Maternal and Child health nursing

Question 1

Morning sickness patient education

Answer 1

hormone levels increase during he first 3 months which leads to nausea and vomiting.
- get plenty of rest
Eat small snacks often
- ginger can often help

Question 2

Affects of listeria on baby

Answer 2

can affect the fetus and cause miscarage or stilbirth if contracted

Question 3

Other infections that can affect pregant women (CHEAP TORCHES)

Answer 3

C: chickenpox and shingles -H: hepatitis B, C, D, E
E: enteroviruses (group of viruses including poliovirus)39
A: AIDS
P: Parvovirus
T: toxoplasmosis
O: other infections such as group B streptococci, listeria, candidas
R: Rubella
C: Cytomegalovirus
H: Herpes simplex virus
E: Everything else sexually transmitted such as gonorrhoea and chlamydia S: syphilis

Question 4

What is smoking linked with during pregnancy

Answer 4

foetal growth restriction and premature birth along with their effects on major health systems

Question 5

What is alcohol linked with in pregnancy

Answer 5

deformities and developmental problems alongside FASD

Question 6

What is a teratogen, give examples

Answer 6

anything a person is exposed to or ingests during pregnancy that is known to cause fetal abnormalities

• drugs
  -mercury
  -x-rays
  -chemo

Question 7

Explain what an ectopic pregnancy is

Answer 7

When a fertilised egg implants outside of the uterus, usually in the fallopian tube

Question 8

What is pre-eclampsia what are the risks

Answer 8

causes HTN and protein in urine
risk of eclamptic seizure

Question 9

how long does gestational diabetes last for

Answer 9

only temporary and will ussualy disappear after birth however increases the mothers risk of developing type 2 diabetes in the future

Question 10

benefits of skin to skin after birth

Answer 10

• more likely to latch on
• maintaing temp
• maintains HR, RR, BP
  less likley to cry

Question 11

What is the APGAR

Answer 11

assess baby at 1, 5 and 10 minutes after birth

HR, Muscle tone, refexirrability, colour and resp

Question 12

Postnatal assesment of the woman
- BRAIN (wellbeing)

Answer 12

• how is she feeling
• support
• coping
  -sleep deptrivation
  -social situation
• 3 day blues

Question 13

Postnatal assesment of the woman
- BOOBS

Answer 13

• assesment of breasts and nipples
• are the sore/ red/ full/ engorged
• are the nipples tender/ grazed/ cracked
• colustrum or milk present

Question 14

postnatal assesment of the woman
- BELLY (fundus)

Answer 14

• return of uterus to original size
• day 10 barely palpable
• takes 6 weeks to return

Question 15

Postnatal assesment of the woman
- BLADDER and BOWELS

Answer 15

• Bladder, cans she feel need to empty and is she passing normal amounts
• Bowels, when did bowels move, increase fibre and fluid if constipated PRN laxative

Question 16

postnatal assesment of the woman
- BLEEDING (lochia)

Answer 16

• Lochia rubra: red
  -Lochia serosa: pink
• Lochia alba: brown
• blood loss higher after BF
  could go on for two weeks upto 8

Question 17

postnatal assesment of thre woman
- BOTTOM (perineum/ wound)

Answer 17

• ask women how it is feeling assess if has sutures
• c section wound assesment

Question 18

postnatal assesment of the woman
- BOOTS (legs)

Answer 18

check for swelling, pain (DVT risks)

Question 19

What are the postnatal blues

Answer 19

very common brief period of the mother feeling down or tearful the week after birth

Question 20

what is Antental or postnatal depression

Answer 20

serious condition which occurs during pregnancy or in the first mother following babys birth

Question 21

when/why does postnatal psychosis occur

Answer 21

symptoms of psychosis which usually begins in the first two weeks after birth

Question 22

What are the two assesments for FVS

Answer 22

• first checks for immediate safety risk
• second checks for high danger risk such as life threatning injuries, children or elder risk
  threatend to kill

Question 23

What should a child be doing by 2 years of age

Answer 23

walk and run, begin to climb, basic words and simple requests

Question 24

How long does the MoH recommend breast feeding for?

Answer 24

6 months

Question 25

How often do babiesn need breastfeeding

Answer 25

newborn 6-8 times and upto 12 times

Question 26

What does a tense or bulging fontanelle indicate

Answer 26

increased ICP

Question 27

ABCs of babys safe sleep

Answer 27

A: alone
B: on their backs
C: in a cot

Question 28

What does the FLACC pain scale stand for

Answer 28

Face
Legs
Activity
Cry
Consolability