Questions and Answers
What is the purpose of assessing for thrombophlebitis in pregnant women?
What is the recommended management for thrombophlebitis in pregnant women?
What is the cause of lordosis in pregnancy?
What is the recommended position for feeding to alleviate heartburn in pregnant women?
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What medication is recommended to alleviate heartburn in pregnant women?
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What is the recommended frequency of feeding to alleviate heartburn in pregnant women?
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What is the management for 'Pain in the head' during pregnancy?
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What causes shortness of breath in the third trimester?
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What is the hormone responsible for readiness of lactation?
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What is the management for striate gravidarum (stretch marks)?
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Why does urinary frequency increase in pregnancy?
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When is quickening felt by the mother?
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What is the cause of morning sickness?
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When can menses return after childbirth?
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What is the duration of Stage II: Fetal Delivery for primigravida women?
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What is the hormone responsible for preparing the uterus and breasts for pregnancy in females?
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What is the name of the phase where the follicles become yellow and wait for 8-10 days?
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What is the cause of Palmar Erythema?
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What is the name of the hormone produced by the corpus luteum with low estrogen?
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During which trimester does the mother experience deprived sleep due to fetal movements and urinary frequency?
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What is the recommended daily calorie intake for a pregnant woman?
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What is the duration of pregnancy in lunar months?
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What is the primary function of Ferrous Sulfate supplementation during pregnancy?
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What is the name of the hormone responsible for stimulating the growth of sex organs?
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What is the recommended daily intake of Folic Acid to prevent Neural Tube Defects and Anemia?
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What is the name of the phase where estrogen surges and prepares the endometrium for implantation?
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What is the duration of Stage III: Placental Delivery?
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What is the term for excessive saliva production during pregnancy?
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What is the recommended weight gain for a pregnant woman?
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What is the hormone responsible for preparing the breasts for lactation in females?
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What is the term for abnormal cravings during pregnancy?
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What is the name of the stage where the patient is monitored for hemorrhage?
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What is the primary reason for promoting good perineal hygiene during pregnancy?
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What is the cause of varicosed veins during pregnancy?
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What is the recommended management for hemorrhoids during pregnancy?
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What is the best assessment method for determining fetal age?
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What is the name of the condition that can cause blindness in newborns?
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What is the purpose of the 'VEINS' management strategy for varicosed veins?
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Study Notes
Pregnancy and Childbirth
- Pregnancy duration: 42 weeks, divided into three trimesters
- Fetal development: During the 1st trimester, the fetus grows from 8-20 hours to 42 weeks; during the 2nd trimester, the fetus grows from 5-15 hours to 42 weeks
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Stages of labor:
- Stage I: Fetal delivery (Primi: 1-2 hours, Multi: 30 min - 1 hour)
- Stage II: Placental delivery (Primi/Multi: 5-15 min, Max: 30 min)
- Stage III: Recovery of the patient (1st 4 hours after delivery, monitoring for hemorrhage and NSD > 500ml/24 hours)
- Stage IV: Recovery of the patient (1st 4 hours after delivery, monitoring for hemorrhage and NSD > 500ml/24 hours)
Sex Organs and Hormones
- Female reproductive system: Egg cell/Ovum, Ovaries, Estrogen (prepares uterus and breasts)
- Male reproductive system: Sperm, Testis, Testosterone
- Ovarian cycle: Estrogen surge stimulates endometrial cells for implantation, followed by progesterone surge during the luteal phase
Pregnancy-Related Changes
- Lower back pain: Caused by progesterone and relaxin, managed by encouraging 4S (Stand straight, Support pillow, Squatting, Shoes: Low) and exercising "P-R" (Pelvic Rock)
- Chest pain: Caused by progesterone and relaxin, managed by taking small, frequent feedings, avoiding triggers, and taking antacids
- Headaches: Managed by taking paracetamol, reporting severe or continued headaches, and monitoring for hypertension and visual changes
- Respiratory changes: Stuffiness of the nose caused by estrogen, shortness of breath in the 3rd trimester due to enlarged uterus
- Breast changes: Enlarged breasts caused by estrogen and progesterone, prepares for lactation
- Skin changes: Stretch marks, spider veins, and increased pigmentation caused by estrogen
- Urinary frequency: Caused by increased bladder pressure and hormonal changes
- Movements: Felt by the mother, called quickening, peaks in the 3rd trimester
- Morning sickness: Caused by progesterone, estrogen, HCG, and low glucose, managed by snacking before bed, taking small frequent feedings, and avoiding triggers
- Menses cessation: Caused by increased estrogen, returns after childbirth, delayed in breastfeeding mothers
- Palmar erythema: Redness and itchiness of the palms caused by estrogen, managed by calamine lotion
- Tiredness: Caused by low glucose, increased blood volume, and deprived sleep, managed by relaxation, enough sleep, and taking iron and folic acid supplements
- Increased salivation: Caused by estrogen, managed by good oral hygiene and monitoring for nutrition deficiency
- Vaginal changes: Increased secretion caused by estrogen, managed by promoting good perineal hygiene
- Varicosed veins: Caused by uterine pressure, managed by taking vitamins, elevating the legs, and increasing circulation
- Hemorrhoids: Managed by constipation management, cold compress, modified Sims' position, and lotion
- Enlargement of uterus/abdomen: Assessed by LMP, Naegel's Rule, McDonald's Rule, and Bartholomew's Rule
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Description
This quiz covers the different stages of fetal development, including the duration of each stage and the corresponding measurements.