WARD SEMI MULTI

Question 1

development of two fetuses

Answer 1

Twin Pregnancy

Question 2

five FETUS

Answer 2

quintuplets

Question 3

six fetus

Answer 3

setuplets

Question 4

two types of twins

Answer 4

Dizygotic
Monozygotic

Question 5

Results from fertilization of two ova

Answer 5

Dizygotic (80%)

Question 6

this type of twin is where Sex and Genetic features differ.

Answer 6

Dizygotic

Question 7

number of chorion and amnion for dizygotic

Answer 7

2 amnions and 2 chorions

Question 8

percentage of diamniotic moniochorionic

Answer 8

• 70%

Question 9

two separate placenta, chorion, amnion what do u call this

Answer 9

diamniotic-dichorionic

Question 10

two amniotic sacs and share one outer membrane (chorion). This setup is called

Answer 10

diamniotic monochorionic

Question 11

if the division takes place within 72 hours what type of twin is it?

Answer 11

diamniotic-dichorionic)

Question 12

if the division takes place within (Intermediate split) 4th and 8th day what type of twin is it?

Answer 12

diamniotic monochorionic twins

Question 13

during n (Intermediate split) 4th and 8th day what is formed and developed?

Answer 13

chorion

Question 14

if the division takes place within r (late split) 8th day what type of twin is it?

Answer 14

monoamniotic monochorionic twins

Question 15

during (late split) or 8th day, what is already formed

Answer 15

amniotic cavity

Question 16

Division after two weeks or davit of embryonic disc resulting in the formation of

Answer 16

conjoined twins

Question 17

factors are linked to having a multiple pregnancy

Answer 17

Heredity
Older age
High parity
Race

Question 18

SIGNS of multipreg

Answer 18

Severe nausea and vomiting

Rapid weight gain

tender breasts.

Question 19

symptoms of multipreg

Answer 19

Uterus is larger

Increased morning sickness

Increased appetite

Excessive weight gain

Question 20

GENERAL EXAMINATION for multipreg

Answer 20

1. Increased prevalence of anemia
2. Unusual weight gain
3. Evidence of preeclampsia

Question 21

ABDOMINAL EXAMINATION FOR MULTIPREG

Answer 21

barrel shaped uterus

abdomen is unduly enlarged

Palpation of too many fetal parts

Question 22

diff diagnosis for multifetus

Answer 22

Big baby

Elevation of the uterus by a distended bladder

Hydramnios

Ascites with pregnancy

Question 23

(also called molar pregnancy; a gestational trophoblastic disease GTD

Answer 23

Hydatidiform mole

Question 24

COMPLICATIONS OF TWIN PREGNANCY : maternal

Answer 24

Increased miscarriage
risk

Malpresentation

Anemia

Antepartum Hemorrhage

Question 25

COMPLICATIONS OF TWIN PREGNANCY : during labor

Answer 25

PROM

Cord prolapse

Postpartum
hemorrhage

Question 26

COMPLICATIONS OF TWIN PREGNANCY : post partum

Answer 26

Subinvolution (no return of normal size sa fetus)

Lactation failure

Question 27

COMPLICATIONS OF TWIN PREGNANCY : FETUS

Answer 27

Abortion

neonatal
death/stillbirth

Risk of cord
accidents

Question 28

Congenital anomalies in twin pregnancy

Answer 28

1. Neural tube defects (NTD)
2. Bowel Atresia
3. Conjoined twins
4. Twin reversed arterial perfusion (TRAP)

Question 29

meaning of TRAP

Answer 29

Twin reversed arterial perfusion

Question 30

Complication of Monochorionic twins

Answer 30

➢ Twin-twin transfusion syndrome (TTTS)

➢ Dead fetus syndrome,
survived twin-cerebral palsy, microcephaly

➢ Twin reversed arterial perfusion (TRAP)

➢ Conjoined twins

Question 31

TTTS meaning

Answer 31

Twin-twin transfusion syndrome

Question 32

Conjoined twins types:

Answer 32

○ Anterior (thoracopagus)
○ Posterior (pyopagus)
○ Cephalic (craniopagus)
○ Caudal (ischiopagus)

Question 33

DURING PRENATAL CARE management for multipreg

Answer 33

Increased nutrition

Physician referrals

Increased rest

frequent prenatal visit

Question 34

medicines- to help slow or stop contractions in multipreg

Answer 34

Tocolytic medicines

Question 35

medication- given to help mature the lungs of the fetuse

Answer 35

Corticosteroid

Question 36

during labor why does bed rest emphasized

Answer 36

prevent early rupture of membrane

Question 37

Internal examination should be done soon after the rupture of the membrane to exclude what

Answer 37

cord prolapse

Question 38

Vaginal delivery, interval between twins not to exceed how many minutes

Answer 38

20 minutes

Question 39

Vaginal delivery by senior obstetrician

Answer 39

Vertex- Breech

Question 40

Safer to delivery by cesarean to avoid interlocking twins

Answer 40

Breech- Vertex

Question 41

Usually by cesarean type of delivery

Answer 41

Breech- Breech

Question 42

Forceps delivery if necessary should be under what type of anesthesia

Answer 42

pudendal block anesthesia,

Question 43

what anesthesia should be avoided

Answer 43

general
anesthesia

Question 44

what medication should be avoided during delivery of first baby

Answer 44

ergometrine

Question 45

why should we deliver baby by C-section. give examples:

Answer 45

To deliver babies in abnormal positions

When the mother has certain medical conditions

If the babies are in fetal distress

If the pregnancy is monochorionic

Question 46

two or more eggs are released during ovulation and are fertilized by different sperm

Answer 46

Dizygoticc (Fraternal) Twins

Question 47

Each zygote develops its own placenta and amniotic sac. This is called

Answer 47

polyzygotic twinning

Question 48

ART meaning

Answer 48

assisted reproductive technologies

Question 49

a single fertilized egg (zygote) splits into two or more embryos

Answer 49

Monozygotic (Identical) Twins:

Question 50

if one or more fetuses don’t receive adequate blood
supply they may experience what condition

Answer 50

intrauterine growth restriction (IUGR)

Question 51

Nursing interventions for multiple pregnancies

Answer 51

Nutritional Support

Psychosocial support

Anxiety Management

Sleep hygiene Promotion

Fetal Growth monitory