Pregnancy and labour

Question 1

what does gravid refer to?

1. num of pregnancies
2. num of births

Answer 1

1. num of pregnancies

Question 2

what does parity refer to?

1. num of pregnancies
2. num of births

Answer 2

2. num of births

Question 3

which refers to the 1st trimester

1. 1-12 wks
2. 13-26 wks
3. 27-40 wks

Answer 3

1. 1-12 wks

Question 4

which is the 2nd trimester

1. 1-12 wks
2. 13-26 wks
3. 27-40 wks

Answer 4

2. 13-26 wks

Question 5

which is the 3rd trimester

1. 1-12 wks
2. 13-26 wks
3. 27-40 wks

Answer 5

3. 27-40 wks

Question 6

how many stages of labour are there

Answer 6

3

Question 7

which is the longest stages of labour

Answer 7

stage 1

Question 8

what does the 1st stage of labour involve

Answer 8

dilatation of the cervix to reach complete effacement

Question 9

what does complete effacement refer to

Answer 9

cervix has dilated >3cm

Question 10

what does the 2nd stage of labour involve

Answer 10

full dilation of the cervix and the birth of the baby

Question 11

what does the 3rd stage of labour involve

Answer 11

delivery of the placenta

Question 12

what symptoms might someone face during the 1st trimester?

list 5

Answer 12

nausea 
tiredness 
swollen breasts and nipple protude 
cravings
mood swings 
constipation 
frequent urination 
headache 
heartburn

Question 13

at how many weeks does the embryo develop into a foetus

Answer 13

8 weeks

Question 14

during which trimester does the baby bump start showing

Answer 14

2nd trimester

Question 15

at how many weeks might you feel movement and the baby kick

Answer 15

20 weeks

Question 16

what happens to the cervix during the 3rd trimester

Answer 16

softer and thinner

Question 17

at how many weeks is the baby considered full term

Answer 17

37 weeks

Question 18

what is a cervical sweep

Answer 18

sweeping finger around cervix during internal examination

separates the amniotic sac from cervix surrounding the baby

Question 19

what is the MOA of the cervical sweep

Answer 19

release of prostaglandins may can start labour

Question 20

at how many weeks of pregnancy is the cervical sweep offered to?

Answer 20

40+ weeks

Question 21

when is the oxytocin hormone drip offered to women

Answer 21

when active labour has not started following membrane rupture

Question 22

what scoring system can be used to determine induction of labour

Answer 22

Bishop score

Question 23

which is the ventous

1. cup shaped device that attaches to baby head
2. smooth curved metal instruments placed around babys head

Answer 23

1. cup shaped device that attaches to baby head

Question 24

which is the forceps

Answer 24

2. smooth curved metal instruments placed around babys head

Question 25

what is an episiotomy

Answer 25

incision through the vaginal wall and perineum = enlarge vaginal opening and facilitate childbirth

Question 26

why might an episiotomy be done

Answer 26

to avoid spontaneous tearing during delivery

Question 27

give 3 conditions in which an episiotomy might be used

Answer 27

``` breech position baby is to large instruments needed labour is going too quickly mother/baby in distress ```

Question 28

what are the 2 types of episiotomy incisions that can be made

Answer 28

midline | mediolateral

Question 29

which episiotomy incision is associated with greater blood loss and takes longer to heal

Answer 29

mediolateral

Question 30

List 3 reasons for a C-section

Answer 30

breech position of the baby placenta problems (previa/abruption) developmental problems of baby

Question 31

which refers to a low lying placenta placenta previa placenta abruption

Answer 31

placenta previa

Question 32

what is placenta accrete 1. low lying placenta 2. attachment of placenta to the myometrium

Answer 32

attachment of placenta to the myometrium

Question 33

which analgesia is contraindicated in breastfeeding 1. aspirin 2. paracetamol 3. ibuprofen 4. dihydrocodeine

Answer 33

asprin

Question 34

why is aspirin contraindicated in breastfeeding

Answer 34

Reyes syndrome

Question 35

what should be done if a pregnant mother (unsure if had chickenpox in the past) comes into contact with someone with chickenpox

Answer 35

check varicella antibodies

Question 36

what condition is mother and foetus at risk of developing when exposed to chicken pox

Answer 36

fetal varicella syndrome

Question 37

what does intrahepatic cholestasis increase the risk of during pregnancy

Answer 37

stillbirth

Question 38

how is intrahepatic cholestasis in pregnancy managed in order to avoid stillbirth

Answer 38

induction of labour 37-38 weeks

Question 39

what is intraheptic cholestasis also known as

Answer 39

obstetrics cholestasis

Question 40

what supplement is given during pregnancy to prevent spina bifida

Answer 40

folic acid

Question 41

what is the dosage of folic acid given during pregnancy

Answer 41

400micrograms

Question 42

what does administration of folic acid prevent

Answer 42

spina bifida

Question 43

list 3 causes of folic acid deficiency apart from pregnancy

Answer 43

methotrexate phenytoin pregnancy alcohol excess

Question 44

what is 400micrograms of folic acid administered till? 1. 20 wks of pregnancy 2. 12 wk of pregnancy 3. 15 wk of pregnancy 4. 10 wk of pregnancy

Answer 44

2. 12 wk of pregnancy