UNIT 2 Flashcards

1
Q

when does a midwife look after a pregnancy woman and baby

A

they look after the pregnant woman and baby before, during and after pregnancy (28 days).

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2
Q

roles of a midwife

A

provide full antenatal care, identify high risk pregnancy, teaching how to feed care and bathe babies, checking over a healthy baby.

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3
Q

what are the 3 categories of midwifes

A

hospital midwife, community midwife, independent midwife.

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4
Q

obstetrician

A

takes on antenatal care of mothers who have an complication: such as, pre exisiting medical condition, a complication identified in pregnancy, a baby becoming distressed during labour.

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5
Q

role of an obstetrician

A

assists in delivery and performing c-sections (caesarean sections)

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6
Q

GP ( General Practitioner)

A

confirm pregnancy, books mothers into scans and check ups (appointments).

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7
Q

role of a gp

A

answers mother questions, discuss relevant issues, treats the mother, provides postnatal medical care.

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8
Q

gynaecologist

A

specialist in the female reproductive organs and the ability to produce.

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9
Q

gynaecologist role

A

care of mothers with medical issues, emergency care for problems in early stage, treats fertility conditions and early pregnancy symptoms.

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10
Q

paediatrician

A

a doctor specialist in babies and children, may be present at birth, checks over a healthy baby before it leaves hospital.

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11
Q

importance of antenatal and parenting classes.

A

help with preparation for a safe pregnancy, labour and parenthood

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12
Q

when would you attend antenatal classes

A

attend weekly around weeks 30-32 of pregnancy.

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13
Q

when would you attend antenatal classes if you were expecting twins

A

begin week of 24.

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14
Q

preparing for a safe pregnancy and delivery

A

stay fit and healthy during pregnancy, give mothers the chance to talk over any concerns, attend antenatal and parenting classes.

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15
Q

preparation of both parents for labor and parenthood

A

antenatal and parenting classes usually give information about:
what happens during labor and birth and how to cope, types of pain relief, types of birth, caring for a baby, mother’s health after birth.

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16
Q

role of the father/ partner.

A

provide practical support, be emotionally supportive.

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17
Q

how can the partner help when in labor?

A

massaging her back shoulders or legs, supporting her body, time contractions, give encouragement, help her find a comfortable position

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18
Q

how to be emotionally satisfying experience in birth

A

enabling discussion of emotions and feelings during pregnancy, enabling the creation of an personalized birth plan, provide information about the sources of support.

19
Q

promotion of an healthy lifestyle and breastfeeding

A

parents will learn about:
diet and exercise.
the negative impact on smoking, drinking and drugs.
the benefits of breastfeeding.

20
Q

what routine checks are carried out at an antenatal clinic

A

weight check, blood tests, blood pressure, urine test, STIs, examination of uterus, baby’s heartbeat, ultrasound dating scan.

21
Q

SDT

A

Specialised diagnostic tests

22
Q

ultrasound anomaly scan

what do they look at on the baby

A

bones, heart, brain, spinal cord, face, kidneys, abdomen.

23
Q

ultrasound anomaly scan

what conditions do they look for?

A

anencephaly, open spina bifida, serious cardiac abormalities, t13, t18

24
Q

Nuchal fold translucency (NT) test

A

the amount of fluid present under the skin at the back of the unborn baby’s neck is measured, there is a small chance of a risk of miscarriage if they do a test to check if they have down syndrome, not all mothers will choose to have the test.

25
Q

Alpha fetoprotein (AFP) test

A

Made in the liver of an unborn baby. this blood test checks the level of AFP in the mother’s blood, this test shows whether a baby might have a condition, such as spina bifida.

26
Q

Chorionic Villus Sampling (CVS)

A

checks for genetic disorder, carried out between weeks 11 and 14

27
Q

when is the CVS test offered

A

offered when there is a high risk of a baby having a genetic condition, if the antenatal screening test has indicated a problem, if the mother has had previous pregnancy problems, if there is a history of a genetic condition.

28
Q

risks of CVS

A

carries a risk of miscarriage, there is no cure for the majority of conditions detected.

29
Q

Amniocentesis

A

carried out between weeks 15 and 19, a small amount of amniotic fluid is removed and tested, this tests for genetic disorders.

30
Q

risks of amniocentesis

A

a risk of miscarriage, results can not be given till a later stage of pregnancy.

31
Q

Non invasive prenatal testing (NIPT) blood test

A

a screening test that assesses the likelihood of having a baby with any type of syndrome, carried out at week 10, more accurate, doesn’t give a risk of miscarriage.

32
Q

choices available for delivery

A

hospital birth, home birth, domino scheme, private hospital

33
Q

hospital birth

A

within birthing centers:
delivery rooms which are homelike
soft chairs and beanbags enable comfort for mother
warm baths and showers available to soothe pain

34
Q

advantages of hospital birth

A

highly trained staff
all equipment available
some pain relief can only be given in hospital
c-sections can only be carried out in hospital

35
Q

home birth

A

this is an option when pregnancy is normal and the mother and baby are well.
a midwife attends when in labor, if needed during labor they have to go to hospital.

36
Q

advantages of home birth

A

occurs in familiar, relaxing surroundings, labor is not interrupted by travelling to hospital, older siblings can stay with mother and get involved.

37
Q

considerations that need to be considered when having a home birth

A

transfer to the hospital may be needed, poor outcomes might affect the baby, some pain relief can not be given.

38
Q

domino scheme

A

community midwifes provide antenatal care and then meet at hospital for delivery, this scheme is followed by some hospitals, often available to asses the mother closely during labor, if everything is okay they will be able to leave a few hours after they have been checked.

39
Q

private hospital

A

some parents may pay for this, parents who can afford this would most likely decide to pay for it for higher provision, a popular choice for the families the public eye

40
Q

stages of labor

A

stage 1: neck of the uterus opens
stage 2: birth of the baby.
stage 3: delivery of placenta and membranes.

41
Q

what is the shortest stage of labor

A

3

42
Q

methods of delivery

A

forceps, ventouse, emergency c section

43
Q

forceps

A

similar to tongs, carefully positioned around baby’s head, as the mother pushes the obstetrician gently pulls to help delivered baby, curved metal.

44
Q

ventouse

A

vacuum extractor, a plastic or metal cup that fits on the baby’s heath and is attached by suction, as the mother pushes the obstetrician gently pulls to help deliver the baby, leaves a small swelling on baby’s head but disappears quickly, may also leave a temporary bruise