Midwifery Boards: Management of
Pregnancy
FHT should be checked at every prenatal visit after---wks - Answers -10wks
When is FKC indicated? - Answers --maternal medical conditions
-IUGR
-multiple gestation
-Postdates
-prev fetal demise
What is the required FKC count? - Answers -10 kicks in 2hrs
What is the subjective assessment of uterine size per bimanual? - Answers -8wks GA-
size of tennis ball
10wks GA-size of orange
12wks GA-size of grapefruit
A fundal height deviation >--cm indicates a need for an U/S - Answers ->2-3cm
Expected fundal height at level of symphysis pubis is-----wks - Answers -12wks
Expected fundal height at level of halfway between symphysis pubis and umbilicus
is-----wks - Answers -16wks
Expected fundal height at one finger breadths of the umbilicus is-----wks - Answers -
20wks
Expected fundal height at 2-4 finger breadths above the umbilicus is-----wks - Answers -
24wks
Expected fundal height 1/3 of the way between umbilicus and xiphoid process is-----wks
- Answers -28-30
Expected fundal height 2/3 of the way between umbilicus and xiphoid process is-----wks
- Answers -32wks
Expected fundal height one finger breadth below xiphoid process is-----wks - Answers -
36-38wks
, Expected fundal height 2-3 finger breadths below xiphoid process if lightening has
occurred is-----wks - Answers -40wks
How many maneuvers are there in Leopold's? - Answers -4
Describe the Leopold's maneuvers - Answers -1st maneuver (lie and presentation)
-identify parts of the fetus that resides in the funds
-curve fingers around top of uterus
2nd maneuver (position)
-identify location of the small parts and fetal back
-assess which side is the back and which extremities
3rd maneuver (presentation and engagement)
-Pawlik's grip and combined Pawlik's grip
-assess mobility of presenting part
4th maneuver (fetal attitude & descent)
-place both hands on the sides of lower uterus
-press deeply and move fingers toward pelvic inlet
Movement of fetal small parts can be seen all over the abdomen indicates----position -
Answers -posterior
At what weeks gestation should EFW be conducted? - Answers -34-36wks
Define fetal lie - Answers -relation of long axis of the fetus in relation to the mother
-can be transverse or longitudinal
Define fetal presentation - Answers -part of the fetal body that is closest to the birth
canal
-can be cephalic, breech, or shoulder
Define fetal attitude - Answers -fetal posture in the uterus
Define fetal position - Answers -relationship of a chosen part of the fetal presenting part
to the right or left side of the maternal birth canal
-anterior
-posterior
-transverse
Define frank breech - Answers -lower extremities are flexed at the hips and extend to
the ears
Define complete breech - Answers -both knees are flexed
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