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MCN-LEC > Assessing & Admitting Pregnant Woman > Flashcards

Assessing & Admitting Pregnant Woman Flashcards

1
Q

It is a subjective symptom

A

PAIN

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2
Q

It is the upper margin of the uterus

A

FUNDUS

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3
Q

When does the growth of fundic height begin?

A

12 WEEKS GESTATION

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4
Q

The size of the uterus usually reaches its peak at _______

A

36 weeks gestation

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5
Q

How to measure fundic height

A
  1. Obtain maternal consent
  2. Empty bladder if she doean’t done so in last 30 mins
  3. Position woman in supine position
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6
Q

What position should the woman be when measuring fundic height?

A

SUPINE

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7
Q

It will help estimate AOG and EDC

A

Fundic Height Measurement

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8
Q

The fundal height can be ____ cm higher at 17-20 wks gestation if the woman ha a full bladder

A

3 cm

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9
Q

Fundic height BELOW umbilicus is

A

less than 20 wks gestation

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10
Q

Fundic height ABOVE umbilicus is

A

more than 20 wks gestation

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11
Q

To ensure accuracy of fundic height measurement, the woman should _____

A

EMPTY HER BLADDER

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11
Q

2 ways in estimating fundic height

A

MCDONALD RULE
BARTOLOMEW RULE
JOHNSON’S RULE

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12
Q

Used to determine age of gestation in lunar months we by measuring from the fundus to the symphysis pubis

A

MCDONALD RULE

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13
Q

It is used to estimate the weight of the fetus in grams

A

JOHNSON’S RULE

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13
Q

Fundic height (cm) x 2/7 = AOG in lunar months

A

MCDONALD’S RULE

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13
Q

N is __ if the fetus is engaged
It is __ if the fetus is not yet engaged

A

12
11

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14
Q

Used to determine AOG in weeks by relating fundic height to diff landmarks in the abdomen

A

BARTOLOMEW RULE

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14
Q

Fundic height: slighlty above the symphysis

A

12 weeks

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14
Q

In the Bartolomew rule, different landmarks in the abdomen are:

A
  1. Symphysis pubis
  2. Umbilicus
  3. Xiphoid process
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15
Q

Fundic height: level of the umbilicus

A

20 weeks

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16
Q

Fundic height: Below xiphoid process

A

6 weeks

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16
Q

Fundic height: same level due to lightening on the 40th week

A

32 and 40th week

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17
Q

Weeks in Bartolomew’s Rule

A

12
16
20
24
28-30
36
34-40

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18
Q

Fundus is at level of symphysis. What week?

A

12 WEEKS

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18
Q

Fundus half way between umbilicus & symphysis pubis. What week?

A

16 WEEKS

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18
Q

Fundus is at level of umbilicus. What week?

A

20 WKS

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19
Q

Fundus is halfway between umbilicus and xyphoid process. What week?

A

28-30 WKS

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20
Q

Fundus at level of xiphoid process?

A

36 WEEKS

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21
Q

Fundus at level due to lightening

A

34-40 WEEKS

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21
Q

Is the measuring of the fetus’s heart rate during the labor by using a special instruments.

A

FETAL HEART RATE (FHR MONITORING)

22
Q

Types and methods of fetal heart monitoring:

A

I. Intermittent Auscultation
II. Electronic Fetal Monitoring (EFM)

22
Q

Fetal heart sounds are transmitted best through the _______ of the fetus because that is the part that lies in closest contact with uterine wall

A

CONVEX PORTION

22
Q

In this presentation, fetal heart sounds are usually best heard through the fetal back

A

BREECH PRESENTATION

23
Q

In a face presentation, the back becomes concave so the sounds
are best heard through the more _____

A

CONVEX THORAX

23
Q

In this presentation, the fetal heart sounds are heard loudest low in a
woman’s abdomen.

A

CEPHALIC PRESENTATION

24
Q

Normal FHR

A

120 - 160 or 110-160

25
Q

Baseline FHR above 160

A

TACHYCARDIA

26
Q

In Bradycardia, baseline FHR is ___

A

less than 120 bpm

27
Q

❑Auscultation is a method of
listening to the fetal heartbeat for
how many seconds?

A

60 SECONDS

28
Q

Types of fetal stethoscope

A
  1. FETOSCOPE
  2. PINARD
  3. HAND-HELD DOPPLER
29
Q

Which type of auscultation technique is advisable for normal pregnancies?

A

INTERMITTENT AUSCULTATION

30
Q

During the active phase of 1st stage labor, intermittent auscultation should be done every?

A

15-30 mins

31
Q

During the pushing phase of 2nd stage labor, intermittent auscultation should be done every _____

A

5-15 mins

31
Q

Refer to fluctualtion caused by balancing acts of sympathetic
(increase FHT) and parasympathetic branches ( decreases FHT )
of the automatic nervous system.

A

BASELINE VARIABILITY

32
Q

electronic monitor used to continuously measures the fetus’s heart rate and using a pressure sensor to monitor the mother’s contractions at the same time.

A

Electronic Fetal Monitoring (EFM)

33
Q

Measure the heart rate through a wire called (electrode) contains a needle, inserted through the vagina and cervix, and placed under the baby’s scalp.

A

INTERNAL MONITORING

34
Q

These are temporary normal increases in FHR caused by fetal movement, a change in maternal
position, or administration of an analgesic.

A

ACCELERATIONS

34
Q

Rate of FHT decreases at the onset of
uterine contraction but return to
normal before the end of contraction
this is normal response of the fetus to
head compression caused by umbilical cord

A

DECELERATIONS

35
Q

Frequency of monitoring FHT

A
  1. Latent Phase - every hr
  2. Active Phase - 15-30 mins
  3. Second stage - 5-15 mins
36
Q

The tightening and shortening of the uterine muscles.

A

UTERINE CONTRACTION

37
Q

Healthcare practitioner and nurse will be checking fetal heart rate and uterine contraction.

A

LABOR WATCH

38
Q

The _____ of the contractions also changes as labor progresses and
this is a good sign that labor is progressing well.

A

INTENSITY

38
Q

is the time from the beginning of one contraction to the end of that same
contraction.

A

DURATION

39
Q

is measured from the beginning of one contraction to the beginning of
the very next contraction.

A

FREQUENCY

40
Q

Refers to the time that lapse between two uterine contractions. It is measured from the end of a contraction to the beginning of the next contraction.

A

INTERVAL

41
Q

cervix will dilate to around 10 centimeters, which is about equal to the diameter of a softball.

A

DILATATION

42
Q

Is a part of the fetal body that enters the true pelvis first and which is also the first part to come out during delivery.

A

PRESENTING PART

42
Q

Thinning & shortening of the cervix

A

EFFACEMENT

42
Q

These are used to help midwife and
nurses determine fetus’ presentation and position.

A

LEOPOLD’S MANEUVER

42
Q

The presentation of the fetus is determined by?

A

FETAL LIE & ATTITUDE

42
Q

is the relationship of the presenting part of the fetus to an imaginary line drawn at the level of the ischial spines of the mother.

A

STATION

43
Q

Timing of Leopold’s Maneuver

A

After 24-26 wks

43
Q

4 Classic Maneuver of Leopold’s Maneuver

A
  1. Fundal Grip
  2. Lateral Grip
  3. Pawlick’s Grip
  4. Pelvic Grip
44
Q

Palpate the upper abdomen of women in lie down position.

During palpation, both hands should be in cupping position and able to grip and palpate the upper part of the abdomen in order to know which fetal part

A

FUNDAL GRIP

45
Q

This process is done to identify the location of a fetal back

A

LATERAL GRIP

46
Q

Palpate the lower part of the abdomen which is above the symphysis portion

A

PAWLICK’S GRIP

47
Q

In this stage of labor, labor pain is associated with dilatation of the cervix, hypoxia of uterine muscle
cells and stretching of lower uterine segment.

A

FIRST STAGE OF LABOR

47
Q

Palpation of the pelvis is done

A

PELVIC GRIP

48
Q

This stage of labor is associated with hypoxia of muscle cells, distention of vagina and perineum and pressure on adjacent structures.

A

SECOND STAGE OF LABOR

48
Q

Maternal assessment during labor

A
  1. OBTAIN DATA
  2. MATERNAL CONDITION
  3. OBSTETRICAL HISTORY
  4. PLANS FOR NEWBORN
  5. ABDOMINAL EXAMINATION
  6. VITAL SIGNS
  7. LABORATORY TESTS
48
Q

This stage of labor is associated with
uterine contractions and cervical dilatation during the birth of placenta.

A

THIRD STAGE OF LABOR

49
Q

It is a record of all the observation made on a woman in labor , the central feature of which is the graphic recording of the dilatation of the
cervix as assessed by vaginal examination.

A

PARTOGRAPH

50
Q
A

MCN-LEC (9 decks)

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