Antenatal Care Flashcards
1
Q
What are the 7 principles of antenatal care
A
Woman centred Equitable and accessible A positive learning experience Collaborative Cost effective Every woman is a partner in the decision making process Safe and scientific
2
Q
What is antenatal care
A
Antenatal care is the care of the pregnant woman to deliver a healthy term infant without impairing the mothers health and to identify and optimally treat the high-risk pregnant woman
3
Q
How to achieve antenatal care definition
A
Screening asymptomatic pregnant women, to detect and prevent both maternal and neonatal events.
4
Q
Up to 28 weeks, how often
A
Every 4 weeks
5
Q
How often until 36 weeks
A
Every two weeks
6
Q
What does the initial antenatal visit involve
A
Baseline assessment
- physical, abdominal and breast examination
- record height and weight
- BP
- Urinalysis
- Bloods
- FBC, Hb, Blood group, rh and atypical antibodies
- VDRL screening (syphilis, chlamydia, gonorrhoea
- HIV screening
7
Q
What health promotion and education things may be discussed at the 1st or 2nd visit
A
Model of care Breast care, self breast examination Physiotherapy Antenatal classes Psychological support Social work; aboriginal liaison Dietary; exercise; smoking; dental health Breastfeeding Timing of antenatal visits
8
Q
Maternal; screening in the first trimester
A
Blood tests for
- Down syndrome - maternal serum screening
- neural tube defects
- rubella titre
- varicella titre
- hep B, Hep C, HIV
9
Q
Other maternal screening tests
A
Unchallenged fold test for Down syndrome Vaginal swabs for chlammydia and syphilis Mrsa Pap smear Edinburgh postnatal depression score Ultrasound
