Maternity Nursing Q 34

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The basic delivery set for normal vaginal delivery includes the following instruments/articles, except?

  

     A. 2 clamps

     B. Pair of scissors

     C. Kidney Basin

     D. Retractor

    

    

Correct Answer: D. Retractor

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For normal vaginal delivery, the nurse needs only the instruments for cutting the umbilical cord such as 2 clamps (straight or curve) and a pair of scissors as well as the kidney basin to receive the placenta. The retractor is not part of the basic set. In the hospital setting, needle holders and tissue forceps are added especially if the woman delivering the baby is a primigravida wherein episiotomy is generally done.

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Option A: The clamps are used for clamping the umbilical cord. After the cord has stopped pulsating, or after at least 1-3 minutes after birth, the first clamp is placed near the neonate’s umbilicus, then the other one just farther down the cord.

Option B: Using sterile scissors, cut between the two clamps. Keep in mind that the cord is thick and hard to cut. One pair will be used to cut the baby’s umbilical cord. Another will be used if there is a need for an episiotomy. In that case, the doctor will have to cut into the perineum (the skin between the vagina and anus) to help the baby fit through.

Option C: The kidney basin is used to receive the placenta. Inspect the placenta for completeness before disposing it properly.

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