Green Armytage forceps is used to arrest bleeding in?

Appeared in: BCCL kharkhanda Staff Nurse - 2015

Explanation

Green Armytage forceps are specifically designed as hemostatic clamps for the uterine incision during a Caesarean section.
Their broad, flat tips with transverse serrations allow them to securely clamp the thick, vascular edges of the uterus, providing excellent hemostasis.
This action effectively controls bleeding (arrests hemorrhage) from the incision site, which is crucial for preventing significant maternal blood loss during the operation.

Option A: During a hysterectomy (removal of the uterus), different types of clamps are needed to ligate the major blood vessels (like the uterine artery) and supporting ligaments.
Option B: An ovariotomy (removal of an ovary) involves clamping the ovarian pedicle, which contains the ovarian artery and vein. This structure is more delicate than the uterine wall.
Option D: While a myomectomy (removal of uterine fibroids) involves incising the uterus, bleeding is often controlled using different techniques or instruments.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Application of specialized surgical instruments in obstetrics as background academic context rather than a clinical decision trigger.
Effective use of Green Armytage forceps during a Caesarean section is a critical skill for preventing postpartum hemorrhage (PPH), a leading cause of maternal mortality.
A scrub nurse's role includes ensuring the correct instruments are available, functional, and accounted for during the surgical count.
What if? If Green Armytage forceps are unavailable, the surgeon might use multiple sponge-holding forceps or Allis forceps to control the bleeding, but these are generally less effective and may cause more tissue trauma than the specifically designed Green Armytage.

How to Approach the Question

This is a factual recall question testing knowledge of surgical instruments.
First, identify the instrument named in the question: 'Green Armytage forceps'.
Next, recall the specific surgical procedure this instrument is primarily used for. If you can remember its design (broad tips), think about which procedure involves clamping large, thick, bleeding tissue edges.
Evaluate the options, which are all gynecological or obstetric surgeries.
Connect the instrument's function (hemostasis of a large incision) to the correct procedure. The most prominent use is for the uterine incision in a Caesarean section.

Concept Tested & Keywords

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 49-57

Practise the full BCCL kharkhanda Staff Nurse - 2015

Attempt every question from this paper in a timed mock, then review the full solution for each one.