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What should be assessed on examination of the abdomen of a patient who is in Labour?

What should be assessed on examination of the abdomen of a patient who is in Labour?

What should be assessed on examination of the abdomen of a patient who is in labour? The shape of the abdomen. The height of the fundus. The possibility of a multiple pregnancy must be excluded.

What are the three parts of obstetric abdominal examination?

Transverse lie: the fetus is lying directly across the uterus.

  • Palpate the abdomen to determine fetal lie.
  • Palpate the abdomen to determine fetal lie.
  • Palpate the abdomen to determine fetal lie.
  • Palpate the abdomen to determine fetal lie.
  • Longitudinal lie.
  • Oblique and Transverse lie.

What is fourth maneuver?

The Fourth Maneuver. This fourth maneuver resembles the first maneuver; however, the examiner faces towards the maternal pelvis. This maneuver involves the examiner placing the palms of both hands on either side of the lower abdomen, with the tips of the fingers facing downward toward the pelvic inlet.

What are normal vital signs for postpartum?

Her temperature should be close to 37oC; her pulse rate should be between 60 to 80 beats per minute when she is resting quietly; her systolic blood pressure (the top number, which measures the pressure when her heart contracts) should be 90-135 mmHg, while her diastolic blood pressure (the bottom number, which measures …

What assessments must be completed to confirm the labor process?

Each evaluation should include:

  • assessment of maternal status;
  • description of uterine activity;
  • assessment of fetal status;
  • description of findings on vaginal exam, if performed, including cervical dilation and effacement, fetal station, change in status of membranes, and progress since last exam;

How do you perform a Ritgen maneuver?

Ritgen´s maneuver means that the fetal chin is reached for between the anus and the coccyx and pulled anteriorly, while using the fingers of the other hand on the fetal occiput to control speed of delivery and keep flexion of the fetal neck.

What is the purpose of fourth maneuver?

Fourth maneuver – Pelvic Grip Permits determination of the location of the presenting part in respect to the true pelvis. Please stand at the side of your patient facing towards her foot part. The fingers of both hands are performing deep palpation between the presenting fetal part and the lateral walls of the pelvis.