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Questions and Answers
What is the primary purpose of the third maneuver, Pawlick's Grip, in assessing fetal position?
What is the primary purpose of the third maneuver, Pawlick's Grip, in assessing fetal position?
How can the fetal back be distinguished from the extremities during examination?
How can the fetal back be distinguished from the extremities during examination?
In the pelvic grip maneuver, what does increased resistance to finger descent indicate?
In the pelvic grip maneuver, what does increased resistance to finger descent indicate?
Why is the two-handed approach preferred over Pawlick's Grip in assessing fetal position?
Why is the two-handed approach preferred over Pawlick's Grip in assessing fetal position?
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What should one expect to feel if the fetal head is extended during the pelvic grip maneuver?
What should one expect to feel if the fetal head is extended during the pelvic grip maneuver?
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What is indicated by a dark brown line from the umbilicus to the symphysis pubis during pregnancy?
What is indicated by a dark brown line from the umbilicus to the symphysis pubis during pregnancy?
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In the context of fetal lie, which term describes when the fetus lies across the mother's longitudinal axis?
In the context of fetal lie, which term describes when the fetus lies across the mother's longitudinal axis?
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What is the primary reason for instructing the mother to empty her bladder before an abdominal examination?
What is the primary reason for instructing the mother to empty her bladder before an abdominal examination?
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What does the first Leopold's maneuver primarily assess?
What does the first Leopold's maneuver primarily assess?
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Which piece of equipment is specifically used to auscultate fetal heart sounds?
Which piece of equipment is specifically used to auscultate fetal heart sounds?
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Which skin condition during pregnancy is characterized by silver or red patches due to over stretching?
Which skin condition during pregnancy is characterized by silver or red patches due to over stretching?
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What position should the mother be in during the abdominal examination to reduce the risk of supine hypotension?
What position should the mother be in during the abdominal examination to reduce the risk of supine hypotension?
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What is the purpose of the second Leopold's maneuver?
What is the purpose of the second Leopold's maneuver?
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What should a midwife observe for during the inspection phase of the abdominal examination?
What should a midwife observe for during the inspection phase of the abdominal examination?
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In fetal assessment, what does the term 'presenting part' refer to?
In fetal assessment, what does the term 'presenting part' refer to?
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To maintain the mother's privacy during the examination, which area should remain covered?
To maintain the mother's privacy during the examination, which area should remain covered?
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What is a common method to avoid discomfort to the woman during abdominal palpation?
What is a common method to avoid discomfort to the woman during abdominal palpation?
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What is the correct order of methods used in the abdominal examination?
What is the correct order of methods used in the abdominal examination?
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Which maneuver distinguishes between cephalic and breech presentations?
Which maneuver distinguishes between cephalic and breech presentations?
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Why is it important for the midwife to explain the procedure to the woman before starting the examination?
Why is it important for the midwife to explain the procedure to the woman before starting the examination?
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Which of the following is NOT considered a method of abdominal examination?
Which of the following is NOT considered a method of abdominal examination?
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What does the cephalic prominence indicate when evaluating the fetal head's position?
What does the cephalic prominence indicate when evaluating the fetal head's position?
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How is engagement of the fetal head defined during the pelvic grip?
How is engagement of the fetal head defined during the pelvic grip?
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If the cephalic prominence is located on the same side as the fetal back, what does this indicate?
If the cephalic prominence is located on the same side as the fetal back, what does this indicate?
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In Leopold's Maneuver, how is the fetal head assessed in terms of engagement?
In Leopold's Maneuver, how is the fetal head assessed in terms of engagement?
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What is the normal range for the fetal heart rate during auscultation?
What is the normal range for the fetal heart rate during auscultation?
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When practicing Leopold's Maneuver, where is the best location to auscultate the fetal heart?
When practicing Leopold's Maneuver, where is the best location to auscultate the fetal heart?
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What does it indicate if 3, 4, or 5 fifths of the fetal head are still palpable?
What does it indicate if 3, 4, or 5 fifths of the fetal head are still palpable?
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Which of the following positions of the fetal head indicates a military position?
Which of the following positions of the fetal head indicates a military position?
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What is the primary objective of defining the procedure during antenatal assessment?
What is the primary objective of defining the procedure during antenatal assessment?
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Which step involves determining the fundal level of the fetus?
Which step involves determining the fundal level of the fetus?
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When performing the first maneuver, what is the purpose of using palms instead of fingertips?
When performing the first maneuver, what is the purpose of using palms instead of fingertips?
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What position should the woman be in during the assessment procedure?
What position should the woman be in during the assessment procedure?
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In the second maneuver, what is the key aspect being determined?
In the second maneuver, what is the key aspect being determined?
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What is the significance of measuring the fundal height from the pubic bone to the fundus?
What is the significance of measuring the fundal height from the pubic bone to the fundus?
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Which of the following is NOT a part of the procedure's steps?
Which of the following is NOT a part of the procedure's steps?
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What is the first action to take before starting the procedure?
What is the first action to take before starting the procedure?
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Study Notes
Abdominal Examination
- Definition: A visual, tactile, and/or audible examination of the woman's abdomen.
-
Objectives:
- Confirm pregnancy
- Assess fetal size and growth
- Locate fetal parts
- Auscultate fetal heart sounds
- Detect deviations from normal
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Equipment:
- Pinard fetoscope or sonic fetal heart sound device
- Client record
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Preparation of the Mother:
- Empty bladder (full bladder makes exam uncomfortable and less accurate fundal height measurements)
- Lie in supine position (relaxes abdominal muscles)
- Expose only the area to be palpated, cover remainder of the woman
- Maintain privacy to aid relaxation
- Raise shoulders slightly on a pillow, knees drawn up a little
Methods of Abdominal Examination
-
Inspection:
- Observe abdomen's shape and size in relation to amenorrhea period
- Check for skin conditions like scars, striae gravidarum
- Observe for fetal movements
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Palpation:
- First Maneuver (Fundal): Palpate fundus for fetal poles (head or breech)
- Second Maneuver (Lateral): Determine fetal lie (relationship of fetal long axis to mother's)
- Third Maneuver (Pawlick's): Determine presenting part
- Fourth Maneuver (Pelvic): Determine attitude of fetal head
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Auscultation:
- Listen for fetal heart sounds using a fetoscope or doppler.
- Best location is over fetal back, closer to the cephalic pole.
- Normal fetal heart rate is 110-160 bpm.
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Description
This quiz focuses on the techniques and objectives of abdominal examination during pregnancy. It covers preparation for the examination, methods such as inspection and palpation, and the use of specialized equipment. Test your knowledge on confirming pregnancy, assessing fetal growth, and detecting deviations from normal findings.
