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Community Health Nursing - RLE > Antepartal Assessment > Flashcards

Antepartal Assessment Flashcards

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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

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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

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18
Q

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

A

Transvaginal UTZ

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19
Q

Internal FHT Monitoring

A

Transvaginal UTZ

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20
Q

External FHT Monitoring

A

Doppler UTZ
Stethoscope
Fetal Heart Monitor

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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: pelvic 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

33
Q

This assessment is done to a client (expectant mother) from the time of conception to the onset of labor

A

antepartal assessment

34
Q

to assess fetal growth and development during pregnancy.

A

Measurement of Fundal Height

35
Q

to determine fetal presentation and position.

A

Leopold’s Maneuver

36
Q

to assess fetal health condition

A

Measurement of Fetal Heart Sound

37
Q

EQUIPMENT

A

a. Tape measure
b. Stethoscope

38
Q

Place woman in a _______________________,
supine with knee flexed to relax abdominal
muscles. Place a small pillow under the head for
comfort

A

dorsal recumbent position

39
Q

Fundal measurement should approximately equal number of weeks gestation; measurements may vary by __ cm;

A

2

40
Q

The longest diameter (axis) is the length of the fetus. The location of activity most likely reflects the position of the _________

A

feet

41
Q

This maneuver determines whether fetal head or breech is in the fundus.

A

1st maneuver

42
Q

Place both hands on the fundal area and palpate. Determine _______________________________________.

A

consistency, shape, and mobility

43
Q

hard, round, ballotable

A

Head –

44
Q

– soft, globular, and nonballotable

A

Buttocks

45
Q

MOVES INDEPENDENTLY OF THE BODY

A

HEAD

46
Q

moves
only in conjunction with the body.

A

breech

47
Q

This maneuver locates the back of the fetus.

A

2nd maneuver

48
Q

smooth, hard, resistant
surface

A

back

49
Q

a number of angular nodulations

A

knees and elbows

50
Q

This maneuver determines the part of the fetus at the inlet and its mobility.

A

3rd maneuver

51
Q

This maneuver determines fetal attitude and
degree of fetal extension into the pelvis

A

4th manuever

52
Q

Place fingers on both sides of the
uterus approximately __ inches above
the__________________ , pressing
downward and inward in the direction
of the birth canal. Allow fingers to be
carried downward.

A

2; inguinal ligaments

Community Health Nursing - RLE (6 decks)

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