CH 4 PRENATAL CARE AND
ADAPTATIONS TO PREGNANCY EXAM
GUIDE WITH CORRECT ANSWERS
A woman who has given birth to one or more children who reached the age of viability
(20 weeks) regardless of number of fetuses delivered and regardless of whether those
children are now living is defined as? - Answer-Para
A woman who has given birth to her first child (past point of viability) regardless of
whether the child was alive at birth or is now living. The term is also used informally to
describe a woman before the birth of her first child defined as? - Answer-Primipara
A woman who has given birth to 2 or more children (past the point of viability),
regardless of whether the children were alive at birth or are presently alive. The term is
also used informally to describe a woman before the birth of her second child - Answer-
Multipara
Define nullipara - Answer-A woman who has not given birth to a child who reached the
point of viability
Define fertilization age - Answer-Prenatal age of developing fetus as calculated from
date of conception approximately 2 weeks less than gestational age
What is the formula for Nagele's rule? - Answer-Identify the first day of the LNMP count
backwards 3 months and then add 7 days, the year is updated if applicable.
Using Nagele's rule, determine the estimated due date (EDD) of a woman who's first
day of LNMP was January 27th. - Answer-November 3rd
The TPALM system is used to determine what? - Answer-The detailed outcomes of a
eon's pregnancies in her prenatal record.
What does the acronym TPALM stand for? - Answer-- T; Number of TERM infants born
(after 37 weeks gestation)
- P; Number of PREterm infants born (after 20 weeks, before 37 weeks)
- Number of pregnancies ABORTED (before 20 weeks)
- L; Number of children now LIVING
- M; MULTIPLE births or gestations
What are the 3 general groups signs of pregnancy are divided into? - Answer-
Presumptive, probable, and positive
, Amenorrhea, nausea, breast tenderness, deepening pigmentation, urinary frequency,
and quickening are all signs of which general group sign of pregnancy? - Answer-
Presumptive (can be a symptom of pregnancy but, could also be something else.)
Audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of
fetus are all signs of which general group of pregnancy ? - Answer-Positive
Goodwell's sign, Chadwicks sign, Hegar's sign, McDonald's sign, abdominal
enlargement, Braxton Hick's contractions, Ballottement, Striae, and positive pregnancy
test are all which signs of pregnancy? - Answer-Probable
When is quickening often felt by the mother? - Answer-16 to 20 weeks
Define Goodwell's sign? - Answer-The softening of the cervix and vagina caused by
vascular congestion (engorgement)
What is Chadwick's sign? - Answer-Purplish-blueish discoloration of the cervix, vagina,
and vulva caused by increased vascular congestion (engorgement)
The softening of the lower uterine segment is defined as? - Answer-Hegar's sign
What is the McDonald's sign? - Answer-The softening of the cervix makes easy to flew
the body of the uterus against the cervix
A maneuver by which the fetal part is displaced by a light tap of the examining finger on
the cervix, and then the part rebounds quickly. - Answer-Ballottement
hCG is produced by what structure? - Answer-chronic villi of the placenta
What are the ranges of the fetal heart rate for a term baby? - Answer-low of 110-120
and high of 150-160
What is the function of the mucous plug? - Answer-To prevent the ascent of vaginal
organisms into the uterus.
What weeks is there usually a screening and treatment period for bacterial vaginosis? -
Answer-12-20
Increased estrogen levels during pregnancy cause edema/ swelling of the mucous
membranes of what structures? - Answer-- mouth
- pharynx
- nose
- trachea
What is the purpose of the 45% increase in blood volume in the pregnant woman? -
Answer-- Exchange in nutrients, oxygen, and waste products w/i placenta
ADAPTATIONS TO PREGNANCY EXAM
GUIDE WITH CORRECT ANSWERS
A woman who has given birth to one or more children who reached the age of viability
(20 weeks) regardless of number of fetuses delivered and regardless of whether those
children are now living is defined as? - Answer-Para
A woman who has given birth to her first child (past point of viability) regardless of
whether the child was alive at birth or is now living. The term is also used informally to
describe a woman before the birth of her first child defined as? - Answer-Primipara
A woman who has given birth to 2 or more children (past the point of viability),
regardless of whether the children were alive at birth or are presently alive. The term is
also used informally to describe a woman before the birth of her second child - Answer-
Multipara
Define nullipara - Answer-A woman who has not given birth to a child who reached the
point of viability
Define fertilization age - Answer-Prenatal age of developing fetus as calculated from
date of conception approximately 2 weeks less than gestational age
What is the formula for Nagele's rule? - Answer-Identify the first day of the LNMP count
backwards 3 months and then add 7 days, the year is updated if applicable.
Using Nagele's rule, determine the estimated due date (EDD) of a woman who's first
day of LNMP was January 27th. - Answer-November 3rd
The TPALM system is used to determine what? - Answer-The detailed outcomes of a
eon's pregnancies in her prenatal record.
What does the acronym TPALM stand for? - Answer-- T; Number of TERM infants born
(after 37 weeks gestation)
- P; Number of PREterm infants born (after 20 weeks, before 37 weeks)
- Number of pregnancies ABORTED (before 20 weeks)
- L; Number of children now LIVING
- M; MULTIPLE births or gestations
What are the 3 general groups signs of pregnancy are divided into? - Answer-
Presumptive, probable, and positive
, Amenorrhea, nausea, breast tenderness, deepening pigmentation, urinary frequency,
and quickening are all signs of which general group sign of pregnancy? - Answer-
Presumptive (can be a symptom of pregnancy but, could also be something else.)
Audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of
fetus are all signs of which general group of pregnancy ? - Answer-Positive
Goodwell's sign, Chadwicks sign, Hegar's sign, McDonald's sign, abdominal
enlargement, Braxton Hick's contractions, Ballottement, Striae, and positive pregnancy
test are all which signs of pregnancy? - Answer-Probable
When is quickening often felt by the mother? - Answer-16 to 20 weeks
Define Goodwell's sign? - Answer-The softening of the cervix and vagina caused by
vascular congestion (engorgement)
What is Chadwick's sign? - Answer-Purplish-blueish discoloration of the cervix, vagina,
and vulva caused by increased vascular congestion (engorgement)
The softening of the lower uterine segment is defined as? - Answer-Hegar's sign
What is the McDonald's sign? - Answer-The softening of the cervix makes easy to flew
the body of the uterus against the cervix
A maneuver by which the fetal part is displaced by a light tap of the examining finger on
the cervix, and then the part rebounds quickly. - Answer-Ballottement
hCG is produced by what structure? - Answer-chronic villi of the placenta
What are the ranges of the fetal heart rate for a term baby? - Answer-low of 110-120
and high of 150-160
What is the function of the mucous plug? - Answer-To prevent the ascent of vaginal
organisms into the uterus.
What weeks is there usually a screening and treatment period for bacterial vaginosis? -
Answer-12-20
Increased estrogen levels during pregnancy cause edema/ swelling of the mucous
membranes of what structures? - Answer-- mouth
- pharynx
- nose
- trachea
What is the purpose of the 45% increase in blood volume in the pregnant woman? -
Answer-- Exchange in nutrients, oxygen, and waste products w/i placenta
