Nokea
During a discussion about partograph, a clinical instructor asked a midwifery student about its components. Which of the following are parts of the partograph? SELECT ALL THAT APPLY
- A. Maternal Wellbeing
- B. Fetal Wellbeing
- C. Fetal Heart Rate
- D. Maternal Vital Signs
Correct Answer: D
Rationale: The correct answer is D: Maternal Vital Signs. Maternal vital signs, including blood pressure, pulse rate, temperature, and respiratory rate, are essential components of the partograph. Monitoring maternal vital signs helps in assessing the progress of labor and detecting any abnormalities early.
Rationale:
1. Maternal Wellbeing (A) is not a specific component of the partograph. While maternal wellbeing is important, it is not a direct part of the partograph.
2. Fetal Wellbeing (B) is not a part of the partograph. Fetal wellbeing is assessed through other means such as fetal heart rate monitoring.
3. Fetal Heart Rate (C) is not a part of the partograph. Fetal heart rate monitoring is crucial in labor but is not a component of the partograph.
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Donna needs further teaching about the use of partograph if she said to her CI that:
- A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
- B. I can use the partograph in all pregnant women.
- C. I will plot the cervical dilatation using 'x'.
- D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.
Correct Answer: B
Rationale: Rationale: Choice B is correct because the partograph is a tool used for monitoring labor progress in all pregnant women, not just in specific cases. It is essential for early detection of complications. Choice A is incorrect as the partograph should be used from the onset of labor regardless of the cervical dilation. Choice C is incorrect as the cervical dilation should be plotted in centimeters, not using 'x'. Choice D is incorrect as referral should be based on the overall assessment of the labor progress, not solely on reaching the action line on the partograph.
After organizing, follow-up visits are also necessary. What should you do first?
- A. Explain the purpose of the visit
- B. Wash your hands and perform the necessary procedure
- C. Conduct environmental surveillance
- D. Greet the patient/resident and introduce yourself
Correct Answer: A
Rationale: Certainly! The correct answer is A: Explain the purpose of the visit. This is important because it establishes clear communication between the healthcare provider and the patient/resident. By explaining the purpose first, it sets expectations and ensures the patient understands the reason for the follow-up visit. This step builds trust and allows for any questions or concerns to be addressed upfront.
Summary of why the other choices are incorrect:
B: Washing hands and performing necessary procedures should come after explaining the purpose of the visit.
C: Conducting environmental surveillance is not typically the first step in a follow-up visit.
D: Greeting the patient and introducing yourself is important but should follow after explaining the purpose of the visit.
What is a health deficit?
- A. Conditions that promote disease or injury and prevent people from realizing their health potential
- B. A health problem that can be alleviated with medical or social technology
- C. A gap between actual and achievable health status
- D. Illness of a family member
Correct Answer: C
Rationale: The correct answer is C, a health deficit is defined as a gap between an individual's actual health status and their achievable health status. This means that there is a discrepancy between where their health currently stands and where it could potentially be with proper interventions or changes.
A is incorrect because it refers to conditions that promote disease or injury, not specifically related to the individual's health status. B is incorrect as it focuses on health problems that can be alleviated, which may not necessarily reflect a health deficit. D is incorrect as it involves the illness of a family member, which is not directly related to the individual's own health status.
Which of the following statements about TB treatment is INCORRECT?
- A. Combination of 3-4 anti-TB drugs is the treatment of choice
- B. Single drug therapy is appropriate
- C. Treatment renders patients non-infectious and cured
- D. Tuberculosis is a curable disease
Correct Answer: B
Rationale: The correct answer is B because single drug therapy is not appropriate for TB treatment. TB is caused by bacteria that can develop resistance if not treated with a combination of drugs. A: Correct - Combination therapy is essential to prevent drug resistance. C: Correct - Proper treatment leads to cure and non-infectiousness. D: Correct - TB is curable with proper treatment. B: Incorrect - Single drug therapy can lead to drug resistance and treatment failure.
James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?
- A. Slow breathing
- B. Fast breathing
- C. Normal breathing
- D. Very fast breathing
Correct Answer: C
Rationale: The correct classification for James' breathing is "C: Normal breathing." The respiratory rate for a child of his age should be between 20-30 breaths/minute. Since James has a respiratory rate of 41 breaths/minute, it may seem elevated. However, it is important to consider that children under 2 years often have higher respiratory rates compared to older children and adults. In the absence of other danger signs such as chest in-drawing, grunting, or stridor, a respiratory rate of 41 breaths/minute in an 18-month-old child with a cough does not necessarily indicate very fast breathing. Therefore, James' breathing is classified as normal based on his age group and the absence of other concerning signs.
Summary:
A: Slow breathing - Incorrect, as James' respiratory rate is elevated, not slow.
B: Fast breathing - Incorrect, as James' respiratory rate does not meet the criteria for very fast breathing.
D: Very fast breathing - Incorrect