L9: postnatal care of the mother and child

Question 1

postpartum period=

Answer 1

6-8 weeks after birth

Question 2

2 people providing care in postpartum

Answer 2

midwife

maternity support workers

Question 3

signs of postpartum haemorrhage

Answer 3

• sudden and profuse blood loss/ persistent increase in blood loss
• faintness/ dizziness
• palpitations/ tachycardia

Question 4

signs of infection

Answer 4

fever
shivering
abdo pain
offensive vaginal loss

Question 5

signs of pre-eclampsia

Answer 5

headache + one or more of;
visual disturbances 
nausea 
vomiting 
(within 72 hours after birth)

Question 6

signs of thromboembolism (4)

Answer 6

unilateral calf pain
redness/ swelling of calves
SOB
chest pain

Question 7

possible sites of infection after birth

Answer 7

uterus 
cannula site 
meningitis (epidural) 
caesarean 
breasts 
perineum

Question 8

1/4 of maternal deaths are due to

Answer 8

sepsis

Question 9

leading cause of direct deaths =

Answer 9

thrombosis

Question 10

indicators for good attachment and positioning (3)

Answer 10

• mouth wide open
• less areola visible underneath chin than above nipple
• chin touching breast

Question 11

indicators for successful feeding in babies

Answer 11

audible/ visible swallowing 
sustained rhythmic suck 
relaxed arms/ hands 
moist mouth 
regular soaked nappies

Question 12

indicators for successful feeding in mother

Answer 12

breast softening
no nipple compression
women relaxed/ sleepy

Question 13

ankylossia=

Answer 13

tongue tie

Question 14

baby blues=

Answer 14

normal not a disorder 3-5 days after birth

Question 15

puerperal psychosis=

Answer 15

severe mental illness which begins suddenly in days or weeks after birth

Question 16

symptoms of puerperal psychosis

Answer 16

high mood 
depression 
confusion 
hallucinations 
delusions

Question 17

risk of puerperal psychosis is increased in

Answer 17

people with bipolar

Question 18

when should the newborn examination be done by

Answer 18

72 hours of birth

Question 19

newborn blood spot tests is at

Answer 19

5 days old

Question 20

newborn blood spot test tests for (4)

Answer 20

sickle cell disease
cystic fibrosis
congenital hypothyroidism
inherited metabolic diseases