NAME: Ms. Shikha panchal & Ms.
Heel patel
ROLL NO: 13 & 19
SUBJECT: Management
ASSIGNED SUBJECT: Midwifery & Obstetrical Nursing
TOPIC: Assessment and management of antenatal period
UNIT: 3 Assessment and management of pregnancy [ante-natal]
TOTAL HOURS: 8
SUBTOPIC COVERED:
• Normal pregnancy
• Physiological changes during pregnancy.
* Reproductive system
* Cardio vascular system
* Respiratory system
* Urinary system
* Gastro intestinal system
* Metabolic changes
* Skeletal changes
* Skin changes
* Endocrine system
* Psychological changes
* Discomforts of pregnancy
• Diagnosis of pregnancy
* Signs
* Differential diagnosis
* Confirmatory tests
• Ante-natal care
* Objectives
*Assessment
- History and physical examination
- Antenatal Examination
- Signs of previous child-birth
* Relationship of foetus to uterus and pelvis: Lie, Attitude, Presentation, Position
* Per vaginal examination.
• Screening and assessment for high risk;
• Risk approach
• History & Physical Examination
• Modalities of diagnosis: Invasive & Non-Invasive, ultrasonic cardio-tomography,
NST, CST
• Antenatal preparation
* Antenatal counseling
* Antenatal exercises
* Diet
* Substance use
* Education for child-birth
* Husband and families
* Preparation for safe confinement
* Prevention from radiation
• Psycho-social and cultural aspects of pregnancy
* Adjustment to pregnancy
* Unwed mother
* Single parent
* Teenage pregnancy
* Sexual violence
• Adoption
QUESTION BANK
• DEFINITIONS:- (2M)
1. Antenatal care
2. Adoption
3. Per vaginal examination
4. Lie
5. Attitude
6. Denominator
7. Position
8. Presentation
9. Presumptive sign
10. Probable sign
11. Positive sign
12. Quickening
13. Hegar’s sign
14. Jacquemier’s sign
15. Osiander sign
16. Goodlle’s sign
17. Palmer’s sign
18. Braxton’s hicks contraction
19. Screening
20. Sexual violence
21. Teenage pregnancy
• SHORT QUESTIONS:- (5M)
1. Physiological changes during pregnancy.
2. Diagnosis of pregnancy.
3. Antenatal exercises.
4. Difference between NST & CST.
5. Adoption.
• LONG QUESTIONS:- (10M)
1. Define antenatal care and explain in detail about antenatal care.
2. Define high risk screening and write down about differential diagnosis
confirmatory testes.
3. Assessment of fetal wellbeing in late pregnancy.
QUESTION PAPER:-
Total marks:25
Q.1 Define following terms. (Any five) (5M)
1. Lie
2. Teenage pregnancy
3. Denominator
4. Probable sign
5. Jacquemier’s sign
6. Quickening
Q.2 Short Questions. (Any three) (12M)
1. Diagnosis of pregnancy.
2. Define Physiological changes during pregnancy.
3. Adoption and types of adoption.
4. Write in detail Antenatal exercises.
Q.3 Long Question (8M)
1.Define antenatal care and explain in detail about antenatal care.
