Podcast
Questions and Answers
What does a positive direct Coombe's test performed on cord blood indicate?
What does a positive direct Coombe's test performed on cord blood indicate?
What is the purpose of a Guthrie test?
What is the purpose of a Guthrie test?
When are supplementary fluids for babies unlikely to be needed?
When are supplementary fluids for babies unlikely to be needed?
Which of the following assessments would NOT require immediate notification to medical personnel?
Which of the following assessments would NOT require immediate notification to medical personnel?
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By when must parents register a baby?
By when must parents register a baby?
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What is a common cause of insufficient milk supply?
What is a common cause of insufficient milk supply?
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What is Ramari's bright red continuous blood loss per vaginum two hours after the birth of her baby at home?
What is Ramari's bright red continuous blood loss per vaginum two hours after the birth of her baby at home?
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What may be required if the mother has had a Caesarean Section?
What may be required if the mother has had a Caesarean Section?
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What does persistent red lochia indicate in a postpartum woman?
What does persistent red lochia indicate in a postpartum woman?
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How long does it usually take for a woman’s uterus to revert to being a pelvic organ after childbirth?
How long does it usually take for a woman’s uterus to revert to being a pelvic organ after childbirth?
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A postpartum patient shows a swollen, hot left calf that is larger than the right. What is the most likely diagnosis?
A postpartum patient shows a swollen, hot left calf that is larger than the right. What is the most likely diagnosis?
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After confirming the diagnosis of deep vein thrombosis, which drug therapy is typically commenced?
After confirming the diagnosis of deep vein thrombosis, which drug therapy is typically commenced?
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When can a postpartum woman expect her menstrual period to resume if she is breastfeeding?
When can a postpartum woman expect her menstrual period to resume if she is breastfeeding?
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A midwife assesses a postpartum woman's uterus located 4cm below the umbilicus. This finding is likely due to:
A midwife assesses a postpartum woman's uterus located 4cm below the umbilicus. This finding is likely due to:
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Among Ms Jacobs’ vital signs, which should the midwife be most concerned about upon discharge?
Among Ms Jacobs’ vital signs, which should the midwife be most concerned about upon discharge?
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What is a potential complication if lochia remains bright red for an extended period?
What is a potential complication if lochia remains bright red for an extended period?
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Study Notes
Newborn Care
- A positive direct Coombe's test performed on cord blood indicates antibodies coating the infant's red blood cells.
- The purpose of a Guthrie test is to assess for five rare conditions which can be successfully treated if identified early.
Postpartum Care
- Supplementary fluids for babies are unlikely to be needed if the mother is breastfeeding.
- Failure to pass meconium during the first 24 hours of life, failure to void during the first 24 hours of life, and inability to pass a rectal thermometer more than 0.5 cm into the rectum require immediate notification to medical personnel.
- Parents must register a baby by a specific deadline.
Breastfeeding
- Insufficient milk supply is commonly a conclusion based on misinterpretation of normal infant breast-feeding behaviour.
- Supplementing the baby for the first two weeks of life does not resolve insufficient milk supply quickly.
Postpartum Bleeding and Uterus Involution
- Bright red continuous blood loss per vaginum two hours after birth requires action and is not a normal physiological process.
- Persistent red lochia is a sign of possible infection.
- It usually takes around 1-2 weeks for a woman's uterus to revert to being a pelvic organ.
Postpartum Complications
- A diagnosis of deep vein thrombosis can be made if the calf is very swollen, tender, and hot, and measures larger than the other calf.
- Deep vein thrombosis is treated with anticoagulants.
- A postpartum client may start menstruating again 6-24 weeks after birth, depending on how long she breastfeeds for.
- A uterus located 4cm below the umbilicus on the second day postpartum is a result of breastfeeding.
- A blood pressure of 148/88 is a vital sign that the midwife should be concerned about.
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Description
Quiz about prenatal testing and diagnosis, including Coombe's test and Guthrie test. Questions cover diagnosis of blood disorders and other conditions.
