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25 Cards in this Set

  • Front
  • Back

Main issue for hormones in postnatal period

Oestrogen dominance

What oestrogen dominance is closely linked to

Lowered mood

What occurs as oestrogen dominance causes liver to produce increasing levels of TBG

TBG binds to thyroid hormone

Symptoms of hormone imbalance

Being very emotional & upset


Restfulness for no apparent reason


Low libido


Being tense & anxious


Difficulty sleeping


Constant worry about minor problems


Tiredness & lethargy


Weight gain


Hair loss

Relative contraindications for antenatal period (C3Q6) - state 10

Severe anaemia


Unevaluated maternal cardiac arrhythmia


Chronic bronchitis


Poorly controlled type 1 diabetes


Extreme morbid obesity


Extreme low weight (BMI <12)


History of extremely sedentary lifestyle


Inauterine growth restriction in current pregnancy


Poorly controlled hypertension/pre-eclampsia


Orthopaedic limitations


Poorly controlled seizure disorder


Poorly controlled thyroid disease


Heavy smoking

Relative contraindications for postnatal period (C3Q7) - state 8

Any severe or chronic conditionPoorly controlled type 1 diabetesExtreme morbid obesityExtreme low weight (BMI <12)History of extremely sedentary lifestylePoorly controlled hypertensionOrthopaedic limitationsPoorly controlled seizure disorderPoorly controlled thyroid diseaseHeavy smoking

Absolute contraindications for antenatal period (C3Q8) - state 7

Haemodynamically significant heart disease


Restrictive lung disease


Incompetent cervix


Multiple gestation at risk of premature labour


Persistent 2nd or 3rd trimester bleeding


Placenta praevia after 26 weeks gestation


Premature labour during current pregnancy


Ruptured membranes


Pregnancy induced hypertension

Absolute contraindications for postnatal period (C3Q9) - state all 5

Before 6 weeks (natural birth)


Before 12 weeks (Caesarean)


Any unstable condition


Resting tachycardia


Blood pressure over 160/100

Reasons to stop activity (C3Q10) - state 8

Excessive shortness of breath


Chest pain of palpitations


Feeling faint


Calf pain or swelling


Leakage of amniotic fluid


Vaginal bleeding


Excessive fatigue


Abdominal pain or any form of excessive pain


Sudden pain in legs


Low weight gain (less than 1kg per month)

Main risks for baby associated with obesity during pregnancy (C3Q12) - state all 6

Foetal abnormalities


Spina bifida


Heart defects


Stillbirth


Brain damage


Breathing problems

Types of activity to be avoided in 2nd trimester (C3Q20) - state 5

High impact exercise that puts pressure in joints


Rapid direction changes


Exercising to extreme sweating


Exercises which encourage use of valsalva


Supine exercises


Prone exercises


Advanced/end of range stretching

Types of activity to avoid in 3rd trimester (C3Q21) - state 8

Direct abdominal exercises


Standing still for long periods


Any exercise with high fall risks


High impact exercises that places pressure on joints


Rapid direction changes


Exercising to extreme sweating


Exercises which encourage use of valsalva


Supine exercises


Prone exercises


Advanced/end of range stretching

Types of activity to avoid in 3rd trimester (C3Q21) - state 8

Direct abdominal exercises


Standing still for long periods


Any exercise with high fall risks


High impact exercises that places pressure on joints


Rapid direction changes


Exercising to extreme sweating


Exercises which encourage use of valsalva


Supine exercises


Prone exercises


Advanced/end of range stretching

Basic way of calculating BMR (C5Q4)

Multiply bodyweight (kg) by 25 kcal

Schofield calculation for men aged 10-17 (C5Q10)

17.7xW+657

Schofield calculation for men aged 18-29 (C5Q11)

15.1xW+692

Schofield calculation for men aged 28-30 (C5Q12)

11.5xW+873

Schofield calculation for women aged 10-17 (C5Q13)

13.4xW+692

Schofield calculation for women aged 18-29 (C5Q14)

14.8xW+487

Schofield calculation for women aged 30-59 (C5Q14)

8.3xW+846

Why is there such a large turnover of protein during pregnancy? (C5Q22)

Allows development of foetus & enlargement of placenta

What is vitamin A important for? (C5Q31) - state all 3

Development of immune system


Vision


Cell differentiation

What is folic acid important for? (C5Q37) - state all 3

Proper neural development


Normal cell division


Prevention of birth defects

Why does demand for iron increase? (C5Q40)

Blood volume increases

13 foods to avoid during pregnancy (C5Q44) - state 10

Some types of cheese (soft)


Pate


Liver


Raw or partially cooked eggs


Raw or undercooked meat


Supplements containing vitamin A


Some types of fish


Raw shellfish


Peanuts


Unpasteurised milk


Foods with soil on them


Caffeine


Sushi