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  • cmn 568 unit 6 questions with complete solutions

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CMN 568 - Unit 6 questions with
complete solutions



Calculation \of \estimated \date \of \delivery \(EDD) \- \correct \Answers \✔✔ \-1st \day \of \last \menstrual \
period \(LMP)

+

7 \days

-

3 \months

+\

1 \year



Decherney \Chap \6

2 \periods \that \comprise \the \1st \trimester \- \correct \Answers \✔✔ \-1) \Embryonic \period: \2 \- \10 \
weeks \gestational \age

2) \Fetal \period: \8 \weeks \after \fertilization \OR \10 \weeks \after \onset \of \LMP



Decherney \Ch \6

When \does \organogenesis \occur? \- \correct \Answers \✔✔ \-Embryonic \period \of \1st \trimester



NOTE: \This \is \when \embryo \is \most \sensitive \to \teratogens

,Definition \of \"gravid" \- \correct \Answers \✔✔ \-Total \# \of \pregnancies \regardless \of \outcome

Definition \of \parity \- \correct \Answers \✔✔ \-Total \# \of \births, \both \before \and \after \20 \weeks \
gestation. \Made \up \of \4 \components:

1) \Full \term \births \

2) \Preterm \births \(wt \≥ \500 \g \or \≥ \20 \weeks)

3) \Abortions \(induced \or \spontaneous)

4) \Living \children \



NOTE: \Each \child \in \a \multiple \is \counted \individually \in \"parity" \but \only \ONCE \in \"gravid" \
total. \(e.g. \ONE \pregnancy, \MULTIPLE \children)

Definition \of \preterm \infant \- \correct \Answers \✔✔ \-Born \between \20 \- \37 \completed \weeks \of \
gestation \(259 \days)

Definition \of \term \infant \- \correct \Answers \✔✔ \-Born \between \37 \0/7 \and \40 \0/7 \weeks \
gestation \(280 \days)

Definition \of \post-term \infant \- \correct \Answers \✔✔ \-Born \after \42 \weeks \gestation \(294 \days)

Prenatal \mortality \rates \___________________ \(increase/decrease) \as \gestation \advances \past \due
\date \- \correct \Answers \✔✔ \-Increase




NOTE: \Mortality \increases \SHARPLY \after \42 \weeks \gestation

Definition \of \macrosomic \infant \or \large \for \gestational \age \(LGA) \fetus \- \correct \Answers \✔✔ \-
Weight \≥ \90th \percentile \at \any \gestational \age.

Excessive \fetal \size \should \be \suspected \in \women \with \________________________. \- \correct \
Answers \✔✔ \-Previous \macrosomic \fetus \OR \women \with \DM

Definition \of \abortion \- \correct \Answers \✔✔ \-Expulsion/extraction \of \all \or \part \
of \placenta/membranes/fetus \weighing \< \500 \g \or \with \an \estimated \gestational \weight \of \< \20 \
weeks \(or \139 \days \from \LMP)

Definition \of \neonatal \period \- \correct \Answers \✔✔ \-Birth \to \28 \days \of \life

Definition \of \perinatal \period \- \correct \Answers \✔✔ \-From \28 \weeks \gestation \to \first \7 \days \of \
life.

,(NOTE: \This \includes \the \late \fetal \and \early \neonatal \period.)

When \does \nausea \and \vomiting \("morning \sickness") \usually \occur \in \pregnancy \and \by \when \
does \it \usually \resolve? \- \correct \Answers \✔✔ \-Begins \@ \6 \weeks \

Resolves \between \14 \- \16 \weeks \gestation



"3 \months \dreary, \3 \months \cheery, \3 \months \weary"



Herf \BBB

Definition \of \hyperemesis \gravidarum \- \correct \Answers \✔✔ \-Extreme \form \of \pregnancy-related \
nausea/vomiting, \characterized \by:

+ \Dehydration

+ \Weight \loss \(up \to \5% \of \pre-pregnancy \weight)

+ \Ketonuria



Symptoms \usually \begin \3-5 \weeks \into \pregnancy \and \resolve \by \20 \weeks



Herf \BBB

What \are \Montgomery's \tubercles \and \when \do \they \become \more \pronounced? \- \correct \
Answers \✔✔ \-+ \Portion \of \areolar \gland \visible \on \skin \surface

+ \Become \more \pronounced \as \early \as \6 \- \8 \weeks \gestation.

How \early \can \breast \begin \secreting \colostrum? \- \correct \Answers \✔✔ \-As \early \as \16 \weeks \
gestation, \but \should \definitely \be \in \by \28 \weeks. \



Breastfeeding \PPT

What \is \quickening \and \when \can \it \occur? \- \correct \Answers \✔✔ \-"Quickening" \refers \to \the \
mother's \perception \of \fetal \movement. \

, Primiparidas \- \At \18 \- \20 \weeks' \gestation \

Multiparidas \- \As \early \as \14 \weeks' \gestation

Definition \of \chloasma \- \correct \Answers \✔✔ \-"Mask \of \pregnancy" \or \skin \darkening \of \
forehead, \bridge \of \nose \or \cheek \bones.



Usually \occurs \after \16 \weeks' \gestation



Exacerbated \by \sunlight

What \is \Chadwick's \sign? \- \correct \Answers \✔✔ \-Bluish \discoloration \of \vagina \and \cervix. \A \
presumptive \sign \of \pregnancy.

What \is \Hegar's \sign? \- \correct \Answers \✔✔ \-Widening \and \softening \of \the \body \or \isthmus \of \
uterus. \Occurs \at \6 \- \8 \weeks' \gestational \age.

When \do \Braxton \Hicks \contractions \begin \to \occur? \- \correct \Answers \✔✔ \-At \approx. \28 \
weeks' \gestation.

Difference \between \how \exercise \affects \BH \contractions \vs. \true \labor \contractions \- \correct \
Answers \✔✔ \-+ \BH \contractions \disappear \with \walking \or \exercise

+ \True \labor \contractions \become \more \intense \with \walking \or \exercise

Normal \fetal \heart \rate \- \correct \Answers \✔✔ \-110 \- \160 \BPM \(higher \in \early \pregnancy)

After \how \many \weeks \are \fetal \heart \tones \detectable \by \handheld \Doppler? \- \correct \Answers \
✔✔ \-After \10 \weeks' \gestation

After \how \many \weeks \can \the \fetus \be \palpated \through \the \maternal \abdominal \wall? \- \
correct \Answers \✔✔ \-After \22 \weeks

Sonogram \detection \of \the \following:

+ \Cardiac \activity

+ \Limb \buds

+ \Finger \and \limb \movements \- \correct \Answers \✔✔ \-+ \Cardiac \activity: \5-6 \weeks \by \
transvaginal \sonogram

+ \Limb \buds: \7 \- \8 \weeks

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