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Midwifery 1201 > Postnatal care > Flashcards

Flashcards in Postnatal care Deck (35)
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1

Describe the star day?

The day of birth where you do observations on mum and do the baby check

2

What do you do on day 1?

Observations, mum and baby check

3

What do you do on day 2?

Observations, mum and baby check

4

What do you do on day 3?

Baby's weight if breastfed

5

What do you do on day 5?

Mum and baby check, baby weight and new born blood spot is offered

6

What do you do on day 10?

Mum and baby check, baby weight, hand over to health visitor is all okay

7

Why is emotional and psychological wellbeing important?

Midwives role is to provide support. Birth debrief important. Consider; baby blues, sociological aspects, culture aspects. Don't forget the partner!

8

Maternal vital signs pulse range

(60) 70 - 80 (100) bpm

9

what can pulse that is out-with the normal range indicate?

stress, pain, infection, haemorrhage

10

Maternal vital signs blood pressure range

(140) 100/60 (90) mmHg

11

What can blood pressure outwith the normal range indicate?

stress, (increase)
haemorrhage (decrease)

12

Maternal vital signs temperature range

35.8- 37.3

13

What can a raised temp mean?

infection

14

Maternal vital signs respiratory rate

12- 20 times a min

15

What can an increased respiration rate indicate?

pain, increase
anaemia (shortness increase)
infection increase

16

What should you be doing in a postnatal visit looking at the breasts?

Ask how breasts feel: soft, full, painful, nipple pain, bleeding
Full milk supply usually arrives by 3 days postnatal (same time as baby blues)
Offer advice and support regarding common breast problems: bleeding, engorgement, mastitis, thrush

17

What should you expect from the uterus post natal?

Gradual reduction in size of uterus until no longer palpable
After pains

18

What is lochia?

Blood produces immediately after birth
As involution continues, stale blood, lanugo, vernix, decidua exit
The shade and density individual to women
Assessment should include asking is lochia is more or less, lighter or darker, any clots, any nasty smells, how often she changes her pad

19

Perineal assessment

injury to the perineum affects most women
can have long term social, physchological and physical health consequences
pain/discomfort can disrupt breastfeeding
physical examination only if indicated or requested
To alleviate pain or discomfort, oral analgesia , localised cooling (icepacks)

20

Cesarean section wound assessment

ask mum how it feels
check the wound is healing, clean and dry?
Redness inflammation, seeping, bruising
may need to remove dressing and stitches

21

What should you be vigilant for in wounds?

fever, raised temperature, shivering, pain, offensive blood loss, heavy blood loss

22

bladder and bowels

Minor changes to bladder and bowel habits resolve with first few days
Give reassurance about first bowel movement
urinary and bowel symptoms such as incontinence should be investigated

23

What should you be vigilant for in bladder and bowels?

Burning, stinging, frequency in urination, raised temp,

UTI might need treated

24

Legs

ask about comfort of the legs, especially the calf
Observe any oedema to the legs- an be normal as the body gets rid of extra-circulating fluid
encourage mobility
raise legs

25

vigilant legs

any unilateral (one sided) called oedema
stiffness/ pain or red raised area
breathless ness
could be a blood clot in the legs deep vein thrombosis (DVT) or pulmonary embolism (PE)

26

Record keeping

Clear, accurate records of observations should be documented
key tool in safeguarding the health and wellbeing of mother and baby

27

Health promotion in post natal care

pelvic floor exercised for long term health
exercise
contraception
relationship building with baby

28

What is looked at in the first examination after birth -24 hours

skin
head
face
neck
chest and abdomen
anus
genitalia
limbs, hands and feet
spine

29

What does the detailed examination of a new born entail?

NIPE
Neonatal and infant physical examination

Performed by paediatrician or trained midwife with 72 hours after birth

looking for signs of congenital heart disease, cataracts, dysplasia of the hips and undescended testes

Heart, eyes, hips, genitalia, neurological reflexes

30

What is in the daily examination of the new born?

baby appears well
good muscle tone
clear skin
cries lustily
feeds well
keeps warm
sleeps
wet and dirty nappies