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Reproduction and the growing child > Postnatal care > Flashcards

Postnatal care Flashcards

1
Q

When is the postnatal period?

A

End of labour –> usually 6-8 weeks after birth

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2
Q

2 health workers who provide postnatal care:

A

Midwife

Maternity support worker

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3
Q

Midwife =

A

Screening/identification of those at risk
Signposting, liason and referrals
Health promotion
Information

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4
Q

Maternity support worker =

A

Assists midwife
Undertakes and records vital signs
Key role in breast feeding support
Idenitfy deviations from the norm

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5
Q

How is the schedule of postnatal visits different from antenatal?

A

Schedule varies depending on medical condition, breast feeding etc

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6
Q

When is the blood spot test?

A

5 days

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7
Q

When does discharge to health visitor usually occur?

A

10 days

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8
Q

Hormones in the postnatal period:

A

Oestrogen and progesterone levels fall
Oxytocin and prolactin increases
Amenorrhoea (due to inhibition of FSH and LH)

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9
Q

Possible sites of infection:

A

Episiotomy, tear, mastitis, C-section, cannula site, perineum, meningitis (epidural), uterus/genital tract

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10
Q

The post natal period can mask non-pregnancy related problems like…

A

Appendicitis
UTI
Meningitis

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11
Q

Some important post-natal complications:

A

Postpartum hemorrhage
Thromoembolisms
Pre-eclampsia/eclampsia
Infection

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12
Q

PPH is defined as =

A

> 500 mls of blood loss

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13
Q

Primary post-partum heamorrhage

A

Occurs immediately after birth

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14
Q

Secondary post-partum heamorrhage

A

Occurs 24hrs + after birth

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15
Q

Signs of PPH =

A

faintness, dizziness, palpitations, tachycardia

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16
Q

Signs of infection =

A

Fever, shivering, abdo pain

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17
Q

Signs of pre-eclampsia, eclampsia =

A

Headaches
Visual disturbance
Nausea, vomiting
Seizures

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18
Q

Signs of thromoboembolism =

A

Unilateral calf pain
Redness or swelling of calves
SOB
chest pain

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19
Q

Leading causes of direct deaths =

A

Thrombosis and thromboembolism

20
Q

3 common symptoms at postnatal contact =

A

Headache
Fatigue
Backache

21
Q

What should be considered when dealing with headaches

A

pre-eclampsia

epidural spinal headache

22
Q

What should be considered when dealing with fatigue

A

general wellbeing, diet, exercise, activites
psychological issues
Hb and PPH

23
Q

Observations to make at post-natal =

A 
General physical
Mental health
Nutrition
Breasts
Lochia
Involution of uterus
Wound 
Contraception/resumption of sexual activity
Elimination (passing urine)
Legs/chest
24
Q

Lochia =

A

diminished amount of blood loss should diminish within the first few days

25
Q

Why should you assess the low limbs?

A

DVT

26
Q

When should you discuss the resumption of sexual intercourse?

A

2-6 weeks after birth

27
Q

What may occur when resuming sexual intercourse?

A

Dyspareunia

28
Q

The blues occurs in what % of pregnancy

A

50-80%

29
Q

What causes the baby blues?

A

Hormones drop in the first hours

30
Q

Baby blues usually pass when?

A

Within a couple days, spontaneous recovery. Needs empathetic listening

31
Q

Post-natal depression occurs in what % of pregnancies?

A

10-15%

32
Q

Extreme rare psychological condition occuring after pregnancy, usually within first 2 weeks =

A

Puerperal psychosis

33
Q

Symptoms of puerperal psychosis =

A 
Mania
Depression
Confusion
Hallucinations
Delusions
34
Q

What increases risk of puerperal psychosis?

A

Family history
Bipolar disoder
High reoccurance

35
Q

Score to assess newborn:

A

APGAR

36
Q

APGAR stands for:

A 
Activity
Pulse
Grimace (reflex irritability)
Appearance
Respiration
37
Q

Normal APGAR score =

A

8-10

38
Q

APGAR score for resus

A

7

39
Q

APGAR score to transfer to unit

A

<5

40
Q

Newborn exam should occur within

A

72 hours

41
Q

Newborn exam looks at:

A

eyes
heart
hips
testicles

42
Q

what should be done before discharge, within first 4 weeks?

A

Hearing test (cochlear, midbrain)

43
Q

Screening is done at:

A

5 days

44
Q

2nd physical exam is done at:

A

6-8 weeks

45
Q

Blood spot looks for:

A 
Sickle cell
Cystic fibrosis
Hypothyroidism
PKU
GA1
Homocysisuria
Maple-syrup urine disease 
Isovaleric acidaemia
MCADD

Reproduction and the growing child (15 decks)

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