Maternal
What are the 4 T's to consider in a PPH
Tone
Trauma
Tissue
Thrombin
When should fundal height be assessed?
Every antenatal presentation.
With verbal communication how much of the message is received?
30%
What does CTG stand for?
Cardiotocography
Shoulder dystocia is identified when what occurs?
The shoulders fail to deliver with normal gentle traction following delivery of the head.
Which cord vessel reflects placental function?
The umbilical vein because it carries oxygenated blood from the placenta to the fetus.
Name 4 important components of good teamwork during an emergency.
Leadership
Role allocation
Closed-loop communication
Situational awareness
Early escalation
Clear documentation
What are the four features that should be considered when interpreting a CTG?
Baseline
Variability
Accelerations,
Decelerations
What is the order of PPH medications to be administered in a PPH?
Oxytocin x 2 or Syntometrine
Ergometrine if Syntometrine not administered
TXA
Carboprost
30IU Synto maintenance
+/- Misoprostol
Which of the following respond to changes in fetal blood pressure?
Chemoreceptors - Baroreceptors - Catecholamines
Baroreceptors
What communication technique reduces errors during emergencies and demonstrate?
Closed loop communication
A variable deceleration is considered complicated if it occurs with what? - list 4
Rising baseline
Reducing variability
Fetal tachycardia
Slow return to baseline after end of contraction
Large amplitude and/or long duration
Name 4 signs of septic shock.
Hypotension
Tachycardia
Altered mental status
Reduced urine output
Elevated lactate
Name 3 situations where Cervidil should be removed immediately.
Established labour
SROM
Uterine hyperstimulation
Abnormal CTG - after review
Significant vaginal bleeding
Maternal deterioration
What routes of administration need a bedside check with 2 midwifes/nurses?
S/C
IM
IV
All S8 and S4D medications
What do accelerations generally indicate on a CTG?
Fetal wellbeing
What medication should always be available when administering MgS04?
Calcium gluconate
What are 4 antenatal signs of placental insufficiency?
Reduced FM
FGR or SGA
Abnormal Dopplers
Oligohydramnios
GHTN or PE
List the 5 components of ISBAR
Identification
Situation
Background
Assessment
Recommendation
Name 5 intrauterine resuscitation measures you could initiate while awaiting review of red zone CTG