MATERNAL EXAM 2 | FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Presumptive Answer: Felt by mother, but can also be attributed to other causes.
Probable Answer: Observed by the examiner could still be something other than pregnancy.
Positive Answer: Can only be attributed to fetus/pregnancy.
Pregnancy Tests Answer: Human chorionic gonadotropin (hCG) is the earliest biochemical
marker of pregnancy.
EDB Estimated Date Birth Answer: EDC, EDD.... all same thing.
Gravida/Gravidity Answer: Pregnancy/number.
Parity/Para Answer: Delivery- number of pregnancies where fetus reaches 20 weeks.
Nullipara Answer: A woman who has never given birth.
Primipara Answer: A woman who has given birth for the first time.
Multipara Answer: A woman who has given birth two or more times.
Variability Answer: Refers to the fluctuations in fetal heart rate.
Term Answer: Pregnancy that lasts from 38 to 42 weeks.
Preterm Answer: Viable (over 20 weeks) but before 37 full weeks.
Post-term Answer: Pregnancy that goes beyond 42 weeks of gestation.
GTPAL Answer: Gravidity, Parity of TPAL: term, preterm, abortion or miscarriage, living
children.
Example of GTPAL Answer: Karen has 5 living children. She has a set of triplets born at 35
weeks. She has a child born at 40 weeks and a child born at 38 weeks. G3T2,P1A0L5.
Progesterone Answer: Hormone responsible for relaxing smooth muscle, decreasing uterine
contractility, preventing miscarriage, and decreasing GI motility.
Estrogen Answer: Hormone that causes enlargement of genitals, breast, and uterus, and
increases vascularity and vasodilation.
HPL (human placental lactogen) Answer: Hormone that acts as a growth hormone and
promotes breast development.
hCG Answer: Hormone that is present until the placenta is fully functional.
Decreased FSH Answer: Leads to amenorrhea during pregnancy.
Nausea/Vomiting (N/V) Answer: Common in early pregnancy (4-6 weeks) due to hormones and
increased pressure, along with changes to taste and smell.
Heartburn Answer: Caused by relaxed smooth muscle leading to esophageal regurgitation due
to progesterone and relaxin.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Presumptive Answer: Felt by mother, but can also be attributed to other causes.
Probable Answer: Observed by the examiner could still be something other than pregnancy.
Positive Answer: Can only be attributed to fetus/pregnancy.
Pregnancy Tests Answer: Human chorionic gonadotropin (hCG) is the earliest biochemical
marker of pregnancy.
EDB Estimated Date Birth Answer: EDC, EDD.... all same thing.
Gravida/Gravidity Answer: Pregnancy/number.
Parity/Para Answer: Delivery- number of pregnancies where fetus reaches 20 weeks.
Nullipara Answer: A woman who has never given birth.
Primipara Answer: A woman who has given birth for the first time.
Multipara Answer: A woman who has given birth two or more times.
Variability Answer: Refers to the fluctuations in fetal heart rate.
Term Answer: Pregnancy that lasts from 38 to 42 weeks.
Preterm Answer: Viable (over 20 weeks) but before 37 full weeks.
Post-term Answer: Pregnancy that goes beyond 42 weeks of gestation.
GTPAL Answer: Gravidity, Parity of TPAL: term, preterm, abortion or miscarriage, living
children.
Example of GTPAL Answer: Karen has 5 living children. She has a set of triplets born at 35
weeks. She has a child born at 40 weeks and a child born at 38 weeks. G3T2,P1A0L5.
Progesterone Answer: Hormone responsible for relaxing smooth muscle, decreasing uterine
contractility, preventing miscarriage, and decreasing GI motility.
Estrogen Answer: Hormone that causes enlargement of genitals, breast, and uterus, and
increases vascularity and vasodilation.
HPL (human placental lactogen) Answer: Hormone that acts as a growth hormone and
promotes breast development.
hCG Answer: Hormone that is present until the placenta is fully functional.
Decreased FSH Answer: Leads to amenorrhea during pregnancy.
Nausea/Vomiting (N/V) Answer: Common in early pregnancy (4-6 weeks) due to hormones and
increased pressure, along with changes to taste and smell.
Heartburn Answer: Caused by relaxed smooth muscle leading to esophageal regurgitation due
to progesterone and relaxin.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
