CMCA EXAM 2024 REAL EXAM QUESTIONS AND
CORRECT ANSWERS(VERIFIED ANSWERS)|
AGRADE
Uterine Stretch Theory
a hollow organ when stretched to capacity contract and empty
Oxytocin Theory
production of oxytocin from posterior pituitary gland-contraction of the uterus
Progesterone Deprivation theory
progesterone inhibit uterine motility. A decrease in progesterone - uterine contraction
Progesterone
Inhibit uterine motility
Prostaglandin Theory
Increase prostaglandin synthesis - uterine contraction
Theory of Aging Placenta
decrease in blood supply to the placenta - uterine contraction
Oxytocin
Responsible for uterine contraction
Relaxin
Responsible for muscle relaxation
Prolactin
Milk production/ Enlargement of mammary
Prostaglandins
Hormone for pain / increase lipids
increase in progesterone
Pregnant
decrease in progesterone
uterine contraction
16 weeks
FHT is audible on stethoscope
8 weeks
Organogenesis happens
decidua
endometrium after implantation
2 arteries and 1 vein
Blood vessels of umbilical cord
eutocia
normal labor
dystocia
difficulty in labor
2-3 months
Psterior fontanel closes
12-18 months
anterior fontanel closes
operculum
,First fluid in labor
Parturient
women in labor
puerperium
other term for postpartum
active segment
upper part of uterus
passive segment
lower part of uterus
lightening
This is the descent/setting of the presenting part into the pelvic inlet which happens 10-
14 days before labor on primigravida and 1 day before labor on multipara
Relief of dyspnea and abdominal tightness
2 signs of lightening
Braxton Hicks contractions
last week or days before labor. These are false labor contractions, painless, iregular,
abdominal and relieved by walking.
Braxton Hicks contractions
also known as practice contractions
A sudden burst of maternal energy
because of hormone epinephrine. This is meant to prepare the body for " labor " ahead
Slight decrease in maternal weight
Loss of weight is about 2-3 lbs. One to two days before the onset of labor because of
the decrease in progesterone level and probably loss of appetite
Goodell's sign
softening/ ripening of cervix
Ruptured Bow
Put her immediately in bed and take FHT. Instruct the client not to ambulate - fetal cord
compression
Cord prolapse
Put her on Trendelenburg position to reduce pressure on cord. only 5 minutes of
umbilival compression can already lead to CNS damage and death. Apply a warm
saline saturated OS on the cord to prevent drying of the cord
show
Sudden gush of blood ( pinking vaginal discharge )
greenish vaginal discharge
meconium stained
Bright red vaginal discharge
vaginal bleeding
uterine contractions
The surest sign that labor has begun is the initiation of effective, productive, involuntary
uterine contractions
Increment (Crescendo)
intensity of contracion increases
apex/acme
height or peak of contraction
, Decrement (Decrescendo)
intensity of the contraction decreases
Mild Contraction
The uterine muscle becomes somewhat tense, but can be indented with gentle pressure
Moderate contractions
the uterus becomes moderately firm and a firmer pressure is needed to indent
strong contraction
the uterus becomes so firm that it has the feel of wood like hardness, and at the height
of the contraction, the uterus cannot be intended when pressure is applied by the
examiner's hand
uterine changes
As labor contractions progress, the uterus is gradually differentiated into two distinct
proprotions. These are distinguished by a ridge formed in in the inner uterine surface,
THE PHYSIOLOGIC RETRACTION RING
upper uterine segment
becomes thicker andactive, preparing it to exert the strenght necessary to expel the
fetus during expulsion phase
lower uterine segment
becomes thin-walled, supple, and passive so that the fetus can be pushed cut of the
uterus easily
Contour of the uterus
changes from a round ovoid to a structure markedly elongated in a vertical diameter
than horizontally. This serves to straighten the body of the fetus and place it in a better
alignment to the cervix and pelvis
cervical changes
Effacement and Dilation
effacement
shortening and thinning of the cervical canal to paper thin edges
Dilation
enlragement of the cervical canal from an opening a few millimeters wide to one large
enough ( 10 cm ) to permit passage of the fetus
effacement
gradual thinning, shortening and drawing up of the cervix measure in percentages from
0-100 %
Dilation
the gradual opening of the cervix measured in centimeters from 0-10 cms
Examination during labor
Palpate uterine contractions and Assessment of cervical dilation
1 finger
1-2 cm dilated/ 2 cm
2 fingers
3-4 cm / 3.5 cm dilated / 1/3
3 fingers
5-6 cm/5.5 cm dilated / 1/2
4 fingers
7-10 cm/7.5 cm dilated / 3/4
CORRECT ANSWERS(VERIFIED ANSWERS)|
AGRADE
Uterine Stretch Theory
a hollow organ when stretched to capacity contract and empty
Oxytocin Theory
production of oxytocin from posterior pituitary gland-contraction of the uterus
Progesterone Deprivation theory
progesterone inhibit uterine motility. A decrease in progesterone - uterine contraction
Progesterone
Inhibit uterine motility
Prostaglandin Theory
Increase prostaglandin synthesis - uterine contraction
Theory of Aging Placenta
decrease in blood supply to the placenta - uterine contraction
Oxytocin
Responsible for uterine contraction
Relaxin
Responsible for muscle relaxation
Prolactin
Milk production/ Enlargement of mammary
Prostaglandins
Hormone for pain / increase lipids
increase in progesterone
Pregnant
decrease in progesterone
uterine contraction
16 weeks
FHT is audible on stethoscope
8 weeks
Organogenesis happens
decidua
endometrium after implantation
2 arteries and 1 vein
Blood vessels of umbilical cord
eutocia
normal labor
dystocia
difficulty in labor
2-3 months
Psterior fontanel closes
12-18 months
anterior fontanel closes
operculum
,First fluid in labor
Parturient
women in labor
puerperium
other term for postpartum
active segment
upper part of uterus
passive segment
lower part of uterus
lightening
This is the descent/setting of the presenting part into the pelvic inlet which happens 10-
14 days before labor on primigravida and 1 day before labor on multipara
Relief of dyspnea and abdominal tightness
2 signs of lightening
Braxton Hicks contractions
last week or days before labor. These are false labor contractions, painless, iregular,
abdominal and relieved by walking.
Braxton Hicks contractions
also known as practice contractions
A sudden burst of maternal energy
because of hormone epinephrine. This is meant to prepare the body for " labor " ahead
Slight decrease in maternal weight
Loss of weight is about 2-3 lbs. One to two days before the onset of labor because of
the decrease in progesterone level and probably loss of appetite
Goodell's sign
softening/ ripening of cervix
Ruptured Bow
Put her immediately in bed and take FHT. Instruct the client not to ambulate - fetal cord
compression
Cord prolapse
Put her on Trendelenburg position to reduce pressure on cord. only 5 minutes of
umbilival compression can already lead to CNS damage and death. Apply a warm
saline saturated OS on the cord to prevent drying of the cord
show
Sudden gush of blood ( pinking vaginal discharge )
greenish vaginal discharge
meconium stained
Bright red vaginal discharge
vaginal bleeding
uterine contractions
The surest sign that labor has begun is the initiation of effective, productive, involuntary
uterine contractions
Increment (Crescendo)
intensity of contracion increases
apex/acme
height or peak of contraction
, Decrement (Decrescendo)
intensity of the contraction decreases
Mild Contraction
The uterine muscle becomes somewhat tense, but can be indented with gentle pressure
Moderate contractions
the uterus becomes moderately firm and a firmer pressure is needed to indent
strong contraction
the uterus becomes so firm that it has the feel of wood like hardness, and at the height
of the contraction, the uterus cannot be intended when pressure is applied by the
examiner's hand
uterine changes
As labor contractions progress, the uterus is gradually differentiated into two distinct
proprotions. These are distinguished by a ridge formed in in the inner uterine surface,
THE PHYSIOLOGIC RETRACTION RING
upper uterine segment
becomes thicker andactive, preparing it to exert the strenght necessary to expel the
fetus during expulsion phase
lower uterine segment
becomes thin-walled, supple, and passive so that the fetus can be pushed cut of the
uterus easily
Contour of the uterus
changes from a round ovoid to a structure markedly elongated in a vertical diameter
than horizontally. This serves to straighten the body of the fetus and place it in a better
alignment to the cervix and pelvis
cervical changes
Effacement and Dilation
effacement
shortening and thinning of the cervical canal to paper thin edges
Dilation
enlragement of the cervical canal from an opening a few millimeters wide to one large
enough ( 10 cm ) to permit passage of the fetus
effacement
gradual thinning, shortening and drawing up of the cervix measure in percentages from
0-100 %
Dilation
the gradual opening of the cervix measured in centimeters from 0-10 cms
Examination during labor
Palpate uterine contractions and Assessment of cervical dilation
1 finger
1-2 cm dilated/ 2 cm
2 fingers
3-4 cm / 3.5 cm dilated / 1/3
3 fingers
5-6 cm/5.5 cm dilated / 1/2
4 fingers
7-10 cm/7.5 cm dilated / 3/4
