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Midwifery revision Exam Questions and Answers
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Midwifery revision Exam Questions and Answers
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Midwifery revision Exam Questions andAnswers
What is the valsalva maneuver in childbirth? - Answers -The Valsalva pushing
technique is used during second stage of labour. When this technique is used, a woman
is instructed to take a deep breath at the beginning of the contraction, to hold her breath
and push as long and hard as she can in synchrony with her contractions
What is haematocrit? - Answers -The hematocrit is the volume percentage of red blood
cells in blood. Low haematocrit with low RBC's indicates anemia. A high haematocrit
can indicate dehydration, low oxygenation, heart disorders, erythrocytosis (the
overproduction of RBC's)
What does a high creatinine level suggest? What tests are used to measure levels. -
Answers -Elevated creatinine level signifies impaired kidney function or kidney disease.
As the kidneys become impaired for any reason, the creatinine level in the blood will
rise due to poor clearance of creatinine by the kidneys. CBP,Kidney function test and
urine sample.
What are the aims of perineal repair - Answers -Correct alignment of tissues
Haemostasis
Minimal use of suture material
Reduction of dead space
The overall aim is to maintain the integrity of the woman's pelvic floor
Define best practice for perineal repair - Answers -Discuss & obtain consent
Ensure privacy & safety
Suture ASAP
Minimize bacterial contamination
Provide adequate analgesia
Position for the comfort of the woman & midwife
Adequate lighting to enhance visualization
Check equipment, count pads & tampons
Describe the care after the repair of the perineum - Answers -Analgesia
General hygiene - keep clean and dry
Inspection of the area to exclude infection, haematoma, wound breakdown
Adequate hydration
Determine that any dysuria is not due to UTI
Avoid constipation
Ice packs - first 48-72 hours
, Pelvic floor exercises 1-2 days postnatal (once IDC is removed)
Describe how to perform pelvic floor exercise. - Answers -Squeeze your anus as if
preventing passage of wind
Squeeze urethra as if you are stopping the flow of urine
Lift both together and count 10
Repeat 10 times
Repeat the first two exercises quickly 10 times
What are the functions of the pelvic floor muscles - Answers -Provide support to the
pelvic organs: bladder, vagina, uterus and rectum
Maintain intra abdominal pressure
Aid in defecation and micturition
Facilitate Childbirth
Contribute to sexual arousal and function
Maintain Urinary and faecal/flatal continence
What are the indications for episiotomy - Answers -Fetal distress
Rigid perineum preventing birth
Button holing which may indicate impending severe trauma
Shoulder dystocia
Define symmetric and asymmetric IUGR - Answers -Symmetric IUGR
Reduced size throughout the body
Body, head and length proportionally affected
Begins early in gestation
Genetic abnormality, infection, drugs, etc.
Asymmetric IUGR
Disproportionate growth
Head circumference is unaffected, body and weight smaller
Usually begins 2nd or 3rd trimester
Reduction in fetal nutrition
What are the causes for IUGR - Answers -Maternal
-Hypertension, heart disease, diabetes, etc
-Malnutrition, substance abuse, smoking, etc
-Uterine malformations, etc
Placental or umbilical cord
-Abruption, placental abnormalities, cord anomalies, etc
-Multiple gestations, twin-to-twin transfusion, etc
Fetal
-Genetic and developmental abnormalities, etc
-Infections, etc
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