Maternal Newborn Care and Assessment

Questions and Answers

Which of the following is a danger sign during the first trimester of pregnancy?

Vaginal bleeding (correct)

Stay hydrated

Weight gain

Increased fetal movement

Placenta previa occurs when the placenta is located high in the uterus.

False

What is Leopold's maneuver used for?

To check the position and attitude of the fetus.

____ is severe vomiting during pregnancy that can lead to weight loss and electrolyte imbalances.

Hyperemesis gravidarum Signup and view all the answers

Match the trimester with the associated danger signs:

First trimester = Fever, abdominal cramping, severe vomiting Second trimester = Vaginal bleeding, high blood pressure Third trimester = Severe edema, vision disturbances Postpartum = Excessive bleeding, severe pain Signup and view all the answers

What position should the fetus ideally be in for delivery?

Cephalic position Signup and view all the answers

The second trimester is the best time to calculate the expected delivery date using the last menstrual cycle.

False Signup and view all the answers

What indicates fetal growth restriction in terms of fundal height?

Abnormal fundal height measurement. Signup and view all the answers

Study Notes

Antenatal Care and Monitoring

Fundal height measurement checks fetal growth; ensure patient has urinated beforehand.
Abnormal fundal height may indicate intrauterine growth restriction.
Leopold’s maneuver assesses fetal position; involves steps locating: top, side, bottom for delivery position.
Ideal delivery position for baby is cephalic (headfirst).

First Trimester (Weeks 1-12)

Danger signs: fever, abdominal cramping, severe vomiting, burning with urination, vaginal bleeding, gush of fluid, swelling of fingers/face, vision disturbances.
Calculate due date by taking the first day of the last menstrual cycle, subtracting three months, and adding seven days.
Hyperemesis gravidarum leads to severe vomiting, causing risks of weight loss and electrolyte imbalances for both mother and fetus.

Second Trimester (Weeks 13-26)

Opportunity to determine fetal sex; mother experiences quickening (fetal movements).
Danger signs include vaginal bleeding, indicating possible placenta issues (placenta previa or placental abruption).
Placenta previa occurs when the placenta is low in the uterus, partially or completely covering the cervix.
High blood pressure is a concern; may lead to preeclampsia.
Preeclampsia symptoms include headaches, vision changes, abdominal pain, and edema.

Third Trimester (Weeks 27-40)

Differentiate between true and false labor: true labor features regular contractions and cervical dilation, while false labor contractions are irregular and cease with movement.
Fetal heart rate may be difficult to detect if hydramnios (excess amniotic fluid) is present.
Leopold maneuver helps assess fetal presentation, position, and head attitude; perform with patient in slight lateral tilt or supine with knees bent.

Description

This quiz covers essential aspects of maternal care including anti-partum and postpartum assessments, critical danger signs during pregnancy, and the importance of fundal height measurement in tracking fetal growth. You'll also explore techniques like Leopold's maneuvers and necessary precautions before examinations.