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These are assessment  tests on the first module: have fun!

use cut and paste to take this test.
fill it out in WORD or in a richtext email, and mail to me at hdw4@msn.com
 
you can use a highter to mark your answers, or simply delete the unchosen ones. It's up to you. whichever way is simplest.
if you have any problems contact me.
gail
 
 
 

 

 

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.

 

AGA – 

LGA 

SGA 

PIH 

PRIMIPAROUS 

MULTIPAROUS 

UTI 

TOP 

SA 

TA 

MISC 

CVS 

CVA 

DVT – 

PTB/PTL 

TERM PREGNANCY 

PRETERM 

FH

 GRAVID/A 

EDEMA 

HYPERTENSION 

LMP

EDD/EDC/EDB 

FHT 

UA or U/A  

Ed 

GTT 

Hx  

ACOG 

PROM 

ROM 

TOL tri

VBAC 

LSCS

 U/S

 

 

 

 

 

 

 


PREFIXES – what do these mean?

 

a or an

ante

ante

brachi

brady

circum

dys

hem/o

hypo

macro

micro

post

pre

psued/o

semi

sub

supra

tach/y

 

SUFFIXES

-aemia

--ectomy

--emesis

--itis

--logy

--metry

--pnea

--phobia

 

ROOT WORDS

 

Broncho

Cardi/o

Cephal/o

Crani/o

Encephal/o

Erythr/o

Gastr/o

Mamm/o

Nas/o

Nephr/o

Pneum/o

Renal

Rhin/o


Sacr/o

Steth/o

Thyr/o

Trache/o

 

 

2. A bit of embryology:

 

Define:

Fetus –

Placenta

Conception –

Ovulation –

 

 

3. Anatomy

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 cycle?

  1. 25 days
  2. 30
  3. 28
  4. 32

 

In an average menstrual cycle, appx when does ovulation occur?

  1. day 10
  2. day 14
  3. day 12
  4. day 16

 

 

What is the average duration of pregnancy in weeks?

  1. 32
  2. 40
  3. 39
  4. 44

What is the average duration in days from conception?

  1. 290
  2. 280
  3. 225
  4. 266

Average duration in days from Last Menstrual Period?

  1. 320
  2. 260
  3. 280
  4. 264  

 

 

What is considered “term pregnancy”

  1. 35-39 weeks
  2. 37-42 weeks
  3. 39-40 weeks
  4. 40-42 weeks

 

How do we compute a due date?

  1. add 2 weeks to the LMP plus 9 months
  2. add 7 days to the LMP subtact 7 months
  3. add 14 days to the LMP plu 9 months
  4. 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?

  1. a missed menstrual period
  2. sore breasts
  3. increased discharge
  4. 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 problems

b. to discover genetic disease in babies

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?

  1. Monthly until 32 weeks, then bi-weekly until 36  then weekly till 41, then twice weekly
  2. Monthly until 36 weeks, then bi-weekly
  3. Monthly until 40 weeks
  4. 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?

a. anemia

b. fever

c. malnutrition

d. toxemia/pre-eclampsia/hypertension

 

  8. What changes happen in the cervix or uterus in pregnancy?

a. The uterus grows larger. The cervix softens

b. the uterus grows softer. The cervix lengthens

c. the uterus grows larger. The cervix shortens

d. the uterus grows larger. The cervix disapears

 

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: 

 

choices:  

a large cantalope

an orange

a grapefruit

an egg

 

 

 

When do you feel Internal ballottement?

  1. 10 weeks
  2. 14 weeks
  3. 20 weeks
  4. 30 weeks

Describe internal ballottement:

  1. the cervix softens
  2. the uterus contracts
  3. you can feel the baby bounce on fingers when you gently tap the cervix
  4. you can feel the baby kick.

When can you feel External ballottement?

a.24 weeks

b. 28 weeks

c. 14 weeks

d. 26 weeks

What is Quickening?

  1. when the baby gets hiccups
  2. when the mother gets an urge to clean house
  3. when the mother first feels the baby move
  4. what your heart does when you’re frightened

When does it usually occur?

  1. 16 to 18 weeks
  2. 20 to 22 weeks
  3. 12 to 14 weeks
  4. 28 weeks

When can  fetal movements be felt by others?

a. 16 weeks

b.  20 weeks

c. 24 weeks

d. 28 weeks

 

 

 

When can we expect to hear fetal heart sounds with a Doppler?

  1. 4 weeks
  2. 20 weeks
  3. 8 to 10 weeks

 With a stethoscope?

  1. 20 to 24 weeks
  2. 26 weeks
  3. 30 weeks
  4. 12 weeks

Where is the fundus? MATCH the weeks with the landmark?


At 16 weeks?

At 20 weeks?  

At 36 weeks?

 

CHOICES

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 of pregnancy?

  1. 12 weeks
  2. 30 weeks
  3. 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

11. Charting

In the GTPAL system what does each initial stand for?

G

T-

P –

A-

L-

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?

  1. Diastolic pressure
  2. Hydrostatic pressure
  3. Systolic pressure
  4. Hyperbolic pressure

What is the name of the lower number?

  1. Hyperbaric
  2. Quadraphonic
  3. Diastolic
  4. Hi-fidelity

Which number shows the pressure of the heart when it is at rest?

a. systolic

b. Diastolic

Which number measures the pressure of the heart as it contracts?

  1. systolic
  2. diastolic

Name up to eight things which can influence blood pressure.

 

Which number is more easily influenced?

  1. systolic
  2. diastolic

What is an average blood pressure?

a.150/70

b. 130/40

c. 120/70

 

Would  pressure of 140/90 generally be considered hypertension?

    1. yes
    2. no

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?

  1. vomiting, fainting and swelling
  2. edema, and glucose in the urine
  3. protein and glucose in the urine, rapid pulse
  4. rise in blood pressure, edema, and protein in the urine/proteinuria

 

 

Assessments are a great tool to show yourself how much you've learned!

International Center for Traditional Childbearing
Midwifery Mentorship Program
Portland, Oregon