Maternal and Child health nursing Flashcards
Morning sickness patient education
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
Affects of listeria on baby
can affect the fetus and cause miscarage or stilbirth if contracted
Other infections that can affect pregant women (CHEAP TORCHES)
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
What is smoking linked with during pregnancy
foetal growth restriction and premature birth along with their effects on major health systems
What is alcohol linked with in pregnancy
deformities and developmental problems alongside FASD
What is a teratogen, give examples
anything a person is exposed to or ingests during pregnancy that is known to cause fetal abnormalities
- drugs
-mercury
-x-rays
-chemo
Explain what an ectopic pregnancy is
When a fertilised egg implants outside of the uterus, usually in the fallopian tube
What is pre-eclampsia what are the risks
causes HTN and protein in urine
risk of eclamptic seizure
how long does gestational diabetes last for
only temporary and will ussualy disappear after birth however increases the mothers risk of developing type 2 diabetes in the future
benefits of skin to skin after birth
- more likely to latch on
- maintaing temp
- maintains HR, RR, BP
less likley to cry
What is the APGAR
assess baby at 1, 5 and 10 minutes after birth
HR, Muscle tone, refexirrability, colour and resp
Postnatal assesment of the woman
- BRAIN (wellbeing)
- how is she feeling
- support
- coping
-sleep deptrivation
-social situation - 3 day blues
Postnatal assesment of the woman
- BOOBS
- assesment of breasts and nipples
- are the sore/ red/ full/ engorged
- are the nipples tender/ grazed/ cracked
- colustrum or milk present
postnatal assesment of the woman
- BELLY (fundus)
- return of uterus to original size
- day 10 barely palpable
- takes 6 weeks to return
Postnatal assesment of the woman
- BLADDER and BOWELS
- 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
postnatal assesment of the woman
- BLEEDING (lochia)
- Lochia rubra: red
-Lochia serosa: pink - Lochia alba: brown
- blood loss higher after BF
could go on for two weeks upto 8
postnatal assesment of thre woman
- BOTTOM (perineum/ wound)
- ask women how it is feeling assess if has sutures
- c section wound assesment
postnatal assesment of the woman
- BOOTS (legs)
check for swelling, pain (DVT risks)
What are the postnatal blues
very common brief period of the mother feeling down or tearful the week after birth
what is Antental or postnatal depression
serious condition which occurs during pregnancy or in the first mother following babys birth
when/why does postnatal psychosis occur
symptoms of psychosis which usually begins in the first two weeks after birth
What are the two assesments for FVS
- first checks for immediate safety risk
- second checks for high danger risk such as life threatning injuries, children or elder risk
threatend to kill
What should a child be doing by 2 years of age
walk and run, begin to climb, basic words and simple requests
How long does the MoH recommend breast feeding for?
6 months
How often do babiesn need breastfeeding
newborn 6-8 times and upto 12 times
What does a tense or bulging fontanelle indicate
increased ICP
ABCs of babys safe sleep
A: alone
B: on their backs
C: in a cot
What does the FLACC pain scale stand for
Face
Legs
Activity
Cry
Consolability
