Midwifery (Actual) Exam Graded A+
5 cardiovascular changes in pregnancy - ANSWER-increased blood volume, BP same
or drops, increased blood flow to skin=sweating, flushed. drop in HB. iron stores fall.
5 respiratory changes in pregnancy - ANSWER-increase basal metabolic rate,
increased oxygen consumption, flaring of ribs, raised position of diaphragm, sleep
disorders, snoring.
accelerations - ANSWER-the transient increase in FHR of 15bpm, or more above the
baseline lasting at least 15seconds.
active managment of third stage - ANSWER-oxytocic agent used such as syntometrine,
controlled cord traction.
Active phase of labour - ANSWER-cervix dilates approx 3-8cms, contractions are
regular, stronger, closer together,
Advantages of physiological management - ANSWER-no side effects from oxytocic
agent, early breastfeeding, umbilical cord can be left til no pulsation.
an example of the fetus attitude is - ANSWER-flexed, deflexed or partially or completey
extended
android - ANSWER-least favourable for childbirth, male pelvis, heart shaped brim,
straight sacrum, cant easily accomodate the biparietal diameter.
Antenatal period - ANSWER-time of conception until the onset of labour.
anterior - ANSWER-is normal presentation which is face down.
anterior fontanelle - ANSWER-at the sagittal, coronal and frontal sutures, diamond
shape VE= fetal head not well flexed(large circumference trying to get through).
anthropoid - ANSWER-long oval brim, doesnt usually cause problems in labour, may
favour occipito-posterior position
assessing progress of labour- cervix - ANSWER-position, consistency, effacement,
dilatation, application, presenting part-position, station, caput/moulding, membranes-
intact, bulging or ruptured, colour of liquour, FHR.
assessing progress of labour- VE - ANSWER-descent, flexion, anterior rotation of fetal
head, softening and effacement, dilatation of cervix, application of cervix to presenting
part, vaginal abnormalities.
, assessing progress of labour-abdo exam - ANSWER-palpate inbetween contractions,
determine descent of presenting part, identify lie, presentation, position, engagement,
descent. FHR.
assessing progress of labour-contractions - ANSWER-measure strength, intensity,
length and frequency, measured and documented for ten mins each half hour.
assessing progress of labour-vaginal loss - ANSWER-blood stained, mucous stained
indicates progress of labour, detachment of membranes as cervix dilates, ROM can
occur any time, report mech stained liquor=fetal distress. offensive smell=infection.
Attitude - ANSWER-The relationship of the fetal head and limbs to the fetal trunk.
baseline CTG - ANSWER-Normal FHR is 110-160, the mean level of the FHR at rest, in
the absence of fetal movement, uterine activity, accelerations and decelerations.
bones of fetal skull - ANSWER-occiput, 2 parietals, 2 frontals
bones of the pelvis - ANSWER-2 innominate hip bones, one sacrum, one coccyx
braxton hicks contractions - ANSWER-contractions in the uterus during pregnancy
which are painless.
BRIM - ANSWER-anterior/posterior = 11, oblique = 12, transverse= 13
caput succedaneum - ANSWER-occurs on the fetus scalp as a result of odema from
obstructed venous return and pressure on the birth canal.
Cardinal Movements - ANSWER-Descent, Flexion, Internal rotation, Extension,
Resititution, External rotation, Expulsion.
care in the active phase of labour - ANSWER-create an environment conductive to meet
the womans needs, assessment and documentation related to risk factors, provide
supportive care, assessment and documentation related to progress.
care in the latent phase of labour - ANSWER-encourage woman to stay at home, walk
around, eating, hydration, activities or rest, agree on plan for next stage.
CAVITY - ANSWER-anterior/posterior=12, Oblique =12, transvers = 12.
controlled cord traction - ANSWER-active management- only do it if oxytocic agent is
given, ensure uterus in well contracted, guard the uterus, place cord clamp close to the
intoritus, apply downward continuous steady traction to the cord via the cord clamp,
once placenta is seen move upwards.
coronal suture - ANSWER-seperates the parietal and frontal bones
5 cardiovascular changes in pregnancy - ANSWER-increased blood volume, BP same
or drops, increased blood flow to skin=sweating, flushed. drop in HB. iron stores fall.
5 respiratory changes in pregnancy - ANSWER-increase basal metabolic rate,
increased oxygen consumption, flaring of ribs, raised position of diaphragm, sleep
disorders, snoring.
accelerations - ANSWER-the transient increase in FHR of 15bpm, or more above the
baseline lasting at least 15seconds.
active managment of third stage - ANSWER-oxytocic agent used such as syntometrine,
controlled cord traction.
Active phase of labour - ANSWER-cervix dilates approx 3-8cms, contractions are
regular, stronger, closer together,
Advantages of physiological management - ANSWER-no side effects from oxytocic
agent, early breastfeeding, umbilical cord can be left til no pulsation.
an example of the fetus attitude is - ANSWER-flexed, deflexed or partially or completey
extended
android - ANSWER-least favourable for childbirth, male pelvis, heart shaped brim,
straight sacrum, cant easily accomodate the biparietal diameter.
Antenatal period - ANSWER-time of conception until the onset of labour.
anterior - ANSWER-is normal presentation which is face down.
anterior fontanelle - ANSWER-at the sagittal, coronal and frontal sutures, diamond
shape VE= fetal head not well flexed(large circumference trying to get through).
anthropoid - ANSWER-long oval brim, doesnt usually cause problems in labour, may
favour occipito-posterior position
assessing progress of labour- cervix - ANSWER-position, consistency, effacement,
dilatation, application, presenting part-position, station, caput/moulding, membranes-
intact, bulging or ruptured, colour of liquour, FHR.
assessing progress of labour- VE - ANSWER-descent, flexion, anterior rotation of fetal
head, softening and effacement, dilatation of cervix, application of cervix to presenting
part, vaginal abnormalities.
, assessing progress of labour-abdo exam - ANSWER-palpate inbetween contractions,
determine descent of presenting part, identify lie, presentation, position, engagement,
descent. FHR.
assessing progress of labour-contractions - ANSWER-measure strength, intensity,
length and frequency, measured and documented for ten mins each half hour.
assessing progress of labour-vaginal loss - ANSWER-blood stained, mucous stained
indicates progress of labour, detachment of membranes as cervix dilates, ROM can
occur any time, report mech stained liquor=fetal distress. offensive smell=infection.
Attitude - ANSWER-The relationship of the fetal head and limbs to the fetal trunk.
baseline CTG - ANSWER-Normal FHR is 110-160, the mean level of the FHR at rest, in
the absence of fetal movement, uterine activity, accelerations and decelerations.
bones of fetal skull - ANSWER-occiput, 2 parietals, 2 frontals
bones of the pelvis - ANSWER-2 innominate hip bones, one sacrum, one coccyx
braxton hicks contractions - ANSWER-contractions in the uterus during pregnancy
which are painless.
BRIM - ANSWER-anterior/posterior = 11, oblique = 12, transverse= 13
caput succedaneum - ANSWER-occurs on the fetus scalp as a result of odema from
obstructed venous return and pressure on the birth canal.
Cardinal Movements - ANSWER-Descent, Flexion, Internal rotation, Extension,
Resititution, External rotation, Expulsion.
care in the active phase of labour - ANSWER-create an environment conductive to meet
the womans needs, assessment and documentation related to risk factors, provide
supportive care, assessment and documentation related to progress.
care in the latent phase of labour - ANSWER-encourage woman to stay at home, walk
around, eating, hydration, activities or rest, agree on plan for next stage.
CAVITY - ANSWER-anterior/posterior=12, Oblique =12, transvers = 12.
controlled cord traction - ANSWER-active management- only do it if oxytocic agent is
given, ensure uterus in well contracted, guard the uterus, place cord clamp close to the
intoritus, apply downward continuous steady traction to the cord via the cord clamp,
once placenta is seen move upwards.
coronal suture - ANSWER-seperates the parietal and frontal bones
