Prenatal Testing and Diagnosis

Questions and Answers

What does a positive direct Coombe's test performed on cord blood indicate?

Antigens coating the mother's red blood cells

Maternal red blood cells in the fetal circulation

Fetal red blood cells in the maternal serum

Antibodies coating the infant's red blood cells (correct)

What is the purpose of a Guthrie test?

To assess for jaundice which may require intervention

To assess for common blood disorders which need to be treated early

To assess for information which may be drawn on and used throughout his life

To assess for five rare conditions which can be successfully treated if identified early (correct)

When are supplementary fluids for babies unlikely to be needed?

If the baby is at risk of jaundice

If the baby is under phototherapy

If the mother has had a Caesarean Section

If the mother is breastfeeding (correct)

Which of the following assessments would NOT require immediate notification to medical personnel?

A normal heart rate Signup and view all the answers

By when must parents register a baby?

Within 6 weeks of birth Signup and view all the answers

What is a common cause of insufficient milk supply?

Misinterpretation of normal infant breastfeeding behaviour Signup and view all the answers

What is Ramari's bright red continuous blood loss per vaginum two hours after the birth of her baby at home?

A situation that requires action Signup and view all the answers

What may be required if the mother has had a Caesarean Section?

Supplementary fluids for the baby Signup and view all the answers

What does persistent red lochia indicate in a postpartum woman?

A sign of possible infection Signup and view all the answers

How long does it usually take for a woman’s uterus to revert to being a pelvic organ after childbirth?

1 month Signup and view all the answers

A postpartum patient shows a swollen, hot left calf that is larger than the right. What is the most likely diagnosis?

Deep vein thrombosis Signup and view all the answers

After confirming the diagnosis of deep vein thrombosis, which drug therapy is typically commenced?

Anticoagulants Signup and view all the answers

When can a postpartum woman expect her menstrual period to resume if she is breastfeeding?

6 to 24 weeks after birth Signup and view all the answers

A midwife assesses a postpartum woman's uterus located 4cm below the umbilicus. This finding is likely due to:

Breastfeeding Signup and view all the answers

Among Ms Jacobs’ vital signs, which should the midwife be most concerned about upon discharge?

Blood pressure 148/88 Signup and view all the answers

What is a potential complication if lochia remains bright red for an extended period?

Possible infection Signup and view all the answers

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.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Quiz about prenatal testing and diagnosis, including Coombe's test and Guthrie test. Questions cover diagnosis of blood disorders and other conditions.