WEEK 4 🤰 FINAL EXAM

Question 1

Whatre the parameters for maternal BP (unfinished)

Answer 1

100-139

60-89

Question 2

Whatre the parameters for maternal pulse

Answer 2

60-99 and regular

Question 3

Whatre the parameters for maternal RR

Answer 3

11-19 and regular

Question 4

Whatre the parameters for maternal temp

Answer 4

36-37.4

Question 5

What positions r reccommended in 1st stage of labour?

Answer 5

Walking + upright positions in 1st stage reduce length of labour , increase maternal satisfaction and dont seem to ave negative effects
LAWERENCE ET AL 2009

Reduction in analgesics
Change position 7/8 times
Whatevers most comfy

Question 6

What can a full bladder during labour cause

Answer 6

Delayed descent of presenting part, esp when above ischial spines

Reduced efficiency of uterine contractions

Unnecessary pain

Dribbling of urine during expulsive 2nd stagr

Pressure on distended bladder by fetal head may give rise to odema + bruising

Delayed birth of placenta

Predisposes sto PPH by inhibiting uterine contractions

Increases risks of urinary + anal incontinence

Question 7

Write abt Retention of urine

Answer 7

Pressure exerted on sacral plexus by presenting part during its descent throu pelvis

Increased retention of urine

Retention happens when pressure on sacral plexus results in inhibition of impulses

Question 8

What advice 4 women abt emptying bladder??????????

Answer 8

Empty every 4hrs
Acts as distraction
Gets u mobile
Urine can b tested
If unable consider catheterisation

Question 9

How to prevent infection during 1st stage of labour????????????????????????????????????

Answer 9

-Hand hygiene
-Limit traffic in BS
-Meticulous cleaning of equip
-Infection control guidelines
-Early discharge
-Changing of vulval pads
-Aseptic technique VE/IDC
-Preserve intact membranes
-Only VE when necessary
-PPE BABY