What event occurring in the second trimester helps the expectant mother to accept the pregnancy?
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Solution
Quickening
Quickening is the first fetal movement felt by the mother makes the woman realize that she is truly pregnant. In early pregnancy, the fetus is moving but too weak to be felt by the mother. In the 18th-20th week of gestation, the fetal movements become stronger thus the mother already feels the movements.
Which of the following is a positive sign of pregnancy?
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Solution
(+) ultrasound
A positive ultrasound will confirm that a woman is pregnant since the fetus in utero is directly visualized.
Which of the following findings in a woman would be consistent with a pregnancy of two months duration?
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Solution
Fullness of the breast and urinary frequency
The fullness of the breast is due to the increased amount of progesterone in pregnancy. The urinary frequency is caused by the compression of the urinary bladder by the gravid uterus which is still within the pelvic cavity during the first trimester.
In the later part of the 3rd trimester, the mother may experience shortness of breath. This complaint maybe explained as:
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Solution
The fundus of the uterus is high pushing the diaphragm upwards
From the 32nd week of the pregnancy, the fundus of the enlarged uterus is pushing the respiratory diaphragm upwards. Thus, the lungs have reduced space for expansion consequently reducing the oxygen supply.
The most common normal position of the fetus in utero is:
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Solution
Vertical position
Vertical position means the fetal spine is parallel to the maternal spine thus making it easy for the fetus to go out the birth canal.
Options A and C: If transverse or oblique, the fetus can’t be delivered normally per vagina.
The hormone responsible for the maturation of the Graafian follicle is:
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Solution
Follicle stimulating hormone
The hormone that stimulates the maturation if the of the graafian follicle is the Follicle Stimulating Hormone which is released by the anterior pituitary gland.
The hormone responsible for a positive pregnancy test is:
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Solution
Human Chorionic Gonadotropin
Human chorionic gonadotropin (HCG) is the hormone secreted by the chorionic villi which is the precursor of the placenta. In the early stage of pregnancy, while the placenta is not yet fully developed, the major hormone that sustains the pregnancy is HCG.
In Leopold’s maneuver step # 3 you palpated a hard round movable mass at the supra pubic area. The correct interpretation is that the mass palpated is:
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Solution
The mass palpated is the head.
When the mass palpated is hard round and movable, it is the fetal head.
In Leopold’s maneuver step #1, you palpated a soft, broad mass that moves with the rest of the mass. The correct interpretation of this finding is:
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Solution
The mass palpated is the buttocks.
The palpated mass is the fetal buttocks since it is broad and soft and moves with the rest of the mass.
You performed Leopold’s maneuver and found the following: breech presentation, fetal back at the right side of the mother. Based on these findings, you can hear the fetal heart beat (PMI) BEST in which location?
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Solution
Right lower quadrant
Right lower quadrant. The landmark to look for when looking for PMI is the location of the fetal back in relation to the right or left side of the mother and the presentation, whether cephalic or breech. The best site is the fetal back nearest the head.