Abdominal Palpation Flashcards Preview

Midwifery > Abdominal Palpation > Flashcards

Flashcards in Abdominal Palpation Deck (16)
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1
Q

1

A

Hand Hygiene: Perform hand hygiene before coming into contact with woman

2
Q

2

A

Communication: Introduce yourself and what you will be doing in the appointment

3
Q

3

A

Empty Bladder: Ask the woman if she has emptied her bladder, and to do so if she hasn’t

4
Q

4

A

Movements: Ask the woman if she has been feeling her baby move regularly since her last appointment

5
Q

5

A

Gestation: Calculate gestation from EDD

6
Q

6

A

Consent: Obtain consent to life her shirt to gain access to her abdomen

7
Q

7

A

Visual Inspection: Presence of obesity, scars, size and shape of uterus, skin rashes, linea nigra etc.

8
Q

8

A

Fundal Height: Feel for the symphysis pubis, place the bottom of the tape measure there. Feel for the fundus, and measure to that point. Should correlate with gestation

9
Q

9

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Abdominal Palpation: Start at the fundus and work your way down. Feel for the lie and the presentation

10
Q

10

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Engagement: Place thumb and index finger at the top of the symphysis pubis and feel for the engagement of the presenting part. Measure in fifths

11
Q

11

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Position: State the position of the baby (for example LOA) and explain to the woman what this means

12
Q

12

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FHR Auscultation with Pinnard: Inform woman you will be measuring FHR firstly with a pinnard, then with the doppler. Place pinnard on anterior shoulder of fetus and listen for a full minute

13
Q

13

A

FHR Auscultation with Doppler: Ask woman if she would like to hear her baby’s heart beat. Place doppler on anterior shoulder and listen for FHR

14
Q

14

A

Document: Document all findings on yellow card, and verbalise for examiners

15
Q

15

A

Address Concerns: Address any concerns the woman may have, such as discomforts in pregnancy

16
Q

16

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Ask: Ask if there is anything else the woman needs from you at this time