PRENATAL CARE

Question 1

Periodic and regular supervision including examination and advice of a woman during pregnancy.

Answer 1

Antenatal Care

Question 2

It is a planned examination and observation for the woman from conception till the birth.

Answer 2

Prenatal Care / Prenatal Visit

Question 3

Refers to the care that is given to an expected mother from time of conception is confirmed until the beginning of labor.

Answer 3

Antenatal Care

Question 4

Pregnant woman. The number of pregnancies a woman has had regardless of the outcome of pregnancy.

Answer 4

Gravida

Question 5

A woman pregnant for the first time.

Answer 5

Primigravida

Question 6

A woman who has never been pregnant.

Answer 6

Nulligravida

Question 7

A woman who has had 2 or more Pregnancies.

Answer 7

Multigravida

Question 8

The number of pregnancies that has reached viability (20 weeks or more) or the number of fetus delivered with birth weight of 500 gms or more.

Answer 8

Para

Question 9

A woman who has completed 1 pregnancy to viability.

Answer 9

Primipara

Question 10

A woman who has never delivered a fetus that reached the age of viability: such woman may or may not have been pregnant before.

Answer 10

Nullipara

Question 11

A woman who has completed 2 or more pregnancies to the age of viability.

Answer 11

Multipara

Question 12

A recorded when an infant born shows signs of life: breathing. spontaneous movements of voluntary muscles, & heartbeat.

Answer 12

Livebirth

Question 13

an infant born without signs of life.

Answer 13

Stillbirth

Question 14

Death of a newborn within 7 days after birth.

Answer 14

Early Neonatal Death

Question 15

an infant who died between 7 to 29 days after birth.

Answer 15

Late Neonatal Death

Question 16

If the newborn’s weight is less than 2,500 grams.

Answer 16

Low birth weight

Question 17

An infant with a birth weight of more than 4,000 grams.

Answer 17

Large for Gestational Age (LGA)

Question 18

To ensure a normal pregnancy with delivery of a healthy baby from a healthy mother.

Answer 18

Objective

Question 19

An infant born between 38 to 42 weeks gestation.

Answer 19

Term infant

Question 20

an infant born 42 weeks gestation.

Answer 20

Post term infant

Question 21

an infant born before 38 weeks gestation.

Answer 21

Pre term

Question 22

a woman in labor.

Answer 22

Parturient

Question 23

a woman who has just delivered; period within the 6 weeks after delivery.

Answer 23

Puerpera

Question 24

AIMS/GOALS OF PRENATAL CARE

Answer 24

+ To screen the high risk cases

+ To prevent or detect or treat at the earliest any complications

+ To ensure continued risk assessment and to provide ongoing primary preventive health care

+ To educate the mother about the physiology of pregnancy and labor by demonstration, charts and diagrams so that fear is removed, and psychology is improved.

+ To discuss the couple about the place, time and mode of delivery, provisionally and care of the newborn

+ To motivate the couple about the need of family planning and appropriate advice to couple seeking medical termination of pregnancy

Question 25

IDEALLY 13 VISITS

Answer 25

✓ 7 in 1st 7months
✓ 2 in 8th month
✓ 4 in 9th month

Question 26

ASSESSMENT AND PHYSICAL EXAMINATION MUST BE COMPLETED INCLUDING:

Answer 26

➤ History

➤ Physical Examination

➤ Laboratory Data

➤ Psychological Assessment

➤ Nutritional Assessment

Question 27

DEMOGRAPHIC DATA:

Answer 27

1. Name
2. Age- Under 17 or 35
3. Address
4. Civil status/marital status
5. Nationality
6. Weight
7. Height
8. Religion
9. Occupation
10. Phone number

Question 28

hyperemesis gravidarum & threatened abortion

Answer 28

1st Trimester

Question 29

pyelitis

Answer 29

2nd Trimester

Question 30

Anemia, pre-eclampsia, antepartum hemorrhage

Answer 30

3rd Trimester

Question 31

compete menstrual history

Answer 31

■ Last menstrual period (LMP).
■ Age of menarche.
■ Regularity and frequency of menstrual cycle.
■ Contraception method.
■Any previous treatment of menstrual
■ Expected date of delivery (EDD) is calculated.

Question 32

PHYSICAL ASSESSMENT
HISTORY OF PAST PREGNANCIES:

Answer 32

1. Number of past pregnancies
2. Outcome
3. Complications of pregnancy
4. Labor time
5. Method of delivery
6. Complications of labor
7. Puerperium
8. Complications of puerperium

Question 33

PHYSICAL ASSESSMENT

Answer 33

A. HISTORY OF PAST PREGNANCIES.

B. BASELINE HEIGHT/WEIGHT AND VITAL SIGN MEASUREMENT.

C. ASSESSMENT OF BODY SYSTEMS.

Question 34

To determine blood type

Answer 34

Blood Group (blood type & Rh factor)

Question 35

To detect anemia

Answer 35

CBC (Hgb & Hct)

Question 36

To determine immunity

Answer 36

Rubella

Question 37

To detect infection or renal disease, protein, glucose and ketones

Answer 37

Urine Analysis

Question 38

To screen for cervical cancer

Answer 38

Papanicolau (Pap) Test

Question 39

To detect ova and parasites

Answer 39

Stool analysis

Question 40

To detect for syphillis

Answer 40

VDRL (Venereal Disease Test)

Question 41

To detect carrier status or active status

Answer 41

Hepatitis B

Question 42

+ Blood typing (including Rh factor).

+ Blood type is documented because blood may have to be made available if a woman has bleeding during pregnancy and to detect the possibility of ABO and Rh isoimmunization.

Answer 42

RH

Question 43

A complete blood count, including hemoglobin or hematocrit and red cell index to determine the presence of anemia, a white blood cell count to determine infection, and a platelet count to estimate clotting ability.

Answer 43

CBC

Question 44

Serum antibody titers for rubella, hepatitis B (HBsAg), hepatitis C, varicella (chickenpox) may assessed.

These tests determine whether a woman is protected against these diseases if exposure should occur be during pregnancy. Vaccines against these diseases can then be offered in the postpartum period.

Answer 44

RUBELLA

Question 45

If a woman has a history of previously unexplained fetal loss, has a family history of diabetes, has had babies who were large for gestational age (9 lb or more at term), has a BMI over 30, or has glycosuria, she will need to be scheduled for a 50g oral 1-hour glucose loading or tolerance test (sometimes called a glucose challenge test) toward the end of the first trimester (12 weeks) to rule out gestational diabetes

Answer 45

GLUCOSE

Question 46

Both levels will be elevated if a neural tube or abdominal defect is present in the fetus they may be decreased if a chromosomal anomaly is present.

Answer 46

Maternal serum a-fetoprotein (MSAFP) and pregnancy-associated plasma protein A

Question 47

If syphilis is present, it must be treated early in pregnancy before fetal damage

Answer 47

SYPHILIS (VENEREAL DISEASE RESEARCH LABORATORY [VDRL] OR RAPID PLASMA REAGIN TEST).

Question 48

proteinuria (protein in urine)

glycosuria (glucose in urine)

nitrites (bacteria in urine)

pyuria (white blood cells in urine suggesting an infection).

➤ All four of these can be assessed by point of care tests, or the urine can be sent for microscopic examination in a laboratory.

Answer 48

URINALYSIS

Question 49

+ Also known as a sonogram

+ Is an imaging test that uses sound waves to create a picture of organs, tissues, and other structures inside the body.

+ Unlike x-rays, ultrasounds don’t use any radiation.

Answer 49

ULTRASOUND