I. Knowledge on monitoring items (10 items) | |
---|---|
Category | Expected answer |
Progress of labour | Cervical dilatation |
Uterine contraction | |
Foetal head descent | |
Foetal condition | Foetal heart rate (FHR) |
Amniotic fluid | |
Moulding of foetal head | |
Maternal condition | Pulse |
Blood pressure | |
Body temperature | |
Urine volume |
II-1. Knowledge on criteria for diagnosis or normal range of the items (9 items) | ||
---|---|---|
Category | Question | Expected answer |
Progress of labour | Beginning of active phase in the 1st stage | From 3 cm of dilatation of uterine cervix |
End of 1st stage; or beginning of 2nd stage | At full dilatation of uterine cervix | |
End of 2nd stage; or beginning of 3rd stage | At expulsion of baby | |
End 3rd stage; or beginning of 4th stage | At expulsion of placenta | |
End of 4th stage | 2 h after delivery | |
Foetal condition | Upper normal limit of FHR | 160 beats per minutes |
Lower normal limit of FHR | 120 beats per minutes | |
Maternal condition | Diagnosis of hypertension | Systolic blood pressure 140 mm Hg or more; or Diastolic blood pressure 90 mm Hg or more |
Abnormal amount of PPH | 500 ml or more |
II-2. Knowledge on recommended interval of monitoring (7 items) | ||
---|---|---|
Category | Question | Expected answer |
Progress of labour | Cervical dilatation, 1st stage | Every 4 h |
Uterine contraction, 1st stage | Every 30 min | |
Foetal condition | FHR, 1st stage | Every 30 min |
FHR, 2nd stage | Every 5 min | |
Maternal condition | Pulse | Every 1 h |
Blood pressure | Every 1 h |