Antepartal Assessment Flashcards

1
Q

For Filipino women to have full access to health services
towards making their pregnancy and delivery safer

A

National Safe Motherhood Program

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2
Q

is committed to provide rational and responsive policy direction to its local government partners in the delivery of quality maternal and newborn health services, with integrity and accountability using proven and innovative approaches

A

National Safe Motherhood Program

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3
Q

On average, ________ babies were born daily, which translates to _____ babies born per hour or approximately ______________ babies born per minute.

A

4177;174; three (3)

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4
Q

Refers to the assessment done with the client (expectant mother) from the time of conception to the onset of labor.

A

Antepartal Assessment

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5
Q

Components of Antepartal Assessment:

A

Measurement of Fundic Height
Leopold’s Maneuver
Measurement of Fetal Heart Tone

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6
Q

To help determine the position and lie of the fetus, which in conjunction with correct assessment of the shape of the maternal pelvis can indicate whether the delivery is going to be complicated, or whether a caesarean section is necessary.

A

Leopold’s Maneuver

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7
Q

materials needed for Leopold’s Maneuver

A

Stethoscope
Tape Measure

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8
Q
  • is a measure of the size of the uterus
  • used to assess fetal growth and development during pregnancy
A

Fundal Height or McDonald’s Rule

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9
Q

The fundal height is determined by measuring the

A

distance from the pubic symphysis to the highest part of the uterus

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10
Q

At about ______________ of pregnancy, the uterus becomes __________ as a ___________________ over the ______________________

A

12 to 14 weeks; palpable; firm globular sphere; symphysis pubis

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11
Q

It reaches the _______________________and the
_____________________, and then often returns to
about ___________________ because of __________________________________

A

umbilicus at 20 to 22 weeks ; xiphoid process at 36 weeks; 4cm below the xiphoid; “lightening” at 40 weeks

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12
Q

If a woman is past 12 weeks of a pregnancy,

A

palpate the fundus location, measure the fundal height

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13
Q

Fundic height (cm) is equal to

A

AOG

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14
Q

12 weeks

A

fundus just above pubic bone

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15
Q

36-38 weeks

A

fundus usually right up under sternum

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16
Q

40 weeks (term)

A

fundus drops below 38-week level as presenting part drops down into pelvis

17
Q

Fetal heart sounds can be heard as early as the _________________________ of pregnancy by the use of an ____________________________

A

10th week to 11th week; ultrasonic Doppler Technique

18
Q

uses a thin wire (electrode) put on your baby’s scalp the ____ runs from the baby through the cervix

A

Transvaginal UTZ

19
Q

Internal FHT Monitoring

A

Transvaginal UTZ

20
Q

External FHT Monitoring

A

Doppler UTZ
Stethoscope
Fetal Heart Monitor

21
Q

A systematic method of observation and palpation to determine fetal presentation, position, lie and attitude

A

Leopold’s Maneuver

22
Q

Leopold’s Maneuver is preferably performed _____________________________ when ____________________________________

A

after 24 weeks gestation; fetal outline can be palpated

23
Q

is the length of the fetus

A

Longest diameter (axis)

24
Q

Location of apparent fetal movement

A

the location of the activity most likely reflects the position of the feet

25
Q

Fetal Position

A

Cephalic
Transverse
Frank Breech
Complete Breech
Twins

26
Q

Refers to the relationship between the long axis of the fetus with respect to the longest axis of the mother.

A

Fetal Lie

27
Q
  • Best presentation
  • 28-week gestation
  • 6-7 cm dilated
A

Longitudinal Lie Vertex Presentation

28
Q

Fetal Lie

A

Longitudinal Lie Vertex Presentation
Longitudinal Lie Breech Presentation
Transverse Lie Presentation Vertex Presentation

29
Q

Maneuvers

A

1st maneuver: fundal grip
2nd maneuver: umbilical grip
3rd maneuver: Pawlick’s grip
4th maneuver: cervical grip

30
Q

CARDINAL RULE:

A

Instruct woman to empty bladder first.

31
Q

may stimulate uterine contractions.

A

Cold hands

32
Q

During the first three maneuvers, stand __________________. For the last maneuver, stand _______________________.

A

facing the patient; facing patient’s feet