Normal Preganancy

Question 1

When to ask about fetal movements

Answer 1

After 20 weeks

Question 2

What is gravidity

Answer 2

Number of pregnancies including current one

Question 3

What is parity

Answer 3

Number of live births beyond 24 weeks

Question 4

Inspection of pregnant abdomen

Answer 4

1. Appernet sixe of abdominal distension
2. Note any asymmetry
3. Cutaneous signs of pregnancy
4. Supeficial veins
5. Surgical scars

Question 5

What is cutaneous signs of pregnancy

Answer 5

• linea nigra (from xiphoid to suprapubic area)
• striae gravidarum (recent stretch marks purple in color)
• striae albicans (old stretch marks silvery white in color)

Question 6

When to measure symphisis fundal height?

Answer 6

After 20w

Palpate only before 20 weeks

Question 7

Value of symphysis fundal height

Answer 7

Detects approximately 40-60% of small for gestational age

(Not so much valuable in detecting large for gestational age)

Question 8

How to measure symphysis fundal height

Answer 8

By measure tape from highest point of fundus to upper margi. Of symphysis pubis

Question 9

Appropriate growth of SFH

Answer 9

Add
2 cm from 20w to 36w
3 cm from 36w to 40w
4 cm more than 40w

Question 10

Palpation of pregnant abdomen

Answer 10

-SFH
- no. Of fetuses
- fetal lie
- presentation
- amniotic fluid volume

Question 11

Amniotic fluid volume increased or decreased by palpation

Answer 11

Inc. > tense abdomen with fetal parts not easily palpated

Dec. > compact abdomen with fetal parts easily palpated

Question 12

When we can use doppler u/s (sonicade) to hear fetal heart

Answer 12

After 12 weeks

Question 13

When we can use fetal stethoscope (Pinard) to heart fetal heart

Answer 13

After 24 weaks

Question 14

Fetal heart is best heard at which point

Answer 14

Anterior shoulder

Question 15

BMI

Answer 15

Weight(kg)/ height (m2)

Question 16

Pregnancy complications increase in which bmi

Answer 16

<18.5
>25

Question 17

BP measured in pregnant women how

Answer 17

In semi recumbent position (45 degree tilt)

Question 18

Cardiac murmurs can be heard for the first time in pregnancy

Answer 18

Flow murmurs are common in pregnancy and are not significant

Question 19

Skeletal problems in pregnancy

Answer 19

Lumber lordosis can increase in normal pregnancy and can lead to lower back ache

Question 20

Uterus is normally palpable at which week

Answer 20

12 week

Question 21

Uterus reaches the level of umbilicus

Answer 21

At 20 weeks

Question 22

Uterus reaches level of xyphoid at

Answer 22

36 weeks

Question 23

Fetal heart in breech presentation can be heard on

Answer 23

On or above the level of umbilicus