module Four

Question 1

Gravid

Answer 1

The state of being pregnant

Question 2

Gravida

Answer 2

A pregnant woman

Question 3

Nulligravida

Answer 3

A woman who has never been pregnant

Question 4

Primigravida

Answer 4

A woman pregnant for the first time

Question 5

Multigravida

Answer 5

Two or more pregnancies

Question 6

Parity

Answer 6

of times a woman has given birth after 20wks

Question 7

Nullipara

Answer 7

Woman has not yet given birth

Question 8

Primipara

Answer 8

Woman has given birth more than once

Question 9

Multipara

Answer 9

Woman has given birth more than once

Question 10

Preterm

Answer 10

20-36-6 weeks gestation

Question 11

Term

Answer 11

37-41-6 weeks gest

Question 12

Postterm

Answer 12

> 42 weeks gest

Question 13

GTPAL

Answer 13

Gravidy, Term, Preterm, Abortion, Living Children

Question 14

Presentation

Answer 14

part of fetus entering pelvic inlet first

Question 15

Presenting Part

Answer 15

Part of fetus that lies closer to the internal os, part felt during VE

Question 16

Position

Answer 16

Relationship of presenting part of fetus to the 4 quad of mat pelvis

Question 17

Attitude

Answer 17

Relationship of fetal body parts to each other - flexed, deflexed, extended

Question 18

Lie

Answer 18

relationship of long axis (spine) of fetus to the long axis of the mother. Longitudinal (vertical) or horizontal (transverse) or oblique (diagonal)

Question 19

Station

Answer 19

Relationship of the presenting part to an imaginary line drawn between the ischial spines of the pelvis. Degree of descent

Question 20

Types of Positions

Answer 20

L- left
R- right
A- Anterior
T- Transverse
P- Posterior
S-Sacrum
O-Occiput

Question 21

Positive Signs of Pregnancy

Answer 21

Fetal HR, Visualized with US, movement

Question 22

Probable Signs of Pregnancy

Answer 22

hCG urine test, Hegar’s sign, Ballottement

Question 23

Presumptive Signs of pregnancy

Answer 23

Missed period, breast tenderness, fatigue

Question 24

First trimester - Mat Health

Answer 24

Comprehensive health assess
Reproduction hx
Routine blood tests
Ultrasound

Question 25

Second Trimester - Mat Health

Answer 25

Visits q4-6wks
Mat & Fetal wellbeing
Detailed US 18-20wks
Fundus @ Umbilicus
Gest Diabetes screening

Question 26

Third Trimester - Mat Health

Answer 26

Visits q4-6wks
wks 30-36 = q2-3wks
GBS screen wk 35-37

Question 27

Fetal Heart Rate

Answer 27

110-160bpm

Question 28

Fetal Movement

Answer 28

15-20 weeks “quickening” flutter

2nd and 3rd trimester, fetal movement indicates wellbeing - minimum 6 in 2 hours

Question 29

Three layers of the uterus

Answer 29

Endometrium - inner layer
Myometrium - middle layer
Outer Layer

Question 30

Which arteries supply the uterus?

Answer 30

Uterine and Ovarian.
The wt of the fetus exerts pressure on the inferior vena cava which can result in 25-30% decrease in Cardiac output –> supine hypotension –> nausea, dizziness, pallor, diaphoresis, decreased blood supply to fetus

Question 31

Folate/Folic Acid

Answer 31

required for closure of neural tube - 0.6mg in addition to dietary sources: meat, fortified cereal, legumes, green vegetables, oranges

Question 32

Signs of Approaching Labour

Answer 32

• Presenting part descends - lightening, dropping, SFH dec
• low back ache, pelvic pressure, braxton hicks inc freq
• softening of cervix causes mucous plug expulsion - bloody show
• energy surge- nesting
• slight weight loss

Question 33

Prelabour Rupture of Membranes

Answer 33

• 6-19% of all births
• risk of cord prolapse
• confirm with nitrazine test, ferning test