Caseload Flashcards
significance of alcohol in pregnancy?
Check for FAS
- Small head (when checking OFC)
- Small or large eyes
- IUGR (problems with breathing, feeding, trouble keeping a steady body temperature, low blood sugar level (hypoglycemia), problems fighting off infections, neurological problems – reflexes)
- Hearing disorders
- Shallow philtrum
- Thin upper lip
- Congenital abnormalities - cleft lip, palpate, heart defects
significance of smoking in pregnancy?
- Low birth weight
- Increased risk of asthma – recommend BF
- Increased risk of orofacial cleft
significant of PROM in labour?
- Increased risk of infection such as sepsis in mum and baby
- Grunting, nasal flaring. High pitch cry, check NEWS
significance of club feet in the family?
- Pay particular attention to feet during the examination as club feet is fixed into positioning
significance of syphilis in pregnancy?
- Maculopapular rashes in palms of hand or feet
- Snuffles - blocked nose
- Organ damaged to liver and spleen – check when palpating abdomen
- Damaged to eyes – red reflexes etc
significance of chlamydia?
Higher risk of:
- low birth weight
- eye infections due to passing through birth canal (sticky eye etc – swab)
- lung infections – due to passing through birth canal
- premature rupture of membranes
is labetalol safe and implications on baby?
baby may have low blood sugar, blood sugars should be monitored. Check documentation. Breastfeeding is not affected and no side effects noted.
is citalopram safe and implications on baby?
baby is sleepy, reluctant to feed, heart detect.
what is considered IUGR?
<2.5kg
what re IUGR problems?
problems with breathing, feeding, trouble keeping a steady body temperature, low blood sugar level (hypoglycemia), problems fighting off infections, neurological problems – reflexes
referral summary for kirsty?
- paeds
- breastfeeding
what is the significance of uganda?
Zika Virus
- Damage to eyes – check red reflexes
- Damage to brain – reflexes
- Small head
what is the significance of being sickle cell carrier?
Due to IVF, dad’s history may not be available
If it is and dad is a sickle cell carrier, there is a higher chance for baby. Therefore, referral to Genetic counselling along with fetal medicine support.
Signs of sickle cells in babies.
- Weakness in arm and legs
- Facial droop
- Loss of consciousness
what is the significance of rubella?
No history of MMR vaccine, we can assume there can be impacts on baby
- Deafness
- cardiac abnormalities
- congenital cataracts
- microcephaly
- learning impairments.
what is the significance of breech after 36 weeks?
USS referral to orthopaedics after 36 weeks breech
- close attention to hips, checking for any dislocation
what is the significance of asthma?
Recommend breastfeeding
- close attention on lungs
significance of mental health?
refer to perinatal
what is the significance of paracetamol?
no effects, or concerns
what is the significance of hydrocortisone?
– no effects, however if using while breastfeeding remove beforehand
referral summary for nantale?
- perinatal mental health team
- USS orthopaedics
- Audiology
- Infant feeding
- Paeds
- Genetic counselling
what is the significance of being adopted?
Cat is unaware of her family background, therefore she can benefit from genetic counselling especially with her partner being a carrier oy cystic fibrosis
significance of thrush?
There is no evidence thrush can harm an unborn baby. However, it can transfer during labour so look about for oral thrush in babies. Although baby may not feed as well.
significance of GBS?
Look out for early onset GBS as the NIPE examination is in the first 3 days of life.
Checks NEWS
Check for:
- Fever
- Grunting and breathing difficultieS
- Tachycardia
- Irritability
- Lethargy
- Cyanosis or pale
- Feeding difficulties
what is moxibustion?
Moxibustion is safe for pregnant women and best started at 33-34 weeks, moxa stick stimulate heat receptors on the skin of the toes to encourage oestrogen and prostaglandins stimulating contractions
