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Module test I
Covers First trimester: Charting, Terminology/abreviations, Signs/Symptoms of pregnancy - -landmarks of pregnancy
1.DEFINITIONS and ABREVIATIONS: what do
these initials stand for? Define the terms.
UA or U/A
PREFIXES – what do these mean?
a or an
2. A bit of embryology:
Draw and label a simple illustration of
the female reproductive system (skip this)
4. Normal course of pregnancy: dates
What is the average length of the menstrual
- 25 days
In an average menstrual cycle, appx
when does ovulation occur?
- day 10
- day 14
- day 12
- day 16
What is the average duration of pregnancy
What is the average duration in days from conception?
Average duration in days from Last Menstrual Period?
What is considered “term pregnancy”
- 35-39 weeks
- 37-42 weeks
- 39-40 weeks
- 40-42 weeks
How do we compute a due date?
- add 2 weeks to the LMP plus 9 months
- add 7 days to the LMP subtact 7 months
- add 14 days to the LMP plu 9 months
- add 7 days to the LMP, subtract 3 months (add a year)
If a woman’s last normal menstrual
period is the 15th of June 2005, when is her due date?
a. September 22 2006
b. may 8th 2006
c. march 15, 2005
d. march 22, 2006
5. The expected physical changes of early
pregnancy: and physical changes in the uterus/cervix
What is generally the first “sign” of pregnancy?
- a missed menstrual period
- sore breasts
- increased discharge
- fetal movement
What are some signs and symptoms,
a woman may expect to feel at about 4 to 6 weeks after the date of her LMP?
a. Breast “fullness”, Morning sickness or nausea, Sleepiness and fatigue, increased urination,
may feel “bloated” like PMS
b. all of the above
6. What is the “purpose” of midwifery-mandaged prenatal care?
a. to identify women with health
b. to discover genetic disease in
c.To help a healthy woman stay healthy
and get to term with a healthy baby; and to identify those women who need help
or medical care.
d. to generate income
7 Prenatal care
What are the usual intervals for prenatal visits?
- Monthly until 32 weeks, then bi-weekly until 36 then
weekly till 41, then twice weekly
- Monthly until 36 weeks, then bi-weekly
- Monthly until 40 weeks
- Monthly until 28 weeks, then bi-weekly till 40
Tell what is usually assessed during a prenatal visit? (what things do we chart?)
7 why is it important to monitor blood pressure in pregnancy? What are we attempting to detect, or prevent?
8. What changes
happen in the cervix or uterus in pregnancy?
a. The uterus grows larger. The cervix
b. the uterus grows softer. The cervix
c. the uterus grows larger. The cervix
d. the uterus grows larger. The cervix
9. We would expect to find the following during a physical examination at 6 plus weeks. Describe them.
Hegar’s sign --
Chadwick’s sign or Jacquemier’s sign --
Breast and nipple changes --
10. Landmarks of Pregnancy
What is a rough gauge of uterine enlargement?
MATCH the choices
At 6 weeks the uterus is roughly the size of:
At ten weeks it is the size of:
At 12 weeks it is the size of:
At 20 weeks the size of:
a large cantalope
When do you feel Internal ballottement?
- 10 weeks
- 14 weeks
- 20 weeks
- 30 weeks
Describe internal ballottement:
- the cervix softens
- the uterus contracts
- you can feel the baby bounce on fingers when you gently tap
- you can feel the baby kick.
When can you feel External ballottement?
b. 28 weeks
c. 14 weeks
d. 26 weeks
What is Quickening?
- when the baby gets hiccups
- when the mother gets an urge to clean house
- when the mother first feels the baby move
- what your heart does when you’re frightened
When does it usually occur?
- 16 to 18 weeks
- 20 to 22 weeks
- 12 to 14 weeks
- 28 weeks
When can fetal movements be felt by others?
a. 16 weeks
c. 24 weeks
d. 28 weeks
When can we expect to hear fetal heart sounds with a Doppler?
- 4 weeks
- 20 weeks
- 8 to 10 weeks
With a stethoscope?
- 20 to 24 weeks
- 26 weeks
- 30 weeks
- 12 weeks
Where is the fundus? MATCH the weeks with the landmark?
At 16 weeks?
At 20 weeks?
At 36 weeks?
it reaches the navel
Near the breast bone (the xiphoid process)
Half way to the navel (umbilicus)
After what point in pregnancy does the fundus measure approximately the same number of centimeters as the weeks
- 12 weeks
- 30 weeks
- After 20 weeks
Other than a pregnancy test or ultrasound, what are the only two positive proofs of pregnancy?
a. fetal heart sounds; fetal movements felt by others.
b. cessation of menses
c. fetal movements
d. morning sickness
In the GTPAL system what does each initial stand for?
In the GP system, which initials would you use to describe a woman who is in her 4th pregnancy, gave
birth to two children and had one miscarriage?
a. Gravida 3, Para 2 or G3, P2
b.Gravida 4, Para 2 or G4, P2
c. Gravida 4, Para 3
How would you describe her in the GPTAL system on a chart?
G__ P___ T___ A___ L___
12. Blood Pressure
What is the name of the upper number in a blood pressure?
- Systolic pressure
What is the name of the lower number?
Which number shows the pressure of the heart when it is at rest?
Which number measures the pressure of the heart as it contracts?
Name up to eight things which can influence blood pressure.
Which number is more easily influenced?
What is an average blood pressure?
Would pressure of 140/90 generally be considered hypertension?
What usually happens to a woman’s blood pressure in the mid trimester?
A it increases
B it decreases
C it stays the same
(extra credit if you can tell the reason for the answer above)
What are some signs a woman may show if she is developing toxemia/preeclampsia?
- vomiting, fainting and swelling
- edema, and glucose in the urine
- protein and glucose in the urine, rapid pulse
- rise in blood pressure, edema, and protein in the urine/proteinuria