DR- REQUIREMENTS

Delivery Tray

Delivery Tray

Instruments and materials needed in the delivery room, such as bandage scissors, forceps, basin, sponge forceps, and sterile towel.

BOW

Bag of water, which contains amniotic fluid that protects the baby and helps with movement, temperature regulation, and preventing the membranes from sticking to the baby's skin.

Rupture of Amniotic Sac

Different types include SROM (spontaneous), PROM (premature), PPROM (preterm premature), and AROM (artificial).

Maneuvers during Delivery

Fetal maneuvers include internal rotation, shoulder dystocia maneuvers, ECV, and Leopold's maneuver. Maternal maneuvers include Brandt-Andrews, modified Crede's, and Ritgen maneuver.

Stages of Labor

Describes the different stages of labor and their specific signs.

Cardinal Movements of Labor

Describes the sequence of movements during labor, including engagement, descent, flexion, internal rotation, extension, external rotation, and expulsion.

Signs of Imminent Vaginal Fetal Delivery

Signs that indicate the delivery of the fetus is imminent, such as crowning, contractions less than 2 minutes apart, rectal fullness, bulging in the perineum, and maternal urge to push or defecate.

Activities to Stimulate Uterine Contractions

Fundal massage, nipple stimulation, administration of oxytocin, prostaglandin administration, and exercise.

Signs of Placental Separation

Uterus becomes firm and globular, uterine fundus rises in the abdomen, sudden gush of blood from the vagina, lengthening of the umbilical cord, and appearance of the placenta at the vaginal opening.

Maneuver for Placental Delivery

Brandt-Andrews and modified Crede's maneuvers.

Unang Yakap

A campaign for essential newborn care that emphasizes a core sequence of actions to improve neonatal and maternal care.

Postpartum Vital Signs

Normal/expected vital signs for the mother and newborn immediately after birth.

Lanugo and Vernix Caseosa

Lanugo refers to the fine hair that covers the fetus, while vernix caseosa is a waxy substance that protects the baby's skin in the womb.

Crede Maneuver

A technique used to assist in the expulsion of the placenta after childbirth by applying gentle pressure to the mother's abdomen.

Oxytocin

A hormone used to induce labor, strengthen contractions, control bleeding after childbirth, and stimulate contractions in cases of miscarriage.

Uses of Oxytocin

Induction and augmentation of labor, postpartum evacuation of uterine debris, and control of uterine hemorrhage.

Administration of Oxytocin

Intravenous infusion or intramuscular injection at specific doses depending on the purpose.

Precautions for Oxytocin Administration

Discontinue if uterine hyperactivity occurs, administer intravenous preparations by trained personnel, monitor for water intoxication, and avoid high doses to prevent uterine hypertonicity and rupture.

Contraindications for Oxytocin

Not indicated for elective labor induction, hypersensitivity, fetal distress, polyhydramnios, placenta previa, and other conditions that may increase the risk of complications.

Anthropometric Measurements in Newborns

Measurements of the head, chest, and abdomen to assess the newborn's growth and development.

Length

Definition:The measurement from head to heel, following the contours of the body, typically ranging from 45cm to 55cm.

BCG

Definition:A vaccine administered in the right deltoid muscle of a newborn or before discharge from the hospital, with a dosage of 0.1ml.

Vitamin K

Definition:A vaccine administered in the left vastus lateralis muscle of a newborn or before discharge from the hospital, with a dosage of 0.5ml.

Hepa B

Definition:A vaccine administered in the right vastus lateralis muscle of a newborn or before discharge from the hospital, with a dosage of 0.5ml or 0.05ml.

Vacuum extraction assisted delivery

Definition:A procedure in which a cup-shaped device is attached to the fetal scalp and suction is applied to assist in the delivery of the baby, often used when labor is stalled in the second stage.

Cephalic presentation

Definition:The most common type of fetal presentation during delivery, characterized by the fetal neck being flexed to the chin, minimizing the head circumference.

Brow presentation

Definition:The least common type of fetal presentation during delivery, with a prevalence of 1 in 500 to 1 in 4000 deliveries, characterized by the fetal brow being the presenting part.

Female urinary catheter insertion steps

Definition:The steps involved in inserting a urinary catheter in a female patient, including introducing oneself, verifying the client's identity, performing hand hygiene, providing privacy, positioning the client, establishing adequate lighting, and preparing the necessary equipment.

Significance of an empty bladder during delivery

Definition:The importance of ensuring that the mother has an empty bladder during delivery, as incomplete bladder emptying can delay the descent of the baby, reduce the efficiency of contractions, and increase pain.

Types of episiotomy

Definition:Surgical incisions made in the perineum during childbirth to prevent tearing and release pressure on the fetal head, including midline, mediolateral, lateral, modified-median, J-shaped, anterior, and radical episiotomies.

When is an episiotomy done

Definition:Situations in which an episiotomy may be performed, such as when the baby is in distress, during complicated births, or in cases of a prolonged pushing stage of labor.

Advantages and disadvantages of an episiotomy

Definition:The benefits and drawbacks of performing an episiotomy, including substituting a clean cut for a ragged tear, minimizing pressure on the fetal head, and potentially shortening the second stage of labor, as well as the risks of infection, prolonged healing time, complications, increased blood loss, severe pain, and difficult repair.

Steps for perineal care for a female patient

Definition:The proper order of steps for performing perineal care for a female patient, including cleaning the labia majora, spreading the labia to wash the folds between the labia majora and minora, using separate quarters of the washcloth for each stroke, wiping from the pubis to the rectum, rinsing the area well, and thoroughly drying the perineum.