Prenatal and Leopolds Maneuver

Question 1

Refers to the number of times a woman has been pregnant

Answer 1

Gravida

Question 2

Is the number the woman has given birth to a fetus with gestational age of more than 24 weeks whether the child was born live or was stillborn

Answer 2

Para/Parity

Question 3

Has been pregnant for the first time

Answer 3

Primigravida

Question 4

Has been given birth to one child

Answer 4

Primipara

Question 5

Has been pregnancy previously

Answer 5

Multigravida

Question 6

Has carried 2 or more pregnancies to viability

Answer 6

Multipara

Question 7

Carried 5 or more pregnancies to viability

Answer 7

Grand multipara

Question 8

Has never been and is not currently pregnant

Answer 8

Nulligravida

Question 9

Termination of pregnancy before the fetus attained viability

Answer 9

Abortion

Question 10

Expelled from the uterus during the first half of gestation (20 weeks or
less), or weighing less than 500 gms

Answer 10

Abortus

Question 11

Infant died in the womb after 20 weeks gestation (earlier regarded as
abortion.

Sometimes called as fetal demise

Answer 11

Stillbirth (IUFD –fetal death)

Question 12

Death or loss of the baby before or during delivery

Answer 12

Stillborn

Question 13

Pregnancy with AOG of 37-42 weeks

Answer 13

Term

Question 14

Born before 38 weeks

Answer 14

Premature

Question 15

Born before 38 weeks

Answer 15

Premature

Question 16

Vaginal discharge that occurs at the end of pregnancy or during labor

Answer 16

Bloody show

Question 17

TPAL (describes the outcomes of pregnancies)

Answer 17

Term
Premature
Abortion
Live

Question 18

Regular and periodic care of a pregnant woman and her unborn baby throughout pregnancy

Answer 18

ANTENATAL CARE

Question 19

1st Visit

Answer 19

within 3 months

Question 20

2nd Visit

Answer 20

6 months

Question 21

3rd visit

Answer 21

8 months

Question 22

4th visit

Answer 22

9 months

Question 23

1st trimester ( 3 lbs)

Answer 23

0.4 kg or 1 lb/ mo

Question 24

2nd trimester ( 12 lbs)

Answer 24

0.4 kg or 1 lb/week

Question 25

3rd trimester ( 12 lbs)

Answer 25

0.4 kg or 1 lb/week

Question 26

Metric system

Answer 26

Weight in Kg / Height in m^2

Question 27

English System

Answer 27

Weights in lbs x 703 / height in in^2

Question 28

Underweight

Answer 28

Under 18.5

Question 29

Normal weight

Answer 29

18.5 - 24.9

Question 30

OVERWEIGHT

Answer 30

25 - 29.9

Question 31

Obesity

Answer 31

30 or more

Question 32

BP decreases slightly during 2nd trimester because of peripheral resistance to circulation, is lowered as the placenta expands rapidly

Answer 32

True

Question 33

During 3rd trimester, bp rises again. Increase BP and sudden weight gain are danger signs of PIH

Answer 33

True

Question 34

Heart rate increases by 10 beats/min .

Answer 34

True

Question 35

Early in pregnancy temperature increases slightly and decreases to normal at about 16 weeks

Answer 35

True

Question 36

Slight increase in rr ( 2 breathjs/min)

Answer 36

True

Question 37

✓ Refers to the length of pregnancy measured from the 1st day of the last menstrual period. ✓Sometimes measured in lunar months ( 10 months, 40 weeks or 280 days) or in TRIMESTER (3 months period)

Answer 37

AOG ( Age of Gestation ) or Gestational Age

Question 38

1st Trimester

Answer 38

1 to 12 weeks ( 1-3 mos.)

Question 39

2nd Trimester

Answer 39

13 to 24 weeks ( 4-6mos.)

Question 40

3rd Trimester

Answer 40

25 to 38 weeks (7-10mos.)

Question 41

Nagele’s Rule

Answer 41

Ask the woman to state the 1 st day of the LMP (Last Menstrual Period) ❖ LMP falls from January – March -- + 9 + 7 ❖ LMP falls from April – December -- - 3 + 7 + 1

Question 42

To determine the AOG based on the location of fundus in the abdominal cavity: landmarks.

Answer 42

Bartholomew’s Rule

Question 43

❑ 3 mos. (12 wks.)

Answer 43

Just above the symphysis pubis

Question 44

❑ 4 mos. (16wks.)

Answer 44

Midway between the symphysis pubis and the umbilicus

Question 45

❑ 5 mos. (20-22wks.)

Answer 45

At the level of the umbilicus

Question 46

❑ 9 MOS. (36wks.)

Answer 46

Just below the xiphoid process

Question 47

❑ 10 mos. (40wks.)

Answer 47

Same level in 8-9mos. Or 4cm. Below xiphoid process due to lightening

Question 48

Uses fundal height to determine the duration of a pregnancy

Answer 48

Mcdonald’s Rule

Question 49

FH [in cm] x 8/7 = GA in weeks

Answer 49

Problem: What is the estimated gestational age in weeks if the fundic height is 21 cm Solution: 21 x 8 7 Estimated AOG = 24 weeks

Question 50

FH [in cm] x 8/7 = GA in weeks

Answer 50

FH [in cm] x 8/7 = GA in weeks Problem: What is the estimated gestational age in weeks if the fundic height is 21 cm Solution: 21 x 8 7 Estimated AOG = 24 weeks

Question 51

Describes the location of a fixed reference point on the presenting part in relation to the four quadrants of the maternal pelvis

Answer 51

Fetal position

Question 52

the relationship of the long axis of the fetus to the long axis of the woman

Answer 52

LIE

Question 53

tightening and shortening of cervix Resulting in effacement and dilatation of cervix

Answer 53

Uterine contraction

Question 54

intensity increases

Answer 54

Increament

Question 55

contraction is at peak

Answer 55

Acme

Question 56

intensity decreases

Answer 56

Decreament

Question 57

LENGTH of uterine contraction F from the beginning of uterine contraction to the end of the same uterine contraction.

Answer 57

Duration

Question 58

TIme when contractions begin to the beginning of the next uterine contraction

Answer 58

Frequency

Question 59

time from the end of uterine contraction to the beginning of uterine contraction( resting period of uterine contraction

Answer 59

Interval