Antepartal Terms

Question 0

Kitzinger

Answer 0

Chest breathing, with abdominal relaxation, therapeutic touch

Question 1

Lamaze
First pattern
Second pattern
Third pattern

Answer 1

Breathing patterns, disassociation techniques, muscular relaxation

1st: Slow paced, inhale through nose, exhale through pursed lips
2nd: Modified paced, inhale/exhale through mouth 4 times in 5 seconds
3rd: Pattern paced, inhales/ exhale through mouth, exhales are “hee” or “hoo”, ratio 2:1, 3:1, 4:1

Question 2

Bradley

Answer 2

Partner’s involvement as coach; harmony with your body using breath control and general body relaxation

Question 3

Hyponobirthing

Answer 3

Relaxation techniques, deep breathing, comfort and eliminating pain

Question 4

Effleurage

Answer 4

Stroking the abdomen in a circular motion

Question 5

Sacral counter pressure

Answer 5

Putting pressure on sacrum of patient with “back labor”

Question 6

Goodell’s sign

Answer 6

Softening of the cervix

Question 7

Chadwick’s sign

Answer 7

Bluish color of the cervix

Question 8

Colostrum

Answer 8

Thin yellow secretion, high in protein and immune properties

Question 9

Vena cava syndrome

Def, S/S

Answer 9

Uterus compresses the vena cava

S/S: pallor, dizziness, lightheadedness and clammy skin

Question 10

Chloasma

Answer 10

Mask of pregnancy on forehead and around eyes , aggravated by sun exposure

Question 11

Lines nigra

Answer 11

Dark pigmented line from umbilicus to pubic area

Question 12

Physiologic lordis

Answer 12

Lumbar spinal curvature, compensating for weight if uterus

Question 13

Diastasis recti

Answer 13

Separation of. Che rectus muscle of the abdominal muscles

( common in patient with vertical abd scar

Question 14

Weight Gain

• underweight
• normal
• overweight

Answer 14

40 lbs
25-35 lbs
15lbs

Question 15

Pituitary produces..

Answer 15

Prolactin for lactation
Vasopressin for BP
Oxytocin to promote uterine contraction

Question 16

Adrenal secretes..

Answer 16

Cortisol to change protein and CHO metabolism

Question 17

Placenta produces…

Answer 17

HcG (human chorionic gonadotropin)- stimulates progesterone and estrogen, causes n/v
hPL (human placental lactogen)- insulin antagonist
Estrogen- stimulates uterine/ breast development
progesterone- decrease uterine contractility, relax muscles
Relaxin- deceased uterine contractility, softens cervix
prostaglandins- decrease placental vascular sys

Question 18

Presumptive s/s of pregnancy

Answer 18

(Woman reports)
N/V, amenorrhea, urinary frequency, Breast change, fatigue
Quickening, linea nigra, cholasma, stria gravidarum

Question 19

Probable s/s of pregnancy

Answer 19

(Noted by examiner)
Goodells, Chadwick’s, Hegars, ballottement, positive pregnancy test, Braxton hicks, palpating of fetal outline, enlarged abdomen

Question 20

Hegars sign

Answer 20

Something of lower uterine

Question 21

Positive s/s of pregnancy

Answer 21

Fetal heart beat, fetal movement palpable, ultrasound

Question 22

Quickening

Answer 22

18-20 weeks sometimes 16

Question 23

Nesting syndrome

Answer 23

Surge of energy close to delivery date; third trimester

Question 24

Couvades

Answer 24

Partner experienced pregnancy s/s such as nausea, cravings, weight gain

Question 25

Antepartum

Answer 25

From conception to onset of labor

Question 26

Intrapartum

Answer 26

Onset of labor to the first 1-4 hours after delivery of newborn and placenta

Question 27

Postpartum

Answer 27

6 weeks after delivery of the newborn and placenta

Question 28

Pregnancy length

Answer 28

9 months, 3 trimesters, 3 months each, or 13 weeks each

Question 29

EDC/EDB

Answer 29

Estimated date if confinement, estimated date of birth

Question 30

Gestation

Answer 30

Number if weeks since the first day of the last menstrual, 40 weeks gestation in a pregnancy

Question 31

Abortion

Answer 31

Birth that occurs before end of 20 weeks gestation

Question 32

Preterm Term Posterm

Answer 32

20-37 weeks ( must complete 37 weeks to be term) 38-40 weeks After 42 weeks ( must pass 42 weeks)

Question 33

Gravida

Answer 33

Any pregnancy

Question 34

Para

Answer 34

Birth after 20 weeks gestation (multiples count as one)

Question 35

Stillborn

Answer 35

Born dead after 20 weeks

Question 36

Primigravida | Multigravida

Answer 36

1. First time | 2. Second or any other pregnancy

Question 37

TPAL

Answer 37

Term births; twins count as one Preterm; birth from 20-37 weeks Abortion Living children

Question 38

McDonald method

Answer 38

Fundal Height 18-30 weeks; 22-34 correlates with gestation | Measure form top of symphysis pubis top of uterine fundus

Question 39

Fetal heartbeat

Answer 39

FHR 110-160 Doppler 10-12 weeks and 17-20 weeks with feta scope Decreases with increased gestation

Question 40

Fundal height assessment

Answer 40

10-12 wk: slightly above symphysis pubis 16 wks: halfway between symphysis pubis and umbilicus 20-22 wks: fundus at umbilicus 28 wks: three finger breaths above umbilicus 36 weeks: just below ensiform cartilage 40 wks: comes back down

Question 41

Fetal movement felt

Answer 41

18 weeks 4 to 5 months

Question 42

Prenatal visit routines

Answer 42

Every four weeks until 28 weeks; once a month until seven months Every two weeks until 36 weeks; twice a month from 6 to 8 months Every week until delivery; every week on the ninth month

Question 43

Weight gain per trimester

Answer 43

First trimester 3.5-5 pounds | Second and third trimester above 12 to 15 pounds; about a pound a week

Question 44

Labs

Answer 44

AFP at 15 to 20 weeks or 4 to 5 months Glucose screen 24 to 28 weeks or 5 to 6 months Indirect coombs for Rh negative moms at 28 weeks RhoGAM at 28 weeks or seven,months also after delivery GBS vag culture 35 to 37 weeks

Question 45

Pre-eclampsia symptoms

Answer 45

Edema, rapid weight gain, headaches ,visual disturbances, vomiting epigastric pain, irritability ,scanty urine output