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OSCE Midwifery Practice > Antenatal > Flashcards

Antenatal Flashcards

1
Q

Name some of the complications of venepunture

A 
Pain
Bleeding/bruising
Infection
Thrombosis
Arterial puncture
Needle stick injury
Contamination with bodily fluids
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2
Q

Site of venepuncture

A

Median cubital vein

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3
Q

What is the purpose of sodium citrate in a blood collection bottle ?

A

Anti- coagulant

Prevents clotting

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4
Q

How can the vein be made more prominent?

A

Stroke vein

Clench/unclench fist

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5
Q

What is group and save?

A

When you take the sample and the lab defines the blood group and saves these results

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6
Q

What is cross match?

A

After group and save they then cross match some blood and prepare it for use for that patient

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7
Q

MC&S

A

Microscopy
Culture
Sensitivity

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8
Q

What are the aims of an abdominal palpation?

A

Check fetal size and growth
Listen to fetal heart
Locate areas of the fetus
Reassure of normality / look for deviations from normality

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9
Q

Preparation steps for abdominal palpation

A 
Empty Bladder
Semi- recumbent position
Flat hard surface
Explain procedure, gain consent
Wash hands
Maintain privacy
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10
Q

What are you looking for during inspection of the abdomen

A 
Shape
Size
Fetal movement
Skin changes (scars/bruising)
Stretch marks
Dark line
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11
Q

What is the pregnancy term for stretch marks?

A

Striae gravidarum

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12
Q

What is the pregnancy term for the dark line running down the abdomen?

A

Linea Nigra

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13
Q

What are the 5 steps to an abdominal palpation?

A 
Estimate gestation 
Fundal palpation 
Lateral palpation
Pelvic palpation
Auscultation
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14
Q

Why do you measure the fundal height?

A

To assess gestation/ growth

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15
Q

What is the term “presentation” used to describe and what are the 3 options of presentation

A

This determines the direction the fetus is facing (presented)
Cephalic
Breech
Unstable lie

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16
Q

What is the term “lie” used to describe and what are the 3 options of lie?

A

Longitudinal
Transverse
Oblique

17
Q

Why is a paper tape measure used in fundal height measurement?

A

It is non-elastic

It is disposable

18
Q

What does the “lie” describe the relationship between?

A

The long axis of the fetus and the long axis of the uterus

19
Q

What is the “position” of the fetus and what are the 6 fetal positions?

A 
ROA
LOA
ROP
LOP
ROL
LOL
20
Q

What do the three letters in fetal position stand for?

A

R- fetal back towards the mothers right
L- fetal back towards the mothers left
O- occipitus (back of fetal head)
A- occipitus faces anterior end of pelvis (occipitus faces up, face down)
P- occipitus faces the posterior end of pelvis ( back of head faces down, face up)
L-occipitus is lateral (facing side of pelvis)

21
Q

What does the fetal attitude describe?

A

The relationship of the fetal head and limbs to its body

22
Q

Denominator

A

The part of the presentation used to indicate the position

23
Q

What are 2 devices used to auscultate the fetal heart at home and what are the 2 methods in hospital?

A

Home-
Doppler
Pinnard

Hospital-
Ultrasound
Cardiotocograph

24
Q

Name 3 indications to give abdominal palpation

A

On admission to hospital
Prior to auscultation of fetal heart
Each antenatal assessment

25
Q

In which 3 situations should an abdominal palpation not be performed?

A

Placental abruption
Preterm labour
If mother refuses consent

26
Q

What are 5 presentations of the fetus?

A 
Vertex
Breech
Brow
Face
Shoulder
27
Q

Define the term engagement

A

The extent to which the transverse diameter of the fetal head has passed through the pelvic brim

28
Q

What is flexion?

A

When the fetus tilts it’s head, chin into its chest

29
Q

What is crowning?

A

When the baby’s head starts to emerge with every contraction

30
Q

What happens during internal rotation?

A

The head rotates so that the occiput faces the anterior side of the pelvis/ to oblique position

31
Q

What happens during external rotation?

A

The shoulders rotate into an oblique or anterior- posterior orientation encouraging the fetal head to return to a transverse position

32
Q

Where is the median cubital vein located?

A

In the antecubital fossa

33
Q

What does oligohydramnious mean?

A

Not enough fluid around the baby

OSCE Midwifery Practice (12 decks)

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