Anatomical Surgical Hand Scrub Quiz & Flashcards

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Questions and Answers

What is the correct way to dry one arm?

Use both hands to hold the towel and dry both arms simultaneously

Hold the towel in the same hand and dry up to the elbow

Dry one arm with the used end of the towel and then dry the other arm

Hold the towel in the opposite hand and dry up to the elbow (correct)

What should you do after final rinse?

Turn water off and keep scrubbed hands and arms in view (correct)

Walk away from the sink without turning off the water

Turn water off and leave the operating room

Turn water on again to rewash your hands

How should you hold the gown during the gowning process?

Hold the sleeves of the gown with each hand

Hold the inside front of the gown just below the neckline with both hands (correct)

Hold the inside front of the gown with one hand

Hold the outside back of the gown with both hands

What should you do with the brush after scrubbing?

Discard the brush Signup and view all the answers

Why should you step back away from the table during the gowning process?

To provide a wide margin of safety while gowning Signup and view all the answers

What should you do with the towel after drying one arm?

Carefully reverse the towel, still holding it away from the body Signup and view all the answers

What is the primary purpose of using a pressure sensor in conjunction with intermittent auscultation?

To monitor the mother's contractions Signup and view all the answers

Which of the following is an indication for Electronic Fetal Monitoring (EFM)?

Preeclampsia Signup and view all the answers

What is the advantage of using external monitoring over internal monitoring?

It provides more freedom of movement for the woman Signup and view all the answers

When should intermittent auscultation be performed during the 1st stage of labor?

Every 15-30 minutes Signup and view all the answers

What is a limitation of Electronic Fetal Monitoring (EFM)?

It may not detect short-term variability Signup and view all the answers

During which stage of labor should intermittent auscultation be performed every 5-15 minutes?

Pushing phase of the 2nd stage Signup and view all the answers

What is the usual presenting part in a transverse lie?

Shoulder or iliac crest Signup and view all the answers

What is the approximate percentage of fetuses that assume a longitudinal lie?

96% Signup and view all the answers

What is a possible cause of a transverse lie?

All of the above Signup and view all the answers

What is the term for when a fetal hand is prolapsed alongside the vertex, breech, or shoulder?

Compound presentation Signup and view all the answers

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 Signup and view all the answers

What is the orientation of the fetus in a transverse lie?

Horizontal Signup and view all the answers

What is one reason to use gloves in healthcare settings?

To reduce the risk of spreading germs to the environment and patients Signup and view all the answers

When should gloves be removed?

As soon as gloves are damaged or after contact with blood, body fluid, broken skin, or mucous membrane Signup and view all the answers

Why are artificial fingernails and extenders not allowed?

They can harbor high counts of skin organisms Signup and view all the answers

What is not a reason to use gloves?

To improve the grip of the healthcare worker's hands Signup and view all the answers

When is gloving not enough?

When replacing hand hygiene Signup and view all the answers

What is an advantage of routine IVF in labor?

It provides ready access to emergency medications Signup and view all the answers

Why is it recommended to encourage women to move around during labor?

To promote comfort and freedom of movement Signup and view all the answers

What is the recommended frequency for plotting a patient's heart rate and contractions during labor?

Every 30 minutes Signup and view all the answers

What is the primary purpose of performing handwashing before delivery?

To prevent infection transmission Signup and view all the answers

Why is it essential to remove hand jewelry before washing hands?

To reduce the risk of infection transmission Signup and view all the answers

How long should handwashing last when hands are visibly dirty or soiled with blood or fluids?

40-60 seconds Signup and view all the answers

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

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Description

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.

Surgical Hand Scrubbing Procedure