Question

I am resending these questions bcz it has been more than an hour since i send it this morning. Thank you.

1. Indicate the information to be written on the fetal monitor plot a. When a path starts b. During labor 2. In your own words, mention that it is a fetal monitoring standard 3. What is intrauterine resuscitation? 4. What are the two main goals of intrauterine resuscitation? 5. What are the three main interventions for intrauterine resuscitation and an example of how to achieve it? 6. Indicate the normal alterations is in a patient after childbirth a. Temperature b. Pulse с. В/Р d. Power level e. Uterus f. Lochia g. Perineum h. Legs i. Breasts j. Appetite k. Elimination I. Break 7. Mention 4 medicinal plants that stimulate uterine contraction - The roots and rhizo mes of Caulophyllum thalictroides (blue cohos), traditionally used as an aid for childbirth, contain several active alkaloids and sapo- uterine smooth muscle resulting in an oxytocic response. - Ficus exasperata Vahl Enum. (acetylcholine likewise) in Nigeria.

Answer 1

1.Fetal monitoring plot

a.When a path starts

Base line rate ,Variability,Heart rate

b.During labor

Uterine contractions ,Heart rate ,Variability,Reassuring&Non reassuring

2.Fetal monitoring standard :

It is assumed that all necessary resources both human and equipment’s ,materials are available readily for Featl monitoring .The Continuous CTG monitoring ,as compared with intermittent auscultation is the done .The CTG recordings are to be noted and interpreted .

3.Intrauterine resuscitation:

It is defined as the measures that are commonly initiated during labor when the fetal Heart rate (FHR) pattern is indeterminate or abnormal .

4.two main goals of intrauterine resuscitation:

Increase oxygen delivery to the placenta

Maternal repositioning and optimising maternal fluid status .

5.Three main interventions of intrauterine resuscitation

The three main interventions of intrauterine resuscitation are ,

1. Amnioinfusion- Insertion of fluid into amniotic cavity to alleviate compression of umbilical cord
2. Tocolysis - Therapy used to delay preterm labor by temporarily stopping contractions .
3. Intravenous hypertonic dextrose .

6.Normal alterations in a patient after child birth :

Temperature :Slightly elevated 0.5 degree for the first 24 hours . it has to be measured every twice,four hours and eight hours after birth to prevent postpartum infections.

Pulse: Physiological bradycardia ,pulse to be assessed every15 mts .

B/P: No change is counted but may result in hypotension

Power level: less

Uterus: Fundus of the uterus begins to contract ,Feeling of chills,Uterus changes in size from one kg to 60-80 gms after delivery.

Lochia: Post partum period vaginal secretion is called as lochia which is discharge containing blood,mucus and uterine tissue .

Perineum: perineum remains soft and begins to return to size .pain in perineum

Legs :Swollen

Breast : Breast prepare for lactation ,First secretions are known as colostrum .Breast begins to produce milk ,Cracked nipples also present

Appetite: Calories must be changed based on the breast feeding ,increase in appetite ,calories given 2500kcal/day .

Elimination : Thirst is present ,constipation ,faltulence

Break