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NU2101 > Caseload > Flashcards

Caseload Flashcards

1
Q

significance of alcohol in pregnancy?

A

Check for FAS

  • Small head (when checking OFC)
  • Small or large eyes
  • IUGR (problems with breathing, feeding, trouble keeping a steady body temperature, low blood sugar level (hypoglycemia), problems fighting off infections, neurological problems – reflexes)
  • Hearing disorders
  • Shallow philtrum
  • Thin upper lip
  • Congenital abnormalities - cleft lip, palpate, heart defects
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2
Q

significance of smoking in pregnancy?

A
  • Low birth weight
  • Increased risk of asthma – recommend BF
  • Increased risk of orofacial cleft
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3
Q

significant of PROM in labour?

A
  • Increased risk of infection such as sepsis in mum and baby
  • Grunting, nasal flaring. High pitch cry, check NEWS
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4
Q

significance of club feet in the family?

A
  • Pay particular attention to feet during the examination as club feet is fixed into positioning
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5
Q

significance of syphilis in pregnancy?

A
  • Maculopapular rashes in palms of hand or feet
  • Snuffles - blocked nose
  • Organ damaged to liver and spleen – check when palpating abdomen
  • Damaged to eyes – red reflexes etc
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6
Q

significance of chlamydia?

A

Higher risk of:

  • low birth weight
  • eye infections due to passing through birth canal (sticky eye etc – swab)
  • lung infections – due to passing through birth canal
  • premature rupture of membranes
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7
Q

is labetalol safe and implications on baby?

A

baby may have low blood sugar, blood sugars should be monitored. Check documentation. Breastfeeding is not affected and no side effects noted.

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8
Q

is citalopram safe and implications on baby?

A

baby is sleepy, reluctant to feed, heart detect.

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9
Q

what is considered IUGR?

A

<2.5kg

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10
Q

what re IUGR problems?

A

problems with breathing, feeding, trouble keeping a steady body temperature, low blood sugar level (hypoglycemia), problems fighting off infections, neurological problems – reflexes

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11
Q

referral summary for kirsty?

A
  • paeds
  • breastfeeding
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12
Q

what is the significance of uganda?

A

Zika Virus

  • Damage to eyes – check red reflexes
  • Damage to brain – reflexes
  • Small head
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13
Q

what is the significance of being sickle cell carrier?

A

Due to IVF, dad’s history may not be available
If it is and dad is a sickle cell carrier, there is a higher chance for baby. Therefore, referral to Genetic counselling along with fetal medicine support.

Signs of sickle cells in babies.

  • Weakness in arm and legs
  • Facial droop
  • Loss of consciousness
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14
Q

what is the significance of rubella?

A

No history of MMR vaccine, we can assume there can be impacts on baby

  • Deafness
  • cardiac abnormalities
  • congenital cataracts
  • microcephaly
  • learning impairments.
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15
Q

what is the significance of breech after 36 weeks?

A

USS referral to orthopaedics after 36 weeks breech

  • close attention to hips, checking for any dislocation
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16
Q

what is the significance of asthma?

A

Recommend breastfeeding

  • close attention on lungs
17
Q

significance of mental health?

A

refer to perinatal

18
Q

what is the significance of paracetamol?

A

no effects, or concerns

19
Q

what is the significance of hydrocortisone?

A

– no effects, however if using while breastfeeding remove beforehand

20
Q

referral summary for nantale?

A
  • perinatal mental health team
  • USS orthopaedics
  • Audiology
  • Infant feeding
  • Paeds
  • Genetic counselling
21
Q

what is the significance of being adopted?

A

Cat is unaware of her family background, therefore she can benefit from genetic counselling especially with her partner being a carrier oy cystic fibrosis

22
Q

significance of thrush?

A

There is no evidence thrush can harm an unborn baby. However, it can transfer during labour so look about for oral thrush in babies. Although baby may not feed as well.

23
Q

significance of GBS?

A

Look out for early onset GBS as the NIPE examination is in the first 3 days of life.
Checks NEWS
Check for:

  • Fever
  • Grunting and breathing difficultieS
  • Tachycardia
  • Irritability
  • Lethargy
  • Cyanosis or pale
  • Feeding difficulties
24
Q

what is moxibustion?

A

Moxibustion is safe for pregnant women and best started at 33-34 weeks, moxa stick stimulate heat receptors on the skin of the toes to encourage oestrogen and prostaglandins stimulating contractions

25
Q

signifiance of jaundice?

A

Appears jaundice, complete SBR and inform the paeds to inform them that you have done this and to be aware to review it. Also inform them of your feeding plan ask if they agree and if they would change or add anything?

26
Q

significance of minimal weight gain?

A

can be linked to IUGR

27
Q

significance of clotrimazole?

A

Clotrimazole for thrush - Generally considered safe to use during breastfeeding. if baby is being treated for oral thrush, mum needs to be treated too. By applying the cream to nipples after a feed. It is safe during pregnancy.

28
Q

significance of lactulose?

A

Lactulose is safe during pregnancy and breastfeeding.

29
Q

referral summary for cat?

A
  • Orthopaedics
  • Breastfeeding support
  • Perinatal mental health
  • Paeds
  • Genetic counselling
30
Q

significance of a rhesus negative blood group?

A
  • Check if baby is neg or pos, to see if mum requires Anti-d or has had anti-d
  • Check for any sensitising events
31
Q

significance of deafness?

A
  • This may increase likelihood of hearing issues with baby.
  • Make sure baby has hearing check organised
  • Referral to audiology
  • Genetic counselling referral as mum and her family have deafness within it.
32
Q

significance of eating disorder?

A

Higher chance in low birth weight

33
Q

significance of a mask rhesus?

A

Usually due to lung issues – pay close attention to the lungs any crackling etc.
Check neurological – reflexes

34
Q

significance of mastitis?

A

Has mastitis symptoms, therefore it is important we assess this and contact obstetricians for antibiotics or self elp if antibiotics aren’t requiredand monitor due to chance of sepsis.
Provide feeding support to avoid this again.

35
Q

significance of anusol and iron tablets?

A

Iron tablets – no issues during pregnancy
Lactulose – no issues during pregnancy or breastfeeding
Anusol – no issues in pregnancy or breastfeeding

36
Q

chloe referral summary?

A
  • Debrief referral – obstetric
  • Audiology
  • Breastfeeding support
  • Genetic counselling
  • Perinatal mental health
37
Q

significance of late booking?

A
  • No screening done, close eye for signs of syndromes:
  • Edwards - Congenital heart defects, Diaphragmatic hernia, Low set and malformed ears, Small mouth and jaw, Wide epicanthic folds, Clenched hand and overlapping fingers
  • Downs - Up-slanting palpebral fissures, Epicanthic folds - skin fold of the upper eye covering the corner of the eye, Protruding tongue - large in portion to other structures of the mouth, Hypotonia - decreased muscle tone, Palm of hand with only one crease
  • Patau’s - Small triangular head and jaw, Bilateral cleft lip and palate, Sloping forehead, Malformed ears Abnormal extremities

NU2101 (33 decks)

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