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MCN > MIDTERMS(SKILLS > Flashcards

MIDTERMS(SKILLS Flashcards

1
Q

Prevent infection
2. Increase the viability of the area by removing the bloody discharge
3. Promote comfort

A

PERINEAL PREPARATION (sterile)
PURPOSE

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2
Q

Help prevent infection so that the birth canal is not contaminated
2. Observe ASEPTIC technique

A

PRINCIPLES

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3
Q

FRONT TO BACK
➔ Anterior to posterior - s.pubis to anal region
➔ Center to periphery - in inguinal region to mid thigh

A

DIRECTION

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4
Q

helps in management of labor for filipino women w/ normal labor; increases 1
cm/hr

A

PARTOGRAPH

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5
Q

cervical dilatation, contraction pattern

A

PROGRESS OF LABOR

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6
Q

pulse, temp, bp, urine voided

A

MATERNAL WELL-BEING

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7
Q

FHR, color of amniotic fluid

A

FETAL WELL-BEING:

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8
Q
  1. Antepartum hemorrhage 5. malpresentation
  2. Fetal distress 6. Very premature baby
  3. Previous cs section 7. Severe preeclampsia & eclampsia
  4. Multiple pregnancy 8. Obvious obstructed labo
A

CONDITIONS THAT DON’T NEED PARTOGRAPH

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9
Q
  • normal
A

GREEN

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10
Q

passes alert line

A

YELLOW

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11
Q

abnormal & passes action line

A

RED -

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12
Q

symbol “X”
2. Start when woman is in ACTIVE LABOR (4 cm or more) and is contracting
adequately (3-4 contractions in 10 minutes)
3. Start plotting on alert line in the intersection corresponding cervical
dilatation finding
4. Perform internal examination every 4 hours, or more often if necessary

A

Recording the findings in the partograph

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13
Q

If plotting reaches alert line:

A

consider referral, Alert transport services,
Monitor intensively

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14
Q

If plotting reaches the action line: r

A

refer to hospital unless birth is imminent

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15
Q

“ I

A

intact

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16
Q

C ”

A

clear

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17
Q

M

A

meconium stained

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18
Q

A

A

absent

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19
Q

B

A

BLOODY

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20
Q

If she remains in latent phase for next 8 hours (labor is prolonged),

A

transfer
her to hospital.

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21
Q
A
21
Q
A
22
Q

urinates 20x/day; control usually gained b/w 2
and 5 y/o

A

➢ INFANTS & CHILDREN:

23
Q

toilet trained

A

➢ PRESCHOOLERS:

24
Q

nocturnal enuresis/bedwetting

A

➢ SCHOOL AGE

25
Q

nocturnal frequency

A

ELDERLY:

26
Q

privacy, normal position, time, sound of
running water

A

PSYCHOSOCIAL FACTORS:

27
Q

alcohol, antidiuretics
➢ CAFFEINE FILLED DRINKS are diuretics
➢ FOODS & FLUIDS HIGH IN SODIUM CAUSES FLUIDS TO BE
RETAINED

A
  1. FLUIDS AND INTAKE
28
Q

incomplete emptying of the bladder

A

ENLARGED PROSTATE GLAND

28
Q

Diuretics promote urination
➢ Anticholinergic; antispasmodics causes urinary retention
➢ Antidepressant; antipsychotics
➢ Antihistamines, antihypertensives

A

MEDICATIONS

29
Q

decreased estrogen

A

PAST MENOPAUSE

30
Q

Renal failure, circulatory disease

A

PATHOLOGIC FACTORS

31
Q

obstructing ureters

A

Urinary stones:

32
Q

obstructs urethra

A

Hypertrophy of prostate gland:

33
Q
  • polyuria (colic) * polydipsia (excessive thirst) * oliguria (low urine output)
  • anuria (absence of urine)
A
  1. ALTERED URINE PRODUCTION
34
Q

dysuria (painful urination) * enuresis * urinary incontinence
* urinary retention (can’t release fluid) * neurologic bladders

A
  1. ALTERED URINE ELIMINATION
35
Q

sterile gloves, CB w/ betadine, lubricant (1-2 in.from tip of
catheter), syringe w/ saline solution, drainage bag

A

CATHETERIZATION
- introduction of catheter through urethra into bladder to withdraw urine
➢ MATERIALS:

36
Q

tube made of rubber, plastic, latex, silicon, polyvinyl
chloride; the larger the number, the bigger the catheter; size depend on
age

A

CATHETER

37
Q

single lumen tube with small eye opening about 1 ¼ cm from insertion tip

A

STRAIGHT/ROBINSON/INTERMITTENT

38
Q

PURPOSES:

A

Relieve discomfort due to bladder distention/provide gradual decompression of distended bladder 2. Assess amt of residual urine 3. Obtain urine specimen 4. Empty the bladder prior to surgery

39
Q

children: FR 8-10; black ➔ Young girls: FR 12; white ➔ women: FR 14-16; green; 16- orange ➔ male: FR 16-18; red

A

SIZE & COLORS ➔ children: FR 8-10; black

40
Q

LABORATORY EXAMS:

A

straight

41
Q

BLADDER EMPTYING

A

folley or indwelling

42
Q

PURPOSE:

A

Manage incontinence (last resort if other measure failed) 2. Provide intermittent bladder drainage/irrigation 3. Prevent from contracting an incision after surgery 4. Facilitate accurate measurement of urine output 5. For critically ill pts whose output needs to be monitored hourly

43
Q
  • rotate the head to an occiput-anterior posterior position
A

FORCEPS ASSISTED DELIVERY

44
Q

May develop ecchymosis or edema 2. Caput succedaneum (swelling) or cepal hematoma 3. Transient facial paralysis

A

NEONATAL RISK

45
Q

Complete dilatation 2. Ruptured membranes 3. Vertex or face presentation 4. No CPD (cephalocaudal disproportion)

A

PREREQUISITES

46
Q

a cap like suction; kept not longer than 25 minutes; monitor FHR every 5 min; side effects: scalp wound & skull fractures

A
  1. VACUUM EXTRACTION
47
Q

pts who has had previous low transverse CS birth; incidence of dehiscence(nagbukas ang tahi): 1%

A

VAGINAL BIRTH AFTER CESAREAN BIRTH (VBAC)

48
Q
A

MCN (46 decks)

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