Sample interview questions: Can you explain the process of assessing and managing maternal contractions during labor?
Sample answer:
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Initial Assessment:
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Palpate the maternal abdomen to determine the location, intensity, duration, and frequency of contractions.
- Observe the contraction pattern using a fetal monitor or tocotransducer.
- Record the findings in the patient’s medical record.
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Establish maternal baseline before labor augmentations.
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Continuous Monitoring:
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Continuously monitor contractions throughout labor.
- Use an external or internal fetal monitor to assess the intensity, duration, and frequency of contractions.
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Document the contraction pattern on the partogram.
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Evaluating Contractions:
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Assess the strength of contractions using the Friedman Curve or Montevideo units.
- Consider the frequency of contractions, typically measured in minutes between the start of one contraction to the start of the next.
- Monitor the duration of contractions, usually measured from the start of one contraction to the end of the same contraction.
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Observe the regularity of contractions, noting any variability in the pattern.
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Assessing Maternal Response:
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Monitor maternal vital signs, including blood pressure, heart rate, and respiratory rate.
- Observe maternal behavior and comfort level during contractions.
- Assess the cervix for dilation, effacement, and station.
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Evaluate the progress of labor using the partogram.
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Managing Contractions:
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Provide comfort measures to the mother, such as massage, breathing t… Read full answer
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