RN OB Antepartum NGN-NCLEX Questions
Gravida - ANSWER: A woman who is or has been pregnant.
Para - ANSWER: The number of pregnancies that reached viability (20 weeks)
Primagravida - ANSWER: A woman who is pregnant for the first time
Primipara - ANSWER: A woman who has delivered one viable fetus
Multigravida - ANSWER: A pregnant woman who has been pregnant before
Multipara - ANSWER: A woman who has delivered more than one viable fetus
Nulligravida - ANSWER: A woman who has never been pregnant
Nullipara - ANSWER: A woman who has not carried a fetus to variability
G = Gravida - ANSWER: # number of total pregnancies
P = Para - T - ANSWER: Term pregnancies
P = Para - P - ANSWER: Premature deliveries (20-37 weeks)
P = Para - A - ANSWER: Abortions (<20 weeks)
P = Para - L - ANSWER: # of Living children
EDD - ANSWER: Identify the first day of the last menstrual period
(LMP)
- Subtract three months from this date
- Add seven days
- Example: First day of the LMP is June 14
June 14 less three months = March 14 March 14 + seven days = March 21 *The
expected due date is March 21
Signs of Pregnancy - Presumptive Signs - ANSWER: Those that suggest but do not
positively indicate pregnancy (subjective signs)
Signs of Pregnancy - Presumptive Signs - Ex. - ANSWER: Amenorrhea: absence of
menstruation Nausea/vomiting: due to metabolic and hormonal changes
Breast changes: enlargement, tingling, increased sensation to touch, darkening of
nipples and areola
Urinary frequency: due to pressure on bladder from uterine enlargement
Fatigue: due to increased metabolism
Quickening: fluttering sensation when fetus moves (16-20 weeks gestation)
, Signs of Pregnancy - Probable Signs - ANSWER: Strong indicators of pregnancy, short
of confirmation (objective signs). Two or more are highly suggestive of pregnancy.
Detected at about 12th week
Signs of Pregnancy - Probable Signs - Ex. Goodell's Sign - ANSWER: Softening of cervix
Signs of Pregnancy - Probable Signs - Ex. Chadwicks Sign - ANSWER: Bluish/purpleish
color of cervix during pregnancy
Signs of Pregnancy - Probable Signs - Ex. Pigmentation Changes - ANSWER: Linea
nigra, chloasma (mask of
pregnancy)
Signs of Pregnancy - Probable Signs - Ex. Abdominal Enlargement - ANSWER: As
uterus rises out of the pelvis (after
12 weeks)
Signs of Pregnancy - Probable Signs - Ex. Hegars Sign - ANSWER: Softening of the
lower uterus
Signs of Pregnancy - Probable Signs - Ex. Ballottement - ANSWER: Detection of fetus
floating in amniotic fluid
Signs of Pregnancy - Probable Signs - Ex. Braxton Hicks - ANSWER: Contractions:
irregular, painless uterine
contractions
Signs of Pregnancy - Probable Signs - Ex. Positive Pregnancy Test - ANSWER:
Maternal blood or urine test for human
chorionic gonadotropin (hCG). (Testing one week after a missed period usually
provides more accurate information)
Signs of Pregnancy - Positive Signs - ANSWER: Absolute confirmation of pregnancy
Signs of Pregnancy - Positive Signs - Ex. - ANSWER: Detection of fetal heart tones
Palpation of fetal movement
Ultrasonic evidence of a fetus
Hydatiform Mole (Molar Pregnancy) - ANSWER: Benign proliferating growth of the
trophoblast in which the chorionic villi develop into edematous, cystic, vascular
transparent vesicles that hang in grapelike clusters without a viable fetus
Although hCG is produced, this is a nonviable pregnancy
Patient at greater risk of developing gynecological types of cancer. Therefore
frequent PAP tests required X 2 years
Pregnancy: First Trimester - ANSWER: First day of LMP to week 13
Gravida - ANSWER: A woman who is or has been pregnant.
Para - ANSWER: The number of pregnancies that reached viability (20 weeks)
Primagravida - ANSWER: A woman who is pregnant for the first time
Primipara - ANSWER: A woman who has delivered one viable fetus
Multigravida - ANSWER: A pregnant woman who has been pregnant before
Multipara - ANSWER: A woman who has delivered more than one viable fetus
Nulligravida - ANSWER: A woman who has never been pregnant
Nullipara - ANSWER: A woman who has not carried a fetus to variability
G = Gravida - ANSWER: # number of total pregnancies
P = Para - T - ANSWER: Term pregnancies
P = Para - P - ANSWER: Premature deliveries (20-37 weeks)
P = Para - A - ANSWER: Abortions (<20 weeks)
P = Para - L - ANSWER: # of Living children
EDD - ANSWER: Identify the first day of the last menstrual period
(LMP)
- Subtract three months from this date
- Add seven days
- Example: First day of the LMP is June 14
June 14 less three months = March 14 March 14 + seven days = March 21 *The
expected due date is March 21
Signs of Pregnancy - Presumptive Signs - ANSWER: Those that suggest but do not
positively indicate pregnancy (subjective signs)
Signs of Pregnancy - Presumptive Signs - Ex. - ANSWER: Amenorrhea: absence of
menstruation Nausea/vomiting: due to metabolic and hormonal changes
Breast changes: enlargement, tingling, increased sensation to touch, darkening of
nipples and areola
Urinary frequency: due to pressure on bladder from uterine enlargement
Fatigue: due to increased metabolism
Quickening: fluttering sensation when fetus moves (16-20 weeks gestation)
, Signs of Pregnancy - Probable Signs - ANSWER: Strong indicators of pregnancy, short
of confirmation (objective signs). Two or more are highly suggestive of pregnancy.
Detected at about 12th week
Signs of Pregnancy - Probable Signs - Ex. Goodell's Sign - ANSWER: Softening of cervix
Signs of Pregnancy - Probable Signs - Ex. Chadwicks Sign - ANSWER: Bluish/purpleish
color of cervix during pregnancy
Signs of Pregnancy - Probable Signs - Ex. Pigmentation Changes - ANSWER: Linea
nigra, chloasma (mask of
pregnancy)
Signs of Pregnancy - Probable Signs - Ex. Abdominal Enlargement - ANSWER: As
uterus rises out of the pelvis (after
12 weeks)
Signs of Pregnancy - Probable Signs - Ex. Hegars Sign - ANSWER: Softening of the
lower uterus
Signs of Pregnancy - Probable Signs - Ex. Ballottement - ANSWER: Detection of fetus
floating in amniotic fluid
Signs of Pregnancy - Probable Signs - Ex. Braxton Hicks - ANSWER: Contractions:
irregular, painless uterine
contractions
Signs of Pregnancy - Probable Signs - Ex. Positive Pregnancy Test - ANSWER:
Maternal blood or urine test for human
chorionic gonadotropin (hCG). (Testing one week after a missed period usually
provides more accurate information)
Signs of Pregnancy - Positive Signs - ANSWER: Absolute confirmation of pregnancy
Signs of Pregnancy - Positive Signs - Ex. - ANSWER: Detection of fetal heart tones
Palpation of fetal movement
Ultrasonic evidence of a fetus
Hydatiform Mole (Molar Pregnancy) - ANSWER: Benign proliferating growth of the
trophoblast in which the chorionic villi develop into edematous, cystic, vascular
transparent vesicles that hang in grapelike clusters without a viable fetus
Although hCG is produced, this is a nonviable pregnancy
Patient at greater risk of developing gynecological types of cancer. Therefore
frequent PAP tests required X 2 years
Pregnancy: First Trimester - ANSWER: First day of LMP to week 13
