Partograph

Question 1

is a tool to help management of labor

Answer 1

Partograph

Question 2

guides birth attendant to identify women whose labor is delayed and therefore decide appropriate action

Answer 2

partograph

Question 3

What are you going to monitor during labor?

Answer 3

-Progress of labor
•Cervical dilatation
•Contraction pattern
-Maternal well being
•Pulse, temperature, blood pressure
•Urine voided
-Fetal well being
•Fetal heart rate and pattern
•Color of the amniotic fluid

Question 4

What are the two parts of partograph?

Answer 4

progress of labor
maternal and fetal well-being

Question 5

What are the conditions that do not need the use of partograph?

Answer 5

antepartum hemorrhage
Severe pre-eclampsia and eclampsia
•Fetal distress
•Previous caesarian section
•Multiple pregnancy
•Malpresentation
•Very premature baby
•Obvious obstructed labor

Question 6

You should start plotting the partograph when the woman is on ____ and is contracting adequately (______)

Answer 6

active labor (4cm or more)
contracting adequately (3-4 contractions in 10 minutes)

Question 7

Perform internal examination every ____ or more often if necessary and plot findings each time

Answer 7

4 hours

Question 8

Progress of labor is ____ if plotting stays on or to the left of the alert line

Answer 8

normal

Question 9

As soon as 4 cm is reached the cervix should dilate normally at a rate of _____ per hour

Answer 9

> or equal to 1 cm per hour

Question 10

green line

Answer 10

alert line

Question 11

red line

Answer 11

action line

Question 12

If the plotting passes alert line, you should

Answer 12

reassess woman and consider referral if facilities are not available to deal with obstetric emergencies, unless delivery is imminent.
- alert transport services
- monitor intensively

Question 13

If the plotting passes action line

Answer 13

the patient must be already in an EmOC (emergency obstetric care) facility

Question 14

What are the other findings to note during IE

Answer 14

status of the membrane (I= intact)
if ruptured: note the color
C= clear
M= meconium stained
A= absent
B= bloody

Question 15

you should monitor the patient every 4 hours and record the findings of the :

Answer 15

blood pressure
pulse rate
temperature
urine voided (yes or no)

Question 16

What should you monitor more frequently and record the findings?

Answer 16

number of contractions in 10 minute period (3-5 contractions each lasting for 30 to 40 seconds)

fetal heart rate in full minute (110-160 bpm normal)

Question 17

if woman is admitted in LATENT PHASE of labor (less than 4 cm) - record only the findings TRUE OR FALSE

Answer 17

TRUE

Question 18

If the pt. remains in latent phase for the next ______ refer her to hospital

Answer 18

8 hours