Show:
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