Midwife| Essential Exam Blueprint Q&A: Core
Concepts with Explained Solutions 2024/2025
What is descent describing? - correct answer how far the baby's has gone
into the pelvis.
What measurement is used to represent descent? - correct answer 5th's -
in or out.
What is denominator describing? - correct answer describes the lowest
part of the fetus.
The landmark of the presentation that allows the degree of the rotation of
the baby to be described.
Occipital - showing part is back of the head.
Sacrum - showing part is the buttocks.
Mentum or chin - showing part is the face.
What is position describing? - correct answer the relationship between
baby's denominator and 8 points on the pelvic brim (the mother's pelvis).
What are the abbreviations for position? - correct answer loa, lot, lop, roa,
rot, rop.
What does the 1st letter in position abbreviations indicate? - correct
answer where the baby's spine is to the mothers left or right hand sides.
,What does the 2nd letter in position abbreviations indicate? - correct
answer indicates the denominator (showing part) of baby.
Usually o (cephalic = occiput)
S (breech = sacrum)
A (shoulder = acromion process)
M (face = mentum (chin))
G (brow = glabella (3rd eye))
What does the 3rd letter in position abbreviations indicate? - correct
answer the baby's spine in relation to the mother's pelvis.
A = anterior (at the front)
P = posterior ( at the back, spines together)
l = lateral/ t = traverse (at the sides)
What is the first step in abdominal palpation? - correct answer - inspection
- looking at the belly to form a brief, initial impression of progress and
position.
- visible physiological signs. Ie previous surgeries
Name the abdominal palpation order. - correct answer fundal palpation.
Lateral palpation
Deep pelvic palpation - pawlicks manoeuvre
Assessing descent
What does the fundal height indicate? - correct answer weeks of gestation
should be represented in same centimeter measurement (+/- 2cm) after 24
weeks.
,What are the aims of abdominal palpation? - correct answer observe
signs of pregnancy.
Assess fetal size and growth.
Locate fetal position and presentation.
Detect any deviations from normal.
Auscultate the fetal heart when indicated.
Identification of scars.
What does assessing descent describe? - correct answer how far baby's
head has moved below the pelvic brim.
Engagement of head .
5/5 up= mobile head.
4-3/5 up = fixed head.
2-1/5 up = engaged head
All in.
When does the head usually engage? - correct answer 36/40 in a
primipara.
38/40 or in labour in a muiltpara
What is pawlicks manoeuvre used for? - correct answer to assess the
mobility of the presenting part on the fetus.
Ie. Head is easily moved when not engaged.
What is the final physical stage of abdominal palpation? How & why is this
done? - correct answer auscultation of fetal heart rate.
, Done with pindar or sonicade over fetal shoulder.
To confirm baby's wellbieing.
Social and emotional value - no other clinical or predictive value.
What factors can effect uterus size? - correct answer full bladder.
Distended colon.
Parity.
Lie of fetus.
Multiple fetuses.
Excess amniotic fluid.
What should be documented in an antenatal abdominal palpation? -
correct answer woman's feelings and observations.
Abdominal palpation
Inspection
Fundal height
Lie, position, presentation, engagement.
Fetal movements.
Fetal heart rate.
Additional info.
What are the midwife's responsibilities when completing a blood pressure
measurement? - correct answer know the normal ranges.
Know the woman's medical history.
Use an organised systematic approach.
Minimize environmental factors that can affect vital signs.
Concepts with Explained Solutions 2024/2025
What is descent describing? - correct answer how far the baby's has gone
into the pelvis.
What measurement is used to represent descent? - correct answer 5th's -
in or out.
What is denominator describing? - correct answer describes the lowest
part of the fetus.
The landmark of the presentation that allows the degree of the rotation of
the baby to be described.
Occipital - showing part is back of the head.
Sacrum - showing part is the buttocks.
Mentum or chin - showing part is the face.
What is position describing? - correct answer the relationship between
baby's denominator and 8 points on the pelvic brim (the mother's pelvis).
What are the abbreviations for position? - correct answer loa, lot, lop, roa,
rot, rop.
What does the 1st letter in position abbreviations indicate? - correct
answer where the baby's spine is to the mothers left or right hand sides.
,What does the 2nd letter in position abbreviations indicate? - correct
answer indicates the denominator (showing part) of baby.
Usually o (cephalic = occiput)
S (breech = sacrum)
A (shoulder = acromion process)
M (face = mentum (chin))
G (brow = glabella (3rd eye))
What does the 3rd letter in position abbreviations indicate? - correct
answer the baby's spine in relation to the mother's pelvis.
A = anterior (at the front)
P = posterior ( at the back, spines together)
l = lateral/ t = traverse (at the sides)
What is the first step in abdominal palpation? - correct answer - inspection
- looking at the belly to form a brief, initial impression of progress and
position.
- visible physiological signs. Ie previous surgeries
Name the abdominal palpation order. - correct answer fundal palpation.
Lateral palpation
Deep pelvic palpation - pawlicks manoeuvre
Assessing descent
What does the fundal height indicate? - correct answer weeks of gestation
should be represented in same centimeter measurement (+/- 2cm) after 24
weeks.
,What are the aims of abdominal palpation? - correct answer observe
signs of pregnancy.
Assess fetal size and growth.
Locate fetal position and presentation.
Detect any deviations from normal.
Auscultate the fetal heart when indicated.
Identification of scars.
What does assessing descent describe? - correct answer how far baby's
head has moved below the pelvic brim.
Engagement of head .
5/5 up= mobile head.
4-3/5 up = fixed head.
2-1/5 up = engaged head
All in.
When does the head usually engage? - correct answer 36/40 in a
primipara.
38/40 or in labour in a muiltpara
What is pawlicks manoeuvre used for? - correct answer to assess the
mobility of the presenting part on the fetus.
Ie. Head is easily moved when not engaged.
What is the final physical stage of abdominal palpation? How & why is this
done? - correct answer auscultation of fetal heart rate.
, Done with pindar or sonicade over fetal shoulder.
To confirm baby's wellbieing.
Social and emotional value - no other clinical or predictive value.
What factors can effect uterus size? - correct answer full bladder.
Distended colon.
Parity.
Lie of fetus.
Multiple fetuses.
Excess amniotic fluid.
What should be documented in an antenatal abdominal palpation? -
correct answer woman's feelings and observations.
Abdominal palpation
Inspection
Fundal height
Lie, position, presentation, engagement.
Fetal movements.
Fetal heart rate.
Additional info.
What are the midwife's responsibilities when completing a blood pressure
measurement? - correct answer know the normal ranges.
Know the woman's medical history.
Use an organised systematic approach.
Minimize environmental factors that can affect vital signs.
