Midwifery revision UPDATED Questions
with CORRECT Answers
nulliparous (nullip) - CORRECT ANSWER - Has not given birth previously
Primigravida - CORRECT ANSWER - a woman who is pregnant for the first time
Primiparous (primip) - CORRECT ANSWER - Has given birth once
multigravida - CORRECT ANSWER - has been pregnant more than once
Multiparous (Multip) - CORRECT ANSWER - Has given birth more than once
Grand multipara - CORRECT ANSWER - has had 5 or more babies at more than 20 weeks
gestation
Grand multigravida - CORRECT ANSWER - has been pregnant five times or more
Great grand multipara - CORRECT ANSWER - Has birthed 7 or more infants beyond 20
weeks gestation
Gravidy (gravida) - CORRECT ANSWER - total number of pregnancies
Parity - CORRECT ANSWER - Number of times one has given birth to a fetus with a
gestational age of 24 weeks or more
The four T's of postpartum haemorrhage - CORRECT ANSWER - Tone, trauma, tissue,
thrombin
,Tone - CORRECT ANSWER - - Uterine atony
- uterine massage or bi-manual uterine compression (empty the bladder)
- Administration of oxytocin and misoprostal
Trauma - CORRECT ANSWER - - Assessment of gentian tract, cervix, vagina and
perineum
- Apply pressure to bleeding areas and repair
Tissue - CORRECT ANSWER - - Assess placenta and determine if incomplete
- If placenta has not been delivered and cannot be removed via controlled cord traction, empty
bladder and transfer to theatre for manual removal
Thrombin - CORRECT ANSWER - - Administer transexamic acid (follow hospital policy)
- Replacement of platelets and clotting factors
PPH theatre - CORRECT ANSWER - - Balloon tamponade
- Haemostatic brace suturing
- Bilateral ligation of uterine arteries
- Bilateral ligation of iliac arteries
- Selective arterial embolisation
- Hysterectomy
Signs of placental separation - CORRECT ANSWER - Lengthening of cord
Small fresh blood loss
Uterine fundus becomes rounder and smaller
Never apply CCT without - CORRECT ANSWER - Applying counter traction
, Causes of retained placenta - CORRECT ANSWER - - Placenta acreta
- Placental increta
- Placenta percreta
- uterine abnormality
- constriction ring-reforming cervix
- Full bladder
Placenta undelivered 15 min after oxy - CORRECT ANSWER - - Empty bladder (pan or
IDC)
- Breastfeeding or nipple stimulation
- Change position (upright)
- Inform obstetric registrar
What is jaundice? - CORRECT ANSWER - A yellowish colouring of the skin and whites
of the eyes. It is caused by the build up of a chemical called bilirubin in the blood.
Everyone has some bilirubin in their body; however, if the levels become too high,
________________________, this may cause jaundice. - CORRECT ANSWER -
Hyperbilirubinaemia
About ____ in _____ babies have jaundice. In most of these newborns, bilirubin levels peak a
few days to a week after birth. As the infant feeds, the bilirubin levels decrease. - CORRECT
ANSWER - 6, 10
The body makes bilirubin when it - CORRECT ANSWER - breaks down old red blood
cells.
The ________ gets rid of bilirubin - CORRECT ANSWER - liver
with CORRECT Answers
nulliparous (nullip) - CORRECT ANSWER - Has not given birth previously
Primigravida - CORRECT ANSWER - a woman who is pregnant for the first time
Primiparous (primip) - CORRECT ANSWER - Has given birth once
multigravida - CORRECT ANSWER - has been pregnant more than once
Multiparous (Multip) - CORRECT ANSWER - Has given birth more than once
Grand multipara - CORRECT ANSWER - has had 5 or more babies at more than 20 weeks
gestation
Grand multigravida - CORRECT ANSWER - has been pregnant five times or more
Great grand multipara - CORRECT ANSWER - Has birthed 7 or more infants beyond 20
weeks gestation
Gravidy (gravida) - CORRECT ANSWER - total number of pregnancies
Parity - CORRECT ANSWER - Number of times one has given birth to a fetus with a
gestational age of 24 weeks or more
The four T's of postpartum haemorrhage - CORRECT ANSWER - Tone, trauma, tissue,
thrombin
,Tone - CORRECT ANSWER - - Uterine atony
- uterine massage or bi-manual uterine compression (empty the bladder)
- Administration of oxytocin and misoprostal
Trauma - CORRECT ANSWER - - Assessment of gentian tract, cervix, vagina and
perineum
- Apply pressure to bleeding areas and repair
Tissue - CORRECT ANSWER - - Assess placenta and determine if incomplete
- If placenta has not been delivered and cannot be removed via controlled cord traction, empty
bladder and transfer to theatre for manual removal
Thrombin - CORRECT ANSWER - - Administer transexamic acid (follow hospital policy)
- Replacement of platelets and clotting factors
PPH theatre - CORRECT ANSWER - - Balloon tamponade
- Haemostatic brace suturing
- Bilateral ligation of uterine arteries
- Bilateral ligation of iliac arteries
- Selective arterial embolisation
- Hysterectomy
Signs of placental separation - CORRECT ANSWER - Lengthening of cord
Small fresh blood loss
Uterine fundus becomes rounder and smaller
Never apply CCT without - CORRECT ANSWER - Applying counter traction
, Causes of retained placenta - CORRECT ANSWER - - Placenta acreta
- Placental increta
- Placenta percreta
- uterine abnormality
- constriction ring-reforming cervix
- Full bladder
Placenta undelivered 15 min after oxy - CORRECT ANSWER - - Empty bladder (pan or
IDC)
- Breastfeeding or nipple stimulation
- Change position (upright)
- Inform obstetric registrar
What is jaundice? - CORRECT ANSWER - A yellowish colouring of the skin and whites
of the eyes. It is caused by the build up of a chemical called bilirubin in the blood.
Everyone has some bilirubin in their body; however, if the levels become too high,
________________________, this may cause jaundice. - CORRECT ANSWER -
Hyperbilirubinaemia
About ____ in _____ babies have jaundice. In most of these newborns, bilirubin levels peak a
few days to a week after birth. As the infant feeds, the bilirubin levels decrease. - CORRECT
ANSWER - 6, 10
The body makes bilirubin when it - CORRECT ANSWER - breaks down old red blood
cells.
The ________ gets rid of bilirubin - CORRECT ANSWER - liver
