Surgical Hand Scrubbing Procedure
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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?

    <p>Discard the brush</p> Signup and view all the answers

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

    <p>To provide a wide margin of safety while gowning</p> Signup and view all the answers

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

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

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

    <p>To monitor the mother's contractions</p> Signup and view all the answers

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

    <p>Preeclampsia</p> Signup and view all the answers

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

    <p>It provides more freedom of movement for the woman</p> Signup and view all the answers

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

    <p>Every 15-30 minutes</p> Signup and view all the answers

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

    <p>It may not detect short-term variability</p> Signup and view all the answers

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

    <p>Pushing phase of the 2nd stage</p> Signup and view all the answers

    What is the usual presenting part in a transverse lie?

    <p>Shoulder or iliac crest</p> Signup and view all the answers

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

    <p>96%</p> Signup and view all the answers

    What is a possible cause of a transverse lie?

    <p>All of the above</p> Signup and view all the answers

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

    <p>Compound presentation</p> 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?

    <p>Fetal lie</p> Signup and view all the answers

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

    <p>Horizontal</p> Signup and view all the answers

    What is one reason to use gloves in healthcare settings?

    <p>To reduce the risk of spreading germs to the environment and patients</p> Signup and view all the answers

    When should gloves be removed?

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

    Why are artificial fingernails and extenders not allowed?

    <p>They can harbor high counts of skin organisms</p> Signup and view all the answers

    What is not a reason to use gloves?

    <p>To improve the grip of the healthcare worker's hands</p> Signup and view all the answers

    When is gloving not enough?

    <p>When replacing hand hygiene</p> Signup and view all the answers

    What is an advantage of routine IVF in labor?

    <p>It provides ready access to emergency medications</p> Signup and view all the answers

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

    <p>To promote comfort and freedom of movement</p> Signup and view all the answers

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

    <p>Every 30 minutes</p> Signup and view all the answers

    What is the primary purpose of performing handwashing before delivery?

    <p>To prevent infection transmission</p> Signup and view all the answers

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

    <p>To reduce the risk of infection transmission</p> Signup and view all the answers

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

    <p>40-60 seconds</p> 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.

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