Podcast
Questions and Answers
What is the first step to prepare a woman for a physical examination?
What is the first step to prepare a woman for a physical examination?
Which of the following should be checked to assess the extremities during the examination?
Which of the following should be checked to assess the extremities during the examination?
How should a woman be positioned during the physical examination?
How should a woman be positioned during the physical examination?
What should be inspected in the abdomen during the examination?
What should be inspected in the abdomen during the examination?
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Which area should be palpated to estimate the period of gestation?
Which area should be palpated to estimate the period of gestation?
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What is the purpose of checking the color of the palms and nails during the extremities examination?
What is the purpose of checking the color of the palms and nails during the extremities examination?
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When preparing for a physical examination, what should the woman do first?
When preparing for a physical examination, what should the woman do first?
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What is one indication of possible complications that should be checked during the examination?
What is one indication of possible complications that should be checked during the examination?
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What position should the nurse discourage the woman from assuming during labor?
What position should the nurse discourage the woman from assuming during labor?
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How often should the woman be encouraged to pass urine during labor?
How often should the woman be encouraged to pass urine during labor?
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Which of the following is NOT a sign of maternal distress?
Which of the following is NOT a sign of maternal distress?
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What can cause retention of urine during labor?
What can cause retention of urine during labor?
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What fetal assessment should be performed every 30 minutes after the rupture of membranes?
What fetal assessment should be performed every 30 minutes after the rupture of membranes?
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Which of the following signs indicate fetal distress?
Which of the following signs indicate fetal distress?
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What is one potential complication related to the power aspect of labor?
What is one potential complication related to the power aspect of labor?
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What might a full bladder during labor cause?
What might a full bladder during labor cause?
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What is the first step in the antenatal assessment process?
What is the first step in the antenatal assessment process?
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Which of the following should NOT be included in preparing the client care area?
Which of the following should NOT be included in preparing the client care area?
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What should the healthcare provider do before greeting the client?
What should the healthcare provider do before greeting the client?
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What is an important aspect to communicate to the woman at the beginning of the assessment?
What is an important aspect to communicate to the woman at the beginning of the assessment?
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In which scenario would a quick check NOT be performed?
In which scenario would a quick check NOT be performed?
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What should be emphasized to the woman regarding her bladder prior to urine collection?
What should be emphasized to the woman regarding her bladder prior to urine collection?
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Which of the following items should NOT be part of the necessary supplies mentioned?
Which of the following items should NOT be part of the necessary supplies mentioned?
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If the client care area is not comfortable, which of the following actions should be taken?
If the client care area is not comfortable, which of the following actions should be taken?
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What should be assessed regarding the woman's family history during the first visit?
What should be assessed regarding the woman's family history during the first visit?
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Which daily habits should be inquired about during the first visit?
Which daily habits should be inquired about during the first visit?
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What specific information about previous pregnancies should be collected?
What specific information about previous pregnancies should be collected?
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What is the first step when performing a urine analysis for sugar and albumin?
What is the first step when performing a urine analysis for sugar and albumin?
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What detail concerning previous childbirths is important to document?
What detail concerning previous childbirths is important to document?
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What should be done if a woman's hemoglobin level is less than 7 g/dl?
What should be done if a woman's hemoglobin level is less than 7 g/dl?
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Which of the following tests is routinely performed during prenatal visits?
Which of the following tests is routinely performed during prenatal visits?
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What aspect of postpartum history is important to discuss?
What aspect of postpartum history is important to discuss?
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What menstrual history should be reviewed during the first visit?
What menstrual history should be reviewed during the first visit?
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What action should be taken after removing gloves?
What action should be taken after removing gloves?
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What critical information about her last menstrual period (LMP) should be asked?
What critical information about her last menstrual period (LMP) should be asked?
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What is the purpose of a non-stress test during pregnancy?
What is the purpose of a non-stress test during pregnancy?
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Which routine test is specifically done around 28 weeks of pregnancy?
Which routine test is specifically done around 28 weeks of pregnancy?
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Which question should be asked regarding future family planning?
Which question should be asked regarding future family planning?
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What should be done after recording findings from a woman's examination?
What should be done after recording findings from a woman's examination?
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What is indicated for a woman with a negative Rh factor result?
What is indicated for a woman with a negative Rh factor result?
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What should be done after the procedure when utilizing a partograph?
What should be done after the procedure when utilizing a partograph?
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At what cervical dilation should a multiparous woman be transferred to the delivery room?
At what cervical dilation should a multiparous woman be transferred to the delivery room?
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What should be assessed before performing a vaginal examination?
What should be assessed before performing a vaginal examination?
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Which action is necessary to gain the patient's cooperation during the examination?
Which action is necessary to gain the patient's cooperation during the examination?
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Which step should be performed simultaneously with asking the patient to lie on her back?
Which step should be performed simultaneously with asking the patient to lie on her back?
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What is the first step in preparing for a vaginal examination?
What is the first step in preparing for a vaginal examination?
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How should the labia be cleaned during the examination?
How should the labia be cleaned during the examination?
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Which rating indicates that a step in the procedure needs improvement?
Which rating indicates that a step in the procedure needs improvement?
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Flashcards
Proficiently Performed
Proficiently Performed
A step or task is done accurately, precisely, and in the correct sequence.
Preparing the Client Area
Preparing the Client Area
Setting up the clinic space with all needed supplies and equipment for the client (e.g., stethoscope, thermometer, scales).
Hand Hygiene
Hand Hygiene
Cleaning hands with antiseptic rub or soap and water prior to patient contact.
Welcoming the Client
Welcoming the Client
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Client Explanation
Client Explanation
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Quick Check Confirmation
Quick Check Confirmation
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Urine Specimen Collection
Urine Specimen Collection
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Flexibility in Questioning
Flexibility in Questioning
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Family History Inquiry
Family History Inquiry
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Lifestyle & Habits Inquiry
Lifestyle & Habits Inquiry
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Previous Pregnancies Inquiry
Previous Pregnancies Inquiry
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Previous Childbirths Inquiry
Previous Childbirths Inquiry
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Postpartum History Inquiry
Postpartum History Inquiry
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Menstrual History Inquiry
Menstrual History Inquiry
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Contraceptive History Inquiry
Contraceptive History Inquiry
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Expected Delivery Date Calculation
Expected Delivery Date Calculation
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Bartholin's Gland Exam
Bartholin's Gland Exam
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Perineum Inspection
Perineum Inspection
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Extremity Exam
Extremity Exam
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Danger Signs of Pregnancy
Danger Signs of Pregnancy
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Fundal Height Measurement
Fundal Height Measurement
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Abdominal Inspection
Abdominal Inspection
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Fundal Palpation
Fundal Palpation
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Preparing for Exam (Consent)
Preparing for Exam (Consent)
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Urine Analysis for Sugar and Albumin
Urine Analysis for Sugar and Albumin
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Hemoglobin Test
Hemoglobin Test
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Blood Group and Rh Test
Blood Group and Rh Test
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Anti-D Immune Globulin
Anti-D Immune Globulin
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Prenatal Visits
Prenatal Visits
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Amniocentesis
Amniocentesis
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Urine sample collection
Urine sample collection
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Optional Prenatal Tests
Optional Prenatal Tests
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Partograph Uses
Partograph Uses
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Maternal/Fetal Complications Reporting
Maternal/Fetal Complications Reporting
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Equipment Sterilization
Equipment Sterilization
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Stock Return
Stock Return
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Primiparous Transfer
Primiparous Transfer
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Multiparous Transfer
Multiparous Transfer
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Vaginal Exam Equipment Prep
Vaginal Exam Equipment Prep
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Patient Bladder Emptying
Patient Bladder Emptying
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Labor Positions
Labor Positions
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Bladder Care in Labor
Bladder Care in Labor
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Maternal Distress
Maternal Distress
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Fetal Distress Signs
Fetal Distress Signs
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Fetal Assessment Frequency
Fetal Assessment Frequency
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Hypotonic Contractions
Hypotonic Contractions
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Cephalopelvic Disproportion (CPD)
Cephalopelvic Disproportion (CPD)
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Fetal Distress
Fetal Distress
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Study Notes
Manual of Maternity and Newborn Health Nursing
- This is a manual for maternity and newborn health nursing, created by maternity and newborn health nursing staff members.
- It includes revision edition, clinical learning guides, and checklists to facilitate learning and assessment of core competencies.
- The document was produced by a Health Workforce Development (HWD) Project sponsored by the United States Agency for International Development and the United States Government.
Introduction
- Clinical Learning Guides (CLGs) and Clinical Skill Checklists (CCLs) are internationally accepted best practices adapted to the Egyptian context, assisting clinical skill acquisition and assessment of clinical competency.
- CLGs provide step-by-step descriptions of skills. CCLs are used for learner assessment, derived from the CLGs.
- CLGs are effective because they align with adult learning theories, including using behavior modeling, and are inherently competency-based.
- These tools promote peer-to-peer and self-learning.
- They are used in simulation environments (such as skill labs) and clinical practice.
- The revised core curricula in obstetrics and gynecology, pediatrics, and community health are consistent with CLGs and CCLs, alongside those used in nursing programs.
- The HWD project has developed a model for instructional materials design and development, offering standardized materials suitable for use in Egypt.
Contents
- The document lists learning guides for various topics, including antenatal assessment, fetal heart rate, labor management and assessment, perineal care, newborn assessment, and more.
- Specific learning guides outline the steps and important tasks in each process.
Learning Guide 1: Antenatal Assessment
- This guide details step-by-step clinical procedures for antenatal assessment, including physical examinations, history, and testing.
- Provides a rating scale (1-4) for evaluating participant performance.
- Includes information on getting ready, preparation tasks (preparing equipment, care area, client, etc.).
- There are detailed checklists for different aspects of patient history and examination.
Learning Guide 2: Auscultation of Fetal Heart Rate
- Explains the steps for fetal heart rate assessment.
- Outlines how to position the client, prepare supplies, perform assessments, and record results.
- Offers a rating scale to measure participant efficiency.
Learning Guide 3: Pitting Edema Assessment
- Explains the steps for assessing pitting edema.
- Discusses how to prepare for the examination, including observation and evaluation.
Learning Guide 4: Deep Tendon Reflex Assessment
- Explains procedures for assessment of Deep Tendon Reflexes.
- Includes a detailed step-by-step guide, preparation steps (equipment preparation, client positioning and reassurance), testing techniques, and a rating scale for assessments.
Learning Guide 7: Management of First Stage of Labor
- Details the comprehensive steps for handling first stage labor management.
- Focuses on preparedness (equipment), nursing assessments (medical history, vital signs, progression of labor), nourishment and hydration, rest and sleep, pain management, preventing infections and infection control measures.
Learning Guide 8: Vaginal Examination During Labor
- Provides a step-by-step guide for vaginal examinations during labor.
- Instructions include preparation steps, assessment steps, and post-procedure tasks.
Learning Guide 11: The Partogram
- Provides a step-by-step guide on how to properly use and complete a partogram. Key components to fill during the first, second, third, and post-procedure tasks are mentioned.
Learning Guide 12: Management of Second Stage of Labor
- Includes a breakdown of management steps for the second stage of labor.
Learning Guide 13: Instrumental tray of normal labor
- Details the contents of and procedure for the appropriate preparation of an instrumental tray used for normal labor.
Learning Guide 14: Perineal Care
- Contains detailed steps for perineal care including, preparation (equipment), assessment, and postpartum tasks.
Learning Guide 15: Episiotomy
- Provides procedures for episiotomy, including preparation (equipment preparation), assessment steps (infiltrate the local anesthesia and allowing time for anesthesia to become effective), steps to perform the incision, post-operative tasks.
Learning Guide 16: Management of Third Stage Labor
- Covers management of the third stage of labor, including preparation, assessment, and postpartum procedure tasks.
Learning Guide 17: Examination of the Placenta
- Offers procedures for examining the placenta during labor management.
Learning Guide 18: Newborn Assessment
- Details the procedures for newborn assessment, covering preparedness (equipment preparation), assessment steps (physical assessment, and neuromuscular maturity assessment methods like using Ballard scales, checking for signs, measuring vital signs such as temperature, respiration and more), and post-procedure tasks.
Learning Guide 19: Immediate Care of the Newborn
- Outlines immediate care steps for newborn after birth, including identifying, securing the infant's safety, positioning and monitoring, cord and eye care, and assessing for any complications.
Learning Guide 20: Neonatal Resuscitation
- Explains methods and procedures for neonatal resuscitation, including preparation steps and procedures.
Learning Guide 21: Management Of Fourth Stage Of Labor
- Includes details on managing fourth stage of labor and includes the evaluation of uterine tonicity, observation of lochia, assessment for complications (like bleeding), comfort measures (intake and output) and post-procedure tasks.
Learning Guide 22: Fundus And Lochia Assessment
- Details the steps for assessing the fundus and lochia after childbirth and the steps required for the postpartum evaluation.
Learning Guide 23: Perineal Care & Assessment
- Contains steps for performing perineal care and assessment after childbirth.
Learning Guide 24: Routine Episiotomy Care
- Provides routine episiotomy care procedures, and health education for postpartum women.
Learning Guide 25: Routine Neonatal Care (First Two Weeks)
- Outlines the care process for newborns during the first two weeks following birth.
Learning Guide 26: Nursing Responsibilities In Various Gynecological Examination In Gynecological Clinic
- This guide details the preparation for and during various gynecological examinations, including patient preparation, equipment, and post-procedure tasks.
Learning Guide 27: Breast Examination
- Includes steps for performing breast examinations and important tasks (such as history taking, identifying possible risk factors, preparing the equipment and patient, and performing the examination).
Learning Guide 28: Assisting in IUD Insertion
- Details the steps in guiding a patient through the insertion of an Intrauterine Device (IUD).
Learning Guide 29: Administration Of Contraceptive Hormonal Injection
- Covers the preparation and administration of hormonal contraceptive injections, emphasizing proper injection procedures, safety measures, and documentation.
Learning Guide 30: Assisting In Insertion And Removal Of Norplant Implants
- Provides detailed steps for assisting in the insertion and removal of Norplant implants, covering preparation, procedure, post-procedure tasks.
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