maternal safety
perinatal safety
Human Factors
CTG
100
All women without Blue Zone, Yellow Zone or Red Zone observations on a SMOC are confirmed to be healthy and well.
False.
100
How often should intermittent auscultation be performed at a minimum in the first stage of labour?
Every 15 minutes
100
With verbal communication how much of the message is received?
30%
100
What could be the causes of prolonged fetal bradycardia?
( list three).
- Prolonged cord compression
- Cord prolapse
- Epidural and spinal anesthesia
- Maternal seizures
- Rapid fetal descent
200
Antenatal risk factors for PPH?
( List Four).
Over distension of Uterus eg Twins, polyhydramnios Anaemia, Therapeutic anticoagulation Hx previous PPH, Gradmulti,.Fetal Macrosomia BMI above 35. Uterine anomalies. Maternal bleeding Disorders.
200
How often should intermittent auscultation be performed when a woman is in the active second stage of labour?
Every 5 minutes following a contraction.
200
What communication style can be used in escalated situations to improve effectiveness?
Closed loop communication.
200
What are the four features that should be considered when interpreting a CTG?
baseline,
variability,
accelerations,
decelerations
300
Why is it important to facilitate left lateral displacement of the uterus during CPR?
Reduces uterine compression of aorta and vena cava.This can increase cardiac output to support mother and baby.
300
Which of the following respond to changes in fetal blood pressure?
A, chemoreceptors,
B, baroreceptors,
C, catecholamines
baroreceptors,
300
What are the benefits of understanding human factors in the health care setting?
Enhance safety,
reduce error,
efficient performance,
enhance personal wellbeing.
300
What causes a sinusoidal fetal heart rate pattern?
hypoxia, CNS injury, infection, cardiac anomalies, anaemia, drugs
400
When filling a bladder to relieve cord pressure, how much fluid should be used?
500mls.
This should distend the bladder above the pubis.
400
What are appropriate escalation responses for blue zone EFM features?
Escalate to team leader,
Initiate appropriate clinical action and document
continue monitoring.
400
What is confirmation bias?
When more weight is given to evidence that confirms a persons beliefs but undervalues evidence that could disprove it.
400
What actions should you take if the CTG has had two yellow zones?
Two yellow ctg make a red zone.
Tier two escalation, commence maternity resus measures eg change position etc.
500
What are the complications of Uterine Inversion?
( At least three complications).
Neurogenic shock Post-Birth Trauma.
Hypovolemic shock
PPH due to atonic Uterus.
Infection.
Reinversion
500
Continuous CTG with increased variability for greater 30 minutes should be classified as?
Red zone or rapid response.
500
What Human Factors influence EFM?
( list 4)
Lack communication, compliancy, lack of knowledge, distraction, lack of teamwork, fatigue, stress, lack of resources, lack of assertiveness, norms, lack of awareness.
500
Fetal tachycardia is defined as a baseline heart rate greater than 160 bpm.
Causes of fetal tachycardia are
- Fetal hypoxia
- Chorioamnionitis
- Hyperthyroidism
- Fetal or maternal anaemia
- Fetal tachyarrhythmia