Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

24 Cards in this Set

  • Front
  • Back
What type of handwashing should be used in an antenatal clinic?
Medical Scrub.
What are the roles and responsibilities of the midwife when undertaking an aseptic procedure.
*Recognising the need to keep the transfer of organisms to an absolute minimum.
*educating the woman about caring for herself and her baby.
*Application of credible research to underpin practice.
5 factors that influence drug absorption via oral?
*gut motility and transit time - less drug absorbed if it passes rapidly.
*Presence of food in the stomach.
*Acid and enzymes of the GI Tract (gastrointestinal)
*Lipid solubility (lipid soluble = easily absorbed and distributed thoughout the body water compartments)
*Drug formulation.
Describe how the body distributes the drug around the body following ingestion
Via circulation until it penetrates the organs or tissues and has an effect.
List five (5) factors that may impair the metabolism of the drug by the liver.
*severe liver disease
*respiratory or cardiac disease affecting hepatic blood flow and oxygenation
*drug interaction
*genetic factors
Describe how the drug would be expected to be eliminated from the body.
Majority is eliminated through the kidney.
What is the half-life of a drug?
The time taken for the plasma concentration of the drug to reduce by 50%. A drug that has a short half life is quickly removed, therefore requiring frequent doses.
Discuss how the physiological changes of pregnancy can affect pharmacokinetics of a woman.
Decreased absorption in the stomach and increased absorption in the small intestine due to decreased transit time. The increased renal blood flow increases drug clearance and elimination, possibly requiring higher doses. Different does may be required in pregnancy - their effect may be slower.
Describe how the pharmacokinetics of absorption and distribution differ for the baby.
Absorbtion: Drugs remain longer in the baby's stomach, as gastric emptying time is slower. The stomach is less absorptive than the small intestine.
Distribution: Drugs are more able to affect the brain due to greater membrane permeability of the blood brain barrier.
Symptoms of Anaphylaxis include: urticaria (rash), nausea, vomiting, tachycardia (slow pulse) followed by bradycardia (fast pulse), hypotension, diarrhoea, extreme anxiety, CV collapse, pulmonary oedema causing bronchospasm, dyspnoea, stridor, chest pain, and loss of consciousness.
Describe your understanding of anaphylaxis and the symptoms that would indicate to a midwife the presence of a severe case of anaphylaxis.
Anaphylaxis is a severe allergic reaction to an administered drug.
Identify the types of medications that may be administered via the oral route.
Tablets, granules, powders and soluble tablets, Capsules, Elixir, lozenges, sublingual preparations (disolved under tongue).
Describe the procedure to be followed when administering oral medication to a woman.
1) Ensure medication is required and chart is correct.
2) With clean hands, check and dispense the drug
3) Approach woman and confirm identity
4) Advise woman on how to take, provide glass of water if necessary, observe her swallowing drug.
5) Observe for effects of medication
6) Document administration.
List the precautions that should be taken when administering oral medication.
*If the woman is unable to take at time of administration, this should be delayed until able to do so.
*Compliance is increased if the woman understands the reason for med, likely effects and side effects. Refusal to take should be recorded, with the reason, and prescribing med officer informed.
*If woman vomits soon after administration, and tablet is clearly visible, a further dose may be prescribed.
* Controlled drugs may also be prescribed in an oral form, administration should be according to local policy. Tablets are counted. Elixir should be measured very carefully using a syringe.
Describe the procedure to be followed when administering oral medication to a baby.
* wash hands; check the drug and prescription
* gain parental consent and confirm the identity of the baby
* measure the drug accurately in a sterile syringe
* Place the syringe in the babys mouth towards the cheek, observe the swallow and continue in this way until fully administered.
* complete the records.
Summarize the the role and responsibilities of the midwife when administering oral medication to a mother or baby.
* Practicing within the UKCC (1992) standards for the administration of medicines
* Ensuring the drug is dispensed and taken accordingly by the woman or baby
* Observing the effects and side effects of the drug administered.
* education of the woman, where appropriate.
* Correct record keeping.
Discuss why good maternal nutrition is important for the health and well-being of both mother and baby.
While the baby is in utero, it gets all of its nutrients from the mother, the mother needs to eat enough nutrients for herself and baby.
If baby doesnt get enough nutrients in utero, baby is at risk of low birthweight.
While the mother is breatfeeding, what kinds of food she eats affects the type of fat that is in the breastmilk.
Describe how breastfeeding reduces the incidence of allergy in susceptible babies.
Colostrum is produced in the first few days of breastfeeding - colostrum helps protect against infection.
Discuss the factors that influence body temperature.
*Diurnal variations (ie body temp lower at night than during the day)
*Menstrual Cycle (increasing during ovulation)
*Hot baths
*General Anaethesia
*Alcohol (studies show that body temp lowers after excessive alcohol intake)
List the occasions when temperature assessment is undertaken by the midwife when caring for a woman and baby.
*on admission to hospital as a baseline
*During labour, every 4 hours or more frequently if indicated.
*after delivery, initially forboth mother and baby
*as clinical condition requires for woman and baby
*Preterm labour
*pre-labour rupture of the membranes, especially if prolonged
*blood transfusion.
Discuss the advantages and disadvantages of each of the sites for temperature assessment.
Oral: *readily accessible with a good reactive blood supply and is suitable for different thermometer types.
*the woman needs to be compliant, but readings can be affected by enviromental factors.
Tympanic Membrane:*is a reactive site, minimally invasive, that uses specialized equipment and can be used with any age group.
Rectal:*a reliable, well-insulated site with higher normal values.
*less accessible and dignified than other sites and should be avoided for the baby.
*body fluid contamination and cross-infection are possible dangers.
Axilla:*value has recently being placed on using the axilla as a reliable site in all age groups.
*it is reasonably accessible and can accomodate a range of themometers.
Document the accepted normal temperature range for a newborn baby.
Normal skin temperature is 36.0 - 36.5 celcius, and rectal 36.5 - 37.8 degrees celcius.
Describe the types of thermometers and how each one is used correctly and safely
Glass mercury themometers, Electronic, disposable, and tympanic.
Discuss the significance of pulse assessment and when it should be undertaken for the women who is pregnant, in labour and following birth.
*on admission, as a baseline recording
*any deviation from the norm, or signs of illness or accident
*when using a pinard stethescope to ausculate the fetal heart
*during labour (the pulse should not be taken during a contraction)
*during and following surgery
*post natal assessment, if indicated
*pre-labour spontaneous rupture of membranes
*during blood transfusion
*treatment for preterm labour using tocolytic drugs
Explain the indications for pulse assessment for the baby.
*a delivery as part of APGAR scoring and resucitation
*any signs cyanosis, irratibility or illness.