NARM Vocabulary Words Questions and
Complete Solutions Graded A+
Trophoblast - Answer: Outer cells of the blastocyst that secrete enzymes that allow implantation
Blastocyst - Answer: A fluid-filled sphere formed about 5 days after fertilization of an ovum that is made
up of an outer ring of cells and inner cell mass. THis is the structure that implants in the endometrium of
the uterus.
Naegele's Rule - Answer: Add 7 days to first day of LMP, subtract 3 months, and add 1 year
Quickening - Answer: The first movement of the fetus in the uterus that can be felt by the mother
Human chorionic gonadotropin (hCG) - Answer: Human chorionic gonadotropin is a hormone produced
by an embryo following implantation. The hormone helps maintain the uterine lining during pregnancy.
The presence of HCG is detected in pregnancy tests.
Prolactin - Answer: Hormone that stimulates milk production
Estriol - Answer: Estrogen of pregnancy (cooperative effort between mother and fetus)
Chorionic villi - Answer: These are finger like projections that form the fetal portion of the placenta. By
the 8th week, chorionic villi sampling is possible.
Decidua - Answer: The endometrium of the uterus during pregnancy
Progesterone - Answer: Hormone produced by the corpus luteum in the ovary and the placenta of
pregnant women. Sustains pregnancy.
Dilation - Answer: The opening of the cervix
,Effacement of the cervix - Answer: Effacement occurs when the entire length of the cervical canal has
been taken up into the lower segment of the uterus; usually occurs during the early (latent) phase of
labour
Station of labor and delivery - Answer: Biparietal diameter or widest part of fetal head as it relates to the
maternal ischial spines (0 station is Ischial spine)
Contraction labor - Answer: Contractions begin in the uterine fundus and spread downward toward the
cervix to propel the fetus through the pelvis.
The tightening of myometrial muscle fibers increase in length, strength, and frequency as labor
progresses
Retraction - Answer: The shortening of myometrial muscle fibers increase in length, strength, and
frequency as labor progresses
Eutocia - Answer: Easy or normal labor and childbirth
Labor dystocia - Answer: An abnormal or slow progression of labor
True labor contractions - Answer: Stronger, longer, more frequent, felt in the lower back radiating to the
abdomen. They don't decrease with comfort measures, walking can increase intensity, cervix shows
progressive change.
False labor contractions - Answer: Decrease in frequency, duration, and intensity, painless, irregular
frequency, felt in lower back or abdomen above umbilicus, often stop with sleep or comfort measures,
no change with dilation.
Latent phase of labor: - Answer: 1st part of the 1st stage of labor, lasts 4-6h, cervix 0-3cm, contractions
irregular, mild to mod frequency 5-30m and duration of 30-45s, some dilation and effacement, pt
talkative and eager
Use slow/ deep breathing
,Active Labor Phase - Answer: Continues from 3 cm. until the cervix is dilated to 7 cm.
1st stage of labor - Answer: Onset of contractions -> full effacement/dilation
5-20 hours
Transition - Answer: Transition is the final phase of the first stage of labour, following early and active
labour. At this point, a woman progresses from seven to 10 centimetres, often in less than an hour.
The hardest/shortest part of labor.
Hematocrit - Answer: The percent of the volume of whole blood that is composed of red blood cells, as
determined by the separation of red blood cells from the plasma usually by centrifugation.
Gravidity (Gravida) - Answer: The state of being pregnant
The # of times a woman is pregnant including current pregnancy
Parity - Answer: The number of times that she has given birth to a fetus with a gestational age of 24
weeks or more, regardless of whether the child was born alive or was stillborn.
Hemoglobin - Answer: Iron-containing protein in red blood cells that carries oxygen for delivery to cells.
Pica - Answer: Compulsive eating of nonnutritive substances such as clay or ice.
Multipara (multip) - Answer: A woman who has given birth to two or more babies
Primipara (primip) - Answer: First birth. A woman who has given birth to one baby.
Nullipara/nulliparous - Answer: A woman who has never given birth.
, TPAL - Answer: Term, preterm , abortion, living children
FPAL - Answer: Fullterm, preterm, abortion, living
Leopold's Maneuvers - Answer: A series of four maneuvers designed to provide a systematic approach
whereby the examiner may determine fetal presentation and position.
1. What's in the fundus?
2. Where's the back?
3. What's in the lower segment?
4. Identifies cepahlic prominence. Is there flexion?
Fetal Presentation - Answer: The foremost part of the fetus that enters the pelvic inlet
Fetal Lie - Answer: The relation of the long axis (spine) of the fetus to the long axis (spine) of the mother
Fetal Attitude - Answer: Relationship of fetal body parts to one another, either flexion or extension.
Contraindications - Answer: Specific signs or circumstances under which it is not appropriate and may be
harmful to a patient
Vertex - Answer: A delivery in which the head of the newborn comes out first.
Breech - Answer: Birth position in which the buttocks, feet, or knees emerge first
Engagement of labor - Answer: Passage of the biparietal diameter through the pelvic inlet
Occurs slowly over weeks or rapidly over a couple of hours
Complete Solutions Graded A+
Trophoblast - Answer: Outer cells of the blastocyst that secrete enzymes that allow implantation
Blastocyst - Answer: A fluid-filled sphere formed about 5 days after fertilization of an ovum that is made
up of an outer ring of cells and inner cell mass. THis is the structure that implants in the endometrium of
the uterus.
Naegele's Rule - Answer: Add 7 days to first day of LMP, subtract 3 months, and add 1 year
Quickening - Answer: The first movement of the fetus in the uterus that can be felt by the mother
Human chorionic gonadotropin (hCG) - Answer: Human chorionic gonadotropin is a hormone produced
by an embryo following implantation. The hormone helps maintain the uterine lining during pregnancy.
The presence of HCG is detected in pregnancy tests.
Prolactin - Answer: Hormone that stimulates milk production
Estriol - Answer: Estrogen of pregnancy (cooperative effort between mother and fetus)
Chorionic villi - Answer: These are finger like projections that form the fetal portion of the placenta. By
the 8th week, chorionic villi sampling is possible.
Decidua - Answer: The endometrium of the uterus during pregnancy
Progesterone - Answer: Hormone produced by the corpus luteum in the ovary and the placenta of
pregnant women. Sustains pregnancy.
Dilation - Answer: The opening of the cervix
,Effacement of the cervix - Answer: Effacement occurs when the entire length of the cervical canal has
been taken up into the lower segment of the uterus; usually occurs during the early (latent) phase of
labour
Station of labor and delivery - Answer: Biparietal diameter or widest part of fetal head as it relates to the
maternal ischial spines (0 station is Ischial spine)
Contraction labor - Answer: Contractions begin in the uterine fundus and spread downward toward the
cervix to propel the fetus through the pelvis.
The tightening of myometrial muscle fibers increase in length, strength, and frequency as labor
progresses
Retraction - Answer: The shortening of myometrial muscle fibers increase in length, strength, and
frequency as labor progresses
Eutocia - Answer: Easy or normal labor and childbirth
Labor dystocia - Answer: An abnormal or slow progression of labor
True labor contractions - Answer: Stronger, longer, more frequent, felt in the lower back radiating to the
abdomen. They don't decrease with comfort measures, walking can increase intensity, cervix shows
progressive change.
False labor contractions - Answer: Decrease in frequency, duration, and intensity, painless, irregular
frequency, felt in lower back or abdomen above umbilicus, often stop with sleep or comfort measures,
no change with dilation.
Latent phase of labor: - Answer: 1st part of the 1st stage of labor, lasts 4-6h, cervix 0-3cm, contractions
irregular, mild to mod frequency 5-30m and duration of 30-45s, some dilation and effacement, pt
talkative and eager
Use slow/ deep breathing
,Active Labor Phase - Answer: Continues from 3 cm. until the cervix is dilated to 7 cm.
1st stage of labor - Answer: Onset of contractions -> full effacement/dilation
5-20 hours
Transition - Answer: Transition is the final phase of the first stage of labour, following early and active
labour. At this point, a woman progresses from seven to 10 centimetres, often in less than an hour.
The hardest/shortest part of labor.
Hematocrit - Answer: The percent of the volume of whole blood that is composed of red blood cells, as
determined by the separation of red blood cells from the plasma usually by centrifugation.
Gravidity (Gravida) - Answer: The state of being pregnant
The # of times a woman is pregnant including current pregnancy
Parity - Answer: The number of times that she has given birth to a fetus with a gestational age of 24
weeks or more, regardless of whether the child was born alive or was stillborn.
Hemoglobin - Answer: Iron-containing protein in red blood cells that carries oxygen for delivery to cells.
Pica - Answer: Compulsive eating of nonnutritive substances such as clay or ice.
Multipara (multip) - Answer: A woman who has given birth to two or more babies
Primipara (primip) - Answer: First birth. A woman who has given birth to one baby.
Nullipara/nulliparous - Answer: A woman who has never given birth.
, TPAL - Answer: Term, preterm , abortion, living children
FPAL - Answer: Fullterm, preterm, abortion, living
Leopold's Maneuvers - Answer: A series of four maneuvers designed to provide a systematic approach
whereby the examiner may determine fetal presentation and position.
1. What's in the fundus?
2. Where's the back?
3. What's in the lower segment?
4. Identifies cepahlic prominence. Is there flexion?
Fetal Presentation - Answer: The foremost part of the fetus that enters the pelvic inlet
Fetal Lie - Answer: The relation of the long axis (spine) of the fetus to the long axis (spine) of the mother
Fetal Attitude - Answer: Relationship of fetal body parts to one another, either flexion or extension.
Contraindications - Answer: Specific signs or circumstances under which it is not appropriate and may be
harmful to a patient
Vertex - Answer: A delivery in which the head of the newborn comes out first.
Breech - Answer: Birth position in which the buttocks, feet, or knees emerge first
Engagement of labor - Answer: Passage of the biparietal diameter through the pelvic inlet
Occurs slowly over weeks or rapidly over a couple of hours
