Active management of the after birth period.
Task for students : demonstrate the active management of the third period of labor . In the same time to make a description for examiner , what are You doing.
Time for demonstration 5 minutes.
Information for the examine:assess, please, the student’s actions, separately, on the every below given item.
| 1 | Explain for parturient the essence of the conducting manipulation . Wash our hands ,dry with disposable towel.Put on disposable gloves.. | 1 | 0,5 | 0 |
| 2 | Perform of abdominal palpation for exclude the second fetus present in uterus. During the 1 minute after a fetus delivery make injection of 10 U of oxytocin at the upper third of femur i/m.. | 1 | 0,5 | 0 |
| 3 | Umbilicus cord is pressed with forceps more close to perineum.. Pressed umbilicus cord I with forceps end hold in one hand. Another hand put on supra pubic region of woman. надлобковую область женщины.Umbilicus cord are holding at the stretched condition and waiting sever contraction of uterus ( as a rule, after 2-3 minutes).. | 1 | 0,5 | 0 |
| 4 | In case of uterine contraction and elongation of umbilicus cord , very carefully try to stretch on cord on yourself and down for delivery of placenta , another hand , in the same time displace of uterus at the opposite direction of stretching of umbilicus cord, for prevention of uterine insertion. When after birth is delivered , we hold its with both hands and carefully turned, for delivery of amniotic membrane4s.. | 1 | 0,5 | 0 |
| 5 | After delivery of afterbirth , immediately performing of uterine massage through the anterior abdominal wall of woman till the uterine contractions appearing. | 1 | 0,5 | 0 |
| 6 | Assess the integrity of after birth . Placenta should be put on the quadrate tray with maternal surface to up and determinate the presence of all lobes , carefully examine the edges of placenta . After that turn its with maternal surface down , elevate after birth, holding of umbilicus cord , the second hand put inside of membranes , making a fingers separate , to be shoe in its integrity | 1 | 0,5 | 0 |
| 7 | .In the same time put attention if there is no between membranes ruptured vessels , going from the edge of placenta ( ruptured vessels tell us about the additional lobe of placenta , that remains at the uterine cavity.) | 1 | 0,5 | 0 |
| 8 | Check od blood lost volume , put a blood in the vessel for measurement. Perform of external sexual organs examination .In case of rupture – repair the integrity.. | 1 | 0,5 | 0 |
| 9 | Assess the general condition of parturient , counting pulse rate , measure .blood pressure.. | 1 | 0,5 | 0 |
| 10 | Take away of gloves , through its in special container for utilization , wash our hands .. | 1 | 0,5 | 0 |
Maximum quantity of balls -10
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Assessment after delivery and primary care about newborn.
Task for students : Evaluate at birth and describe a newborn primary care. In the same time to make a description for examiner , what are You doing.
Time for demonstration is 5 minutes.
Information for the examine:assess, please, the student’s actions, separately, on the every below given item.
| 1 | Prepare previously equipment , that is necessary for newborn. Wash hands and dry with disposable towel. Take on a sterile gloves.. | 1 | 0,5 | 0 |
| 2 | At the moment of delivery to assess of a newborn condition on your hand , during 30 sec. If newborn condition is good, without problems, make his dry with a warm clean napkins , put him on the abdomen of mother . On a head we wear a clean, brought from home a warm cap, on the legs - socks. The wet napkins take away and put on newborn dry and warm napkins , additional cover. | 1 | 0,5 | 0 |
| 3 | Umbilicus cord is cut by sterile scissors between two clamps after stopping of vessels pulsation... | 1 | 0,5 | 0 |
| 4 | Assessment of breathing of newborn and color of skin every 15 minutes during the first hour and ever 30 minutes during the 2 hour. If a skin became cyanotic or he has difficulty of breathing е (<30or >60 in minute ), give an oxygen through the mask and call a neonatology in urgent order. | 1 | 0,5 | 0 |
| 5 | -measurement of body temperature by electronic thermometer in 30 minutes after labor and before going to post partum department , if temperature of body is less 36,5 С — it is necessary to change napkins, cap on more warm , take some measure to warm a newborn ( additional blanket with mother ,central heating lamp over the bed, where mother and child will be etc.; | 1 | 0,5 | 0 |
| 6 | -at the end of the first hour we should put in eye of ointment ( tetracycline or erythromycin in an individual package ) to the end of the 2 hour -repeated.. | 1 | 0,5 | 0 |
| 7 | - to the end of the 2 hour a plastic forceps is put on the umbilicus cord , treated of cord with sterile gas , remains of umbilicus cord will be opened , and newborn is in the skin contact with mother. | 1 | 0,5 | 0 |
| 8 | - taken of body mass and measurement of newborn are performing, following the all orders of not interrupted warm defense. Common examination together with neonatologist is performing to the end of the 2 hour , after that a newborn will have changed clean and dry cloths(baby’s vest and pumpers ). During all time the child has skin to skin contact with mother ( tight swaddling is not recommended); | 1 | 0,5 | 0 |
| 9 | Information should be done about importance of breast feeding, particularity of early breast feeding , frequency of feeding and in cases of the first symptoms of newborn preparing for feeding – help during the first feeding.. | 1 | 0,5 | 0 |
| 10 | Take away of gloves and through away its for utilization. Wash your hands... | 1 | 0,5 | 0 |
Maximum quantity of balls – 10
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