Maternity skills

Question 1

Cord prolapse

Answer 1

Position in exaggerated SIMS or knees to chest
Pain relief (entonox)
Walk to ambulance
Keep cord warm in pad with blanket
Urgent transport

Question 2

Relevant question

Answer 2

G and P
LMP (Last Menstual Period)/ EDD (Estimated Delivery Date)
Any complications in previous pregnancy
Uterine surgery
Any seizures

Question 3

Eclampsia

Answer 3

Often after 20 weeks pregnancy
O2 if necessary
Pain relief if necessary
IV access
Reassure
Rapid transport
Give diazepam if necessary

Question 4

Uterine rupture

Answer 4

Severe abdo pain (often at site of previous scar) with hypo volaemic shock (Cold, clammy, tachycardic)
Treat shock with reassurance
Pain relief
Rapid transport to hospital
TXA if PPH
Fluid
O2

Question 5

Placental abruption (seperation of placenta from uterine wall

Answer 5

Haemmorhage may not be visible. There will be abdo pain and feel hard and reduced fetal movement
Treat shock with reassurance
Pain relief if necessary
O2
Give fluid if necessary

Question 6

Placental praevia (Placenta blocking entrance of uterus)

Answer 6

Often leads to excessive blood loss post coitis. No presence of pain with soft abdo
Treat shock with reassurance
Pain relief if necessary
O2
Give fluid if necessary

Question 7

Preterm pregnancy

Answer 7

Before 37 weeks
Will be some blood loss vaginally with abdo and back pain

Question 8

pre elampsia

Answer 8

HTN with epigastric pain and visual disturbance and possible oedema and nausea

Question 9

Shoulder distocia (fetal position disrupting birth)

Answer 9

Suprapubic pressure
Legs behind head
Mum to stop pushing
Attempt birth on all fours
Rapid transport

Question 10

PPH (Often placenta not fully delivered)

Answer 10

500ml or more blood after birth
Request support
Uterine massage
Treat shock with reassurance
O2
IV fluids
Syntometrine then misoprostal then TXA
Aortic depression (fist with pressure below sternum