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midwifery assesment practice skills > Abdominal Palpations > Flashcards

Abdominal Palpations Flashcards

1
Q

LAPPED

A

Lie, Attitude, Presentation, Position, Engagement, Denominator

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2
Q

Lie

A

Relation of the long axis of the fetal spine to the maternal spine. Lie can be longitudinal, oblique and transverse.

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3
Q

Attitude

A

Relationship of fetal body parts to each other. Attitudes can be extended, flexed or deflexed.

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4
Q

Presentation

A

Fetal body part which occupies the lower pole of the uterus. Presentations can be cephalic/vertex (head), brow, shoulder (dorsoanterior or dorsoposterior), face, or breech.

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5
Q

Position

A

Fetal placement in the uterus, with the dominator of the fetus related to the 6 parts of the maternal pelvis. There are 6 positions; left and right anterior, left and right posterior and left and right transverse.

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6
Q

Engagement

A

Entry of the presenting part of the fetus into the maternal pelvis which is measured in fifths using finger widths.

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7
Q

Denominator

A

Point on the presenting part of the fetus in relation to the 6 parts of the maternal pelvis. Can be occipital (cephalic), sacrum (breech) or mentum (face)

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8
Q

Normal Fetal Heart Rate

A

110-160 bpm

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9
Q

Allowance for difference in gestation and fundal height

A

2cm

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10
Q

Auscultation

A

Listening for the fetal heartbeat

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11
Q

Cephalic

A

The fetal head

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12
Q

Occipit

A

The back/posterior portion of the fetal head.

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13
Q

Mentum

A

Chin

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14
Q

The 3 stages of abdominal palpation

A

Fundal, lateral and pelvic

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15
Q

Fundal Palpation

A

Finding and palpating the top of the uterus to measure the fundal height.

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16
Q

Lateral Palpation

A

Palpating the sides of the uterus to determine the lie and position of the fetus and indicate the volume of liquor, tone of the uterus and the movements of the fetus.

17
Q

Pelvic Palpation

A

Palpating in the pelvic region to determine the engagement, attitude and denominator of the fetus.

18
Q

Fundal Mesurement

A

Measure from the highest point of the fundus to the upper margin of the pupic symphysis.

19
Q

Gestation fundal height can be measured from

A

24 weeks onwards

midwifery assesment practice skills (1 decks)

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