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59 Cards in this Set
- Front
- Back
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-bathing serves a number of purposes
(4) |
1) completely cleansing the infant
2) observing the infants condition 3) promoting comfort 4) parent child family interaction |
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______ baths are usually used until the infants umbilical cord falls off and the umbilicus is healed
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sponge
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-___________is usually delayed until the umbilical cord falls off which occurs at about 10-14 days after birth
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tub bathing
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room sharing --infants sleeping in parents room
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infants sleeping in the parents room is associated with a decrease risk of SIDS
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Use of Car Seat
whats the rule for a rear facing seat |
-Rear facing from birth to 20 pounds and one year b4 they turn around.
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-Smile at __month
, hold rattle at __months |
2
3 |
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-smoking in pregnancy is known to cause a (2)
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decrease in placental perfusion and is a cause of LBW
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-in utero, nicotine targets receptors in the fetal brain interfering
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with fetal neuronal development
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-smoking interferes with the body’s ability to process essential vitamins and minerals resulting in
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calcium loss from the bones, decreased intestinal synthesis of vitamin b12 and increased use of vitamin c.
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-the FDS recommends that pregnant women eliminate or limit their consumption of caffeine to
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less than 300 mg per day (3 cups of coffee/soda)
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Caffeine
-before 20 weeks: -after 20 weeks: |
–B4 20 weeks – miscarriages
–After 20 weeks- infants withdrawn |
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High intake of caffeine is related to:
-decraese in -increase the risk of: |
– High intake related to:
•Decrease in birth weight •Increase the risk of miscarriage |
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Prenatal alcohol exposure is single greatest preventable cause of _____________
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mental retardation
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______ and abruption
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Cocaine
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babies and cocaine
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Babies don’t withdraw from cocaine
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Cocaine + mother
treatment: |
acupuncture
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Recommended treatment is _________ to get people off heroin
-whats bad about that? what is heroin linked to? |
methadone
(methadone thoughts: more prenatal care) babies withdraw from methadone from long periods of time –Heroin- more still birth |
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How to screen/ID women who abuse substances in pregnancy
,-unaware, unwilling to change everythings ok, |
– Precontemplation
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How to screen/ID women who abuse substances in pregnancy
there is no problem. |
– Precontemplation
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How to screen/ID women who abuse substances in pregnancy
She thinks shes safe in her room |
– Precontemplation
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How to screen/ID women who abuse substances in pregnancy
considering change |
– Contemplation
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How to screen/ID women who abuse substances in pregnancy
Information seeking |
– Contemplation
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How to screen/ID women who abuse substances in pregnancy
she says she doesn’t know what to do. . |
– Contemplation
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How to screen/ID women who abuse substances in pregnancy
Thinking about it |
– Contemplation
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How to screen/ID women who abuse substances in pregnancy
,-intend to change soon |
preparation
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How to screen/ID women who abuse substances in pregnancy
when she calls and says she needs to get out. |
– Preparation
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How to screen/ID women who abuse substances in pregnancy
Making a plan |
– Preparation
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How to screen/ID women who abuse substances in pregnancy
modification of the problem behavior she gets out |
– Action
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How to screen/ID women who abuse substances in pregnancy
can regress |
action
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How to screen/ID women who abuse substances in pregnancy
,- environmental supports needed. May regress |
– Maintenance
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How to screen/ID women who abuse substances in pregnancy
A lot of support is needed. |
– Maintenance
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-Intense and pervasive sadness with severe and labile mood swings
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Postpartum Depression without psychotic features
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-Feel guilty because they should be happy
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Postpartum Depression without psychotic features
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-mother ruminates of guilt and inadequacy feed her worry about being an incompetent and inadequate parent
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Postpartum Depression without psychotic features
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-their may be odd food cravings (sweet desserts) and binges with abnormal appetite and weight gain
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Postpartum Depression without psychotic features
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-increased yearning for sleep, sleeping heavily, but awakening instantly with any infant noise and inability to go back to sleep after infant feedings
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Postpartum Depression without psychotic features
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-irritability towards others
-often have severe anxiety, panic attacks, and crying |
Postpartum Depression without psychotic features
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-prominent feature is rejection of the infant (disinterested, annoyance with care demands and blaming for lack of maternal feeling)
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Postpartum Depression without psychotic features
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-obsessive thoughts and harming the child are frightening the child but is embarrassed to share thoughts
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Postpartum Depression without psychotic features
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Postpartum Depression without psychotic features
treatment: (3) |
treatment options include antidepressants, Antianxiety agents, ECT
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Postpartum Depression without psychotic features
alternative therapies: |
-herbs, dietary supplements, massage, aromatherapy, and acupuncture may be helpful
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Postpartum Depression without psychotic features
-psychotherapy focuses on |
her fears and concerns regarding her responsibilities and roles
as well we monitoring for SI or HI thoughts. |
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characterized by depression, delusions, and thoughts by the mother of harming either the infant or herself
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Postpartum Depression with Psychotic Features
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-this disorder occurs in 1 to 2 per 1000 births and may occur more often in primiparas
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Postpartum Depression with Psychotic Features
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-once a woman has had 1 postpartum episode with psychotic features, there is a 30-50% chance of recurrence with each subsequent birth
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Postpartum Depression with Psychotic Features
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-symptoms often begin within days after birth (mean onset is 2-3 weeks and almost always within 8 weeks)
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Postpartum Depression with Psychotic Features
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-the women begins to complain of fatigue, insomnia, restlessness, tearfulness, emotional lability,
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Postpartum Depression with Psychotic Features
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complaints of inability to move, work, or stand are common
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Postpartum Depression with Psychotic Features
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-suspiciousness, confusion, incoherence, irrational statements
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Postpartum Depression with Psychotic Features
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obsessive concerns about the baby’s health and welfare may be present
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Postpartum Depression with Psychotic Features
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-delusions may be present in 50% OF WOMEN
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Postpartum Depression with Psychotic Features
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-hallucinations in 25% (Auditory hallucinations that command the mother to kill the infant/severe case)
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Postpartum Depression with Psychotic Features
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-the mother may think that the infant is possessed by the devil, has special powers, or is destined for a terrible fate
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Postpartum Depression with Psychotic Features
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-a specific illness included in depression with psychotic features is _____ , which is characterized by manic episodes, characterized by elevated expansive or irritable moods
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bipolar
Postpartum Depression with Psychotic Features |
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-clinical manifestations of a manic episode include at least 3 of the following symptoms that have been present for 1 week
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Postpartum Depression with Psychotic Features
-gradiosity -decreased need for sleep -pressured speech -flight of ideas -distractibility -psychomotor agitation -excessive involvement in pleasurable activities w/ regard for negative consequences -b/c these woman are hyperactive, they may not take the time to eat which leads to inadequate nutrition, dehydration, sleep deprivation |
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Postpartum Depression with Psychotic Features
treatment: (favorable outcome) |
-favorable outcome is adjustment before the onset of the disorder and a supportive family network
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-postpartum psychosis is a psychiatric emergency and the mother will prolly need psychiatric hospitalization
true or false |
true
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Postpartum Depression with Psychotic Features
-treatment: |
-antipsychotics and mood stabilizers (lithium) are treatments of choices
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-the mother may want to visit her baby but the visits must be closely supervised
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Postpartum Depression with Psychotic Features
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