Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Ch 19
Caring for mothers and infants
| Question | Answer |
|---|---|
| caesarean section | surgical incision into the abdominal and uterine walls; baby is delivered through incision |
| cervical mucous | viscous discharge secreted by the glands in the cervix |
| circumcision | genital mutilation still practised by countries in the world. it is the surgical removal of the foreskin from the penis |
| congenital | present at birth |
| cradle cap is also referred to as _____________________ | seborrheic dermatitis |
| cradle cap | skin condition in which yellowish, scaly or crusty patches made up of largely of oil and dead skin. appears on the scalp |
| engorged breasts | breasts that are overfilled with milk, which makes them swollen, hard and painful |
| episiotomy | incision made in the perineum to increase size of vaginal opening for baby delivery |
| jaundice | yellowing of skin and whites of eyes |
| lactation | process of producing and secreting milk from breasts |
| leukocytes | white blood cells that are part of the blood; cells are part of the immune system that fight infection |
| lochia | postpartum vaginal discharge that begins as a bloody discharge and then changes in colour and decreases in amt after 4-6 weeks |
| mastitis | infection of breast |
| postpartum | after child birth |
| postpartum blues | feelings of sadness/ mild depression in mother during first 2 weks after child birth |
| postpartum blues is also referred to as ________________ | baby blues |
| postpartum depression | major depression in mother at any point during first year after child birth |
| postpartum psychosis | most severe form of depression; the mother may experience delusions, hallucinations and suicidal thoughts |
| thrush | common yeast infection that resembles cottage cheese or milk curds, is found on sides/ top/ tongue of baby's mouth |
| sudden infant death syndrome (SIDS) | sudden unexplained death of an apparently healthy infant under 1 year |
| toxic shock syndrome (TSS) | rare, often life threatening illness that develops suddenly after an infection |
| umbilical cord | structure that carries blood, oxygen, nutrients from pregnant person to fetus |
| support workers must report any __________ to supervisor, nurse or public health nurse | concerns |
| helping clients care for infants is a __________________ because it enables her to have more time and energy to herself | valuable service |
| it is important for the support worker to do things by the agency policies when it comes to routines, schedules and ways of doing things t/f | f; it is important to respect the family's routines, schedules and ways of doing things |
| support workers are assigned to clients who may have developed ____________ before or after childbirth | complications |
| support workers may be assigned to help with ________________ of a person has just after child birth | other children |
| support workers are only assigned to clients who have had one child during child birth t/f | f; may help if multiple babies born at once (twins, triplets etc) |
| a client with a new infant with special needs may be assigned a support worker to help with the extra time and attention required t/f | t |
| a person experiencing mental or physical disabilities may be assigned a support worker t/f | t |
| clients always adjust well to new babies so PSWs are not required unless there is a special circumstance after birth t/f | f; people who are new to childbirth may have trouble adjusting to new responsibilities and be assigned a PSW |
| PSWs assigned to client who have given birth may do one or more of the following: | 1)physical care of client 2)care for newborn 3)care for other young kids 4)home management tasks |
| breastfeeding is also referred to as ______________ | nursing |
| _________ generally has the odour of normal menstrual discharge, report any offensive smells or colour changes immediately as it may be a sign of infection | lochia |
| lochia rubra ("red" luchia) | first discharge, red because amt of blood. typically lasts 3 to 5 days after childbirth |
| lochia serosa ("watery" luchia) | thinned discharge that turns brownish or pink. contains blood, water, erythrocytes, leukocytes, cervical mucous. lasts till 10 days after childbirth |
| lochia alba ("white" lochia) | discharge turned whitish or yellowish white. lats from 2- 6 weeks after delivery. has fewer erythrocytes, made mainly of leukocytes, epithelial cells, cholesterol, fat, mucous. |
| signs and symptoms of postpartum complication inc: | 1)fever (38+) 2)chills/poor appetite/fatigue/nausea/vomiting 3)lochia soaked pad within 1hr 4)lochia smells foul 5)lg amt of clots in lochia 6)dysuria 7)caesarean site bleeding/swelling/redness/ discharge 8)feeling depressed 9)breast pain |
| mothers should not use ___________ during postpartum period due to TTS risk increase | tampons |
| only a dr can perform a episiotomy t/f | f; dr or midwife |
| people that may not need an episiotomy inc: | 1)had previous births 2)long labour allowing perineum area to stretch 3)isnt deemed necessary |
| to care for perineum after a episiotoomy use a squirt bottle with warm water and a clean cloth to wipe away drainage, change the sanitary pad and wash hands after every urination t/f | t |
| complications of a episiotomy are not dire and can be dealt with easy t/f | f; dihiscence and infection can occur, contact supervisor immediately if either is suspected or client complains of pain |
| sitz bath | shallow plastic bathtub, filled with warm water designed to keep the buttocks and hips immersed while the person is in the sitting position |
| make sure to ________________ the bathtub after each use if a warm bath is ordered to help with perineum pain | disinfected |
| a dr, nurse, midwife, nurse practitioner can advise the client as to when to resume sexual activity, usually within 6 months t/f | f; after 6 weeks if ready |
| a c section may be ordered if it can save the life of baby and person having birth t/f | t |
| a c section may be ordered if the baby is too small to pass through the birth canal which would make the delivery too dangerous t/f | f; if the baby is too big |
| a c section may be ordered if an infection can be transmitted from _____________ to baby | vagina |
| a c section may be ordered if a c section was used before and dr recommends that option t/f | t |
| plugged duct | a tender lump in breast caused by milk not draining properly through ducts |
| treatment of a clogged duct may inc: | 1)frequent nursing 2)loose clothing to remove pressure 3)warm compresses 4)warm showers to promote drainage |
| some risk factors for mastitis inc: | 1)previous infection 2)delaying/skipping breastfeeding/pumping 3)cracked/irritated nipples 4)anemia lowering resistance to infection |
| clients should practice _________________ to lower risk of developing mastitis | proper hand hygiene |
| signs and symptoms of mastitis inc: | 1)pain/heat/tenderness/red streaks/ swelling 2)tender lump/ hardened area 3)fever (38+) 4)chills 5)fatigue 6)general body ache 7)cracked nipple/skin around nipple |
| contributing factors to postpartum blues inc; | 1)isolation 2)depression/anxiety 3)lack of support 4)poor body image 5)disappointment 6)hormone changes |
| symptoms of postpartum blues inc: | 1)insomnia/fatigue 2)mood wings 3)weepiness 4)headaches/ poor concentration 5)changes in appetite 6)withdrawn/ unconnected 7)lack of interest/ pleasure |
| health Canada estimates that up to 65% of people who give birth experience postpartum blues t/f | f; up to 80% |
| about _____% to ____% of canadians suffer postpartum depression after childbirth | 10,15 |
| postpartum psychosis effects 1 person in 10,000 after childbrith t/f | f; 1 in 1000 |
| someone experiencing postpartum psychosis is only a danger to themselves t/f | f; infant must be kept away from someone experiencing this as they can be danger to their child due to neglect or harm |
| signs and symptoms of postpartum depression inc: | 1)crying 2)sadness/hopelessness/ guilt 3)difficulty sleeping/ fatigue 4)inability to cope with everyday problems 5)avoiding others 6)feeling angry at infant 7)extreme anxiety 8)delusions/ hallucinations 9) thoughts of harming baby/ self |
| proper _______________ should be practised before and after handling an infant | hand hygiene |
| PSWs should wear a _________ top for each baby they handle | clean |
| if working in a community, _____________ into your clean uniform upon arrival | change |
| use both ________ when handling a baby and try to support the _________ body especially the head and neck | hands, whole |
| its ok to let a baby's arms and legs dangle because its good muscle building for them to hold them t/f | f; do not let arms and legs dangle |
| the proper way for a baby to sleep is on their stomach t/f | f; on their back |
| check with ___________before swaddling a baby because some babies ____________ like swaddling | parents, do not |
| when swaddling, its important to: | 1) check for overheating regularly 2)allow for some easy movements 3)make sure hips can bed to prevent problems 4)not to tight |
| to swaddle an infant: | 1)wash/ dry hands 2)lay a blanket flat/ fold top corner 3)lay baby in supine, head on folded corner 4)bring left side of blanket across to right side 5)pull bottom corner over baby to chest 6)right side over baby and tucked under |
| the blanket used for swaddling should be tight and the babies armies and legs should be allowed to come out t/f | f; blanket should be snug without arms and legs coming out |
| a crying baby may being trying to communicate: | 1)hungry 2)cold 3)hot 4)tired 5)overstimulated 6)discomfort/ pain 7)lonely 8)wet |
| a baby can be spoiled with too much attention t/f | f; building the caregiver infant bond is crucial, answering a baby's cries allows it to feel safe and loved and build trust |
| use vigorous rocking motions to soothe a crying baby t/f | f; gentle swaying motions |
| contact your supervisor if the baby you are trying to comfort _____________________________ | can not be comforted |
| anterior fontenelle | soft spot on babies head |
| always check the _____________ and with your ___________ as to how to treat _______________ | care plan, supervisor, cradle cap |
| diaper rash | very common condition; caused by urine, moisture, irritating chemicals. note appearance, location and other typical symptoms |
| if stated in the care plan, PSWs may have to wear __________ when changing the baby | gloves |
| always report a new rash, a rash that seems to spread in spite of treatment and one that is present for longer than a day t/f | t |
| always lay babies on their backs to sleep t/f | t |
| lay babies on soft bedding to sleep t/f | f; remove these types of bedding items for the crib as the can raise CO2 levels or suffocate baby |
| make sure babies are warm but never hot when sleeping t/f | t; place hand on the back of the neck to test temperature, if there is sweat they are too hot |
| when treating for diaper/ ammonia rash wash the area with plain water t/f | t |
| check the care plan to see what protective cream or ointment to put on diaper/ ammonia rash after washing baby, these inc; cod liver oil, petroleum jelly, zinc oxide. only use one at a time. t/f | t |
| a commonly accepted method of treating diaper/ ammonia rash is to dust the baby with corn starch t/f | f; do not do this, it is no longer acceptable as it aids in fungus growth |
| when treating diaper/ ammonia rash do not use ______________ with every wash as it could build up causing a reaction | fabric softener |
| when treating a baby for diaper/ ammonia rash try switching up diaper brands, or between cloth and disposable to see if that is causing a sensitivity t/f | t |
| always keep baby covered up when they have diaper/ ammonia rash to speed healing t/f | f; when possible expose baby to air for as long as possible, place a pad under and let their skin breath |
| ammonia rash | type of diaper rash caused by urine. |
| other types of diaper rash inc: | 1)food allergy 2)drug allergy 3)skin infection 4)contagious disease |
| if you suspect a baby has _________________ report it immediately to your supervisor | thrush |
| ___________ and _______________ temps are taken on infants | axillary, tympanic |
| bracial pulse is taken on infants t/ff | f; apical pulse |
| babies who are breastfed feed every 5-6 hrs t/f | f; 2-3 hrs |
| babies are fed on schedule t/f | f; on demand |
| ready to feed formula | pour directly from can into baby bottle |
| powdered/ concentrated formulas | add water, see directions on package and follow |
| encourage the person breastfeeding to practice ________________ before handling their breasts | hand hygiene |
| people who are recovering from caesarean section or has a sore perineum may prefer to breast feed ___________________ | side lying |
| babies are burped after both breasts have been nursed from t/f | f; after each breast |
| after breast feeding it is important to record ______ baby nursed as well as __________ at each side | time, how long |
| when mixing formula, use ____________ tap water from the cold tap that has __________ for __________ min | preboiled, boiled, 2 |
| prepared formula can be stored in the fridge fr 48 hrs with sealed lids t/f | f; 24 hrs |
| bottle fed babies want to be fed every _____ to _____ hrs | 3,4 |
| new born babies fed formula can only handle 80-100 mL at a time t/f | f; 60-90mL |
| never use a _________________ to heat formula as it can unevenly heat | microwave |
| do not allow formula to come to room temperature by leaving it out t/f | t |
| 2 to 3 drops should drip out of a nipple bottle at one, any more or less than that and the nipple needs changed t/f | t |
| its important to burp the baby half way through a bottle of formula t/f | t |
| breast fed babies swallow more air during feeding t/f | f; bottle fed babies swallow more air |
| the stump of an umbilical cord will fall over between ____ and ______ days after birth | 7, 14 |
| if the umbilical cord looks ready to pull off its ok to do so t/f | f; let it fall off naturally |
| cord care is continued up to 2 days after the umbilical cord falls off t/f | t |
| mohel | someone who performs circumcision on a jewish male a a religious rite |
| if baby has not been circumcised do not force the foreskin back to wash the penis, it will not retract for many years t/f | t |
| room temperature for bathing babies is 25-27'C t/f | t |
| bath temperature should be 37.8- 40.6'C t/f | t |
| excoriated | red and irritated |
Created by:
Wil.Wilson
Popular Health & Social Care sets