Admissions

Question 1

Whats the aim of the initial admission asssessment

Answer 1

-Accurately assess need for consultation and referrall
-Identify stage of labour
-Provide practical support
-Assess womans condition

Question 2

What should u be looking aat during admission

Answer 2

-Womans condition
-If birth imminient (if so transfer to birthing suite)
-Wellbeing
-Acknowledge womans exxcitement
-Explore antenatal records
-Agree on EDD
-Review history (allergies, conditions, surg, prev preg etc)
-Frequency of contractions
-How womans responding to them
-Palpate
-Fetal activity
Consent

Question 3

How to assess contractions?

Answer 3

-Palpate uterus directly for strength +length of contractions
-Fetal activity
-Get consent
-Dont speak duuring
-Observe womans response to contractions

Question 4

What should u check when doing VE

Answer 4

-See if membranes are intact/ruptured
Colour odour and vol of liqor
-See if meconium present

Question 5

How to assess significance of meconium

Answer 5

Light staining is less of a concern.

-Dark green/black and/or thick and sticky =fresh and cud b more serious marked intrauterine hypoxia or acidosis

-Can be a marker of fetal comprimise

Question 6

Is an admission CTG reccommended?

Answer 6

Evidence doesnt support the use for low/normal risk women as women r more likely to have CS if they have an admission CTG.

Its associated with incrs in use of continuous fetal monitoring and fetal blood sampling during labour.

Question 7

What admission records are necessary to be completed for all admissions?

Answer 7

-Note in chart
-Admission slip
-Identity bands
(Mark RHneg + allrg)