Maternity Nursing Q 64
The partograph is a tool used to monitor labor. The maternal parameters measured/monitored are the following, except?
A. Vital signs
B. Fluid intake and output
C. Uterine contraction
D. Cervical dilatation
Correct Answer: B. Fluid intake and output
Partograph is a monitoring tool designed by the World Health Organization for use by health workers when attending to mothers in labor, especially the high risk ones. For maternal parameters all of the above is placed in the partograph except the fluid intake since this is placed in a separate monitoring sheet. WHO further modified the partograph for the third time. This simplified partograph is color-coded. The area to the left of the alert line is colored green representing the normal progress. The area to the right of the action line is colored red indicating dangerously slow progress. The area between the alert and action line is colored amber indicating the need for greater vigilance
Option A: WHO has recommended use of the partograph, a low-tech paper form that has been hailed as an effective tool for the early detection of maternal and fetal complications during childbirth. All the recordings for the maternal condition are entered at the foot of the partograph below the recording of uterine contraction. Maternal vital signs such as temperature, pulse, BP, urine output and urine for protein and acetone are monitored.
Option C: Below the cervical dilatation, there is a space for recording uterine contractions per 10 min and the scale is numbered from 1 to 5. Each square represents one contraction. So if two contractions are felt in 10 min, two squares are shaded.
Option D: The central feature of the partogram is a graph where cervical dilatation is plotted. Along the left side, there are squares from 0 to 10, each representing 1-cm dilatation. Along the bottom of graph are numbers 0–24 each presenting 1 h. The first stage of labor is divided into latent and active phases. The latent phase is from 0 to 3 cm, and it lasts up to 8 h. The active phase is from 3 to 10 cm (full cervical dilatation). The dilatation of the cervix is plotted with “x.”