7.1c Psychosocial Needs Flashcards
1
Q
Assessment
A
- Reaction to birth
- Feelings about themselves
- Interaction with new baby
Especially important for..
- Low income primipara
- Risk of family dysfunction and child abuse
- Risk for PPD
- Home visitation has been shown to be effective
2
Q
Characteristics of Concern
A
- Unable/Unwilling to discuss labor/birth experience
- Refers to themselves as ugly/useless
- Preoccupied with body image
- Lacks support system
- Negative reaction to baby
- Refusal to interact with baby
- Disappointment in baby sex
- Difficulty sleeping
- Loss of appetite
3
Q
Adaptation to Parenthood
A
- Realistic perception/acceptance of newborn needs and limitations, immature responses and helplessness
- Pleasure in providing infant care
- Respond appropriately to baby cues
- Provide comfort
4
Q
Family Structure and Functioning
A
- Greatly affected by partner, mother and relative support
- Identify possible conflicts and deal with these before discharge
5
Q
Cultural Assessment
A
- Literacy of English
- Primary language
- Family involvement/support
- Dietary preference
- Religious/Cultural beliefs
- Types of infant care
- Folk medicine practices
- Nonverbal communication
6
Q
Traditional Preferences of Care
A
- Rest
- Seclusion
- Dietary Constraints
- Ceremonies honoring mother
- Restriction on activity
- Sexual Activity
- Bathing
- Infant caretaking
7
Q
Edinburgh Scale
A
- Determine risk of PPD
- Education and Support should be used for those at risk for PPD along with social worker
8
Q
PPD Risk Priorities
A
- Addressing patient’s stressors in life
- Assessment of emotional needs
- Assessment of fatigue
- Alert OB provider if conditions worse