29 Questions
What is the correct way to dry one arm?
Hold the towel in the opposite hand and dry up to the elbow
What should you do after final rinse?
Turn water off and keep scrubbed hands and arms in view
How should you hold the gown during the gowning process?
Hold the inside front of the gown just below the neckline with both hands
What should you do with the brush after scrubbing?
Discard the brush
Why should you step back away from the table during the gowning process?
To provide a wide margin of safety while gowning
What should you do with the towel after drying one arm?
Carefully reverse the towel, still holding it away from the body
What is the primary purpose of using a pressure sensor in conjunction with intermittent auscultation?
To monitor the mother's contractions
Which of the following is an indication for Electronic Fetal Monitoring (EFM)?
Preeclampsia
What is the advantage of using external monitoring over internal monitoring?
It provides more freedom of movement for the woman
When should intermittent auscultation be performed during the 1st stage of labor?
Every 15-30 minutes
What is a limitation of Electronic Fetal Monitoring (EFM)?
It may not detect short-term variability
During which stage of labor should intermittent auscultation be performed every 5-15 minutes?
Pushing phase of the 2nd stage
What is the usual presenting part in a transverse lie?
Shoulder or iliac crest
What is the approximate percentage of fetuses that assume a longitudinal lie?
96%
What is a possible cause of a transverse lie?
All of the above
What is the term for when a fetal hand is prolapsed alongside the vertex, breech, or shoulder?
Compound presentation
What is the term for the relationship between the long axis of the fetal body and the long axis of a woman's body?
Fetal lie
What is the orientation of the fetus in a transverse lie?
Horizontal
What is one reason to use gloves in healthcare settings?
To reduce the risk of spreading germs to the environment and patients
When should gloves be removed?
As soon as gloves are damaged or after contact with blood, body fluid, broken skin, or mucous membrane
Why are artificial fingernails and extenders not allowed?
They can harbor high counts of skin organisms
What is not a reason to use gloves?
To improve the grip of the healthcare worker's hands
When is gloving not enough?
When replacing hand hygiene
What is an advantage of routine IVF in labor?
It provides ready access to emergency medications
Why is it recommended to encourage women to move around during labor?
To promote comfort and freedom of movement
What is the recommended frequency for plotting a patient's heart rate and contractions during labor?
Every 30 minutes
What is the primary purpose of performing handwashing before delivery?
To prevent infection transmission
Why is it essential to remove hand jewelry before washing hands?
To reduce the risk of infection transmission
How long should handwashing last when hands are visibly dirty or soiled with blood or fluids?
40-60 seconds
Study Notes
Fetal Presentation
- Cephalic presentation: vertex (complete flexion), brow (partial flexion/moderate flexion), sinciput (moderate flexion), face (extension), and chin (hyperextension)
- Shoulder presentation: occurs when the fetus lies horizontally in the pelvis, with the presenting part being one of the shoulders (acromion process), an iliac crest, a hand, or an elbow
Transverse Lie
- Definition: the long axis of the fetus forms a right angle with the long axis of the mother
- Causes: relaxed abdominal walls due to grand multiparity, pelvic contraction, and placenta previa
- Compound presentation: prolapse of the fetal hand alongside the vertex, breech, or shoulder
Fetal Lie
- Definition: the relationship between the long (cephalocaudal) axis of the fetal body and the long axis of the woman's body
- Approximately 96% of fetuses assume a longitudinal lie (with their long axis parallel to the long axis of the woman)
Surgical Hand Antisepsis
- Steps: repeat for the other arm, discard the brush, rinse hands and arms, and dry hands and arms with a sterile towel
- Importance: reduces the risk of contamination and transmission of germs
Gloving
- Importance: reduces the risk of contamination of hands with blood and other body fluids, and reduces the risk of spreading germs
- When to use: before a sterile procedure, anticipation of contact with blood or another body fluid, and contact with patient and their surroundings
- Removal: as soon as gloves are damaged, after contact with blood or body fluid, broken skin and mucous membrane, and after contact with patient and their surroundings
Electronic Fetal Monitoring (EFM)
- Definition: an electronic monitor used to continuously measure the fetus's heart rate and uterine contractions
- Advantages: noninvasive and does not pose a risk of infection
- Disadvantages: may not detect short-term variability
Intermittent Auscultation Technique
- Definition: a method of monitoring the fetal heart rate and uterine contractions using a pressure sensor
- Indications: pregnancy complications, preterm labor, previous cesarean, and multiple fetuses
- Advantages: woman has more freedom to move about
- Disadvantages: RN/RM must spend more time in monitoring, possibility of missing an abnormal FHT
This quiz covers the step-by-step process of surgical hand scrubbing, from applying antimicrobial soap to drying hands and arms with a sterile towel. It's essential for medical professionals to follow proper hand scrubbing procedures to maintain a sterile environment.
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