Maternity (done)

Question 1

how do you cut the cord

Answer 1

apply 2 cord clamps 3cm aprat and 15cm from the bay

Question 2

when should you cut the cord

Answer 2

when its stop pulsing and gone white

Question 3

how quickly should the placenta be delived

Answer 3

within 30 minutes

Question 4

what is the active phase of labour

Answer 4

4cm to 10cm

Question 5

what is the laten phase of labour

Answer 5

until 4cm

Question 6

what is stage 3 of birth

Answer 6

delivery of the baby until delivery of the placenta

Question 7

what is the second stage of labour

Answer 7

10cm dilated until delivery

Question 8

what is stage one of labour

Answer 8

onset of labour to 10 cm

Question 9

when completing a rapid assessment of a pregnant woman what should you look for

Answer 9

• establish how many weeks/ if the baby will be born premature
• does she have any meternity records
• asses for: blood stains. mucus plug lost, waters broke, contractions and bleeding.

if none of this is present contact local maternity unit

Question 10

when should you complete a visual inspection of a pregnant woman

Answer 10

if indicated and with consent if their are regular contractions (1-2 intervals)

Question 11

what to prepare if the birth is imminent

Answer 11

• privacy of the environment
• it is as worm as possible at least 25 degrees
• cover the area using clean towels and sheets
• gather clean warm items such as towels that can be pre- warmed
• use the maternity response pack

Question 12

explain the process of a normal birth

Answer 12

• support the woman where she is most comfortable
• provide support and be reassuring
• encourage the mother to breath slowly
• provide pain relief
• allow babies head to be born slowly
• avoiding touching the umbilical cord
• once born pass to mother on her adbomen
• assess the baby once covered with towels and on mother belly

Question 13

what is the main risk once a baby is born

Answer 13

low body temperature leading to hypothermia

those born before 37 weeks lose heart faster than others

Question 14

what to do after birth of the baby

Answer 14

• keep the baby in mothers position where she can breast feed if she wishes
• wait until the umbilical cord has stopped pulsating and apply two cord clamps 3 cm apart and 15cm from the newborn

Question 15

what should you do soon ish after the birth

Answer 15

• do not await the placenta birth if not midwife or local services are present, the priority is to ensure their is an assesment of moth and baby as soon as possible

Question 16

what to do about the birth of the placenta

Answer 16

the mother may report further contractions prior to the birth of the placenta

encourage her to adopt a squatting poison and catch the placenta in a bag or a bowl

keep it all together for a inspection by a midwife

Question 17

what to do if the mother is still bleeding after the birth of the placenta

Answer 17

palpate the mothers abdomen and feel the top of the uterus and massage firmly

Question 18

what are the main things to remember with an emergency birth

Answer 18

if they experience contractions 1-2, do and visual inspection before pushing

allow baby’s head to take place slowly to avoid perineal trauma

ensure the baby is thoroughly dried and given skin to skin contact with mother as soon as possible