Question 1
Question
Common issues for new parents in the first few days:
[blank_start]Tired[blank_end], overwhelmed – excited, fearful, joy, confusion.
[blank_start]Establishing[blank_end] breast feeding.
[blank_start]Lochia[blank_end] (vaginal discharge containing blood, mucus, and uterine tissue) – can last up to 6 weeks postpartum After-pains
If [blank_start]C-section[blank_end]; stiches, sore, restricted lifting/moving
Answer
-
Establishing
-
Tired
-
Lochia
-
C-section
Question 2
Question
Pregnant women choose one lead professional, called a Lead Maternity Carer, to provide and coordinate care. Choose the incorrect statement.
Answer
-
The carer can be an independent or hospital based midwife, pharmacist, general practitioner or private obstetrician.
-
Care by a LMC is provided throughout pregnancy and for 4-6 weeks after birth.
-
Care by a LMC is funded by the Ministry of Health.
Question 3
Question
The Well child Tamariki Ora Programme
- Is free to all children from birth to [blank_start]5[blank_end] years.
- Includes [blank_start]12[blank_end] core contacts as well as a general practitioner check at [blank_start]6[blank_end] weeks, linked to the [blank_start]6-week immunisations[blank_end].
- Serve as an important gateway to targeted and [blank_start]specialist[blank_end] health, education and social services for children and families/whānau with additional needs.
Answer
-
5
-
12
-
6
-
6-week immunisations
-
specialist
Question 4
Question
Plunket
- Is New Zealand's [blank_start]largest[blank_end] provider of support services for the development, health and wellbeing of children [blank_start]under 5[blank_end].
- Plunket is a national [blank_start]not-for-profit[blank_end] organisation and free to all families
- PlunketLine support line is available [blank_start]24 hours a day, seven days a week[blank_end] to provide guidance and advice to parents and caregivers
- Toy libraries, car seat rental, playgroups, education in schools.
Question 5
Question
Which is not a benefit of breastfeeding?
Answer
-
It reduces the risk of allergies.
-
It helps protect your baby against infection because the first milk (colostrum) is particularly high in the mother's protective antibodies.
-
It is cheap, safe, environmentally friendly and ready for use at a moment's notice.
-
It is easily digested and very unlikely to cause your baby to become constipated.
-
It changes as your baby's needs change – a breastfed baby will take just as much milk as they need and are less likely to get fat.
-
It reduces the risk of heart disease later in life.
Question 6
Question
Match the issue with solution:
- Engorged breasts – [blank_start]cold press, pads[blank_end]
- Latching pain – [blank_start]incorrect technique[blank_end]
- Sore, cracked nipples – [blank_start]lanolin/shields[blank_end]
- Blocked ducts - [blank_start]Dr[blank_end]
- Inverted or flat nipples
- Tongue-tie – [blank_start]refer to Dr/midwife[blank_end]
- Low milk supply – [blank_start]keep feeding/supplements[blank_end]
Answer
-
cold press, pads
-
incorrect technique
-
lanolin/shields
-
Dr
-
refer to Dr/midwife
-
keep feeding/supplements
Question 7
Question
Bottle feeding:
- There should be no marketing of infant formula (formula for babies under [blank_start]6 months[blank_end]). This is to try and promote breast feeding.
- Mothers choice
- Recommended for babies who are [blank_start]failing[blank_end] to thrive
- Need to [blank_start]sterilise[blank_end] bottles and teats before use
- You can warm infant formula before feeding it to a baby, but it’s [blank_start]not[blank_end] necessary
- Specialised infant formulae [blank_start]subsidised[blank_end] on the pharmaceutical schedule, only appropriate for infants with cows’ milk protein allergy who are unable to be breast fed.
Answer
-
6 months
-
failing
-
sterilise
-
not
-
subsidised
Question 8
Question
There are three types of depression which can occur after childbirth.
1. Postnatal or maternity blues: are very common and involve a [blank_start]brief[blank_end] period of the mother feeling down and tearful in the week after her baby is born. This feeling passes after a few days.
2 Postnatal depression: a much more [blank_start]serious[blank_end] condition, is also common. The woman becomes seriously [blank_start]depressed[blank_end] in the first months following the baby's birth.
3. Postnatal psychosis (sometimes called postpartum psychosis): is rare and involves symptoms of psychosis (being out of touch with reality) associated with changes in mood – either a depressed or an extremely high mood. It usually begins in the first [blank_start]two weeks[blank_end] after the child is born.
Answer
-
brief
-
serious
-
depressed
-
two weeks
Question 9
Question
Select symptoms which differentiate PPD from baby blues.
Answer
-
Irritability
-
Feelings of shame, guilt, inadequacy
-
Difficulty bonding with baby
-
Social withdrawal
-
Reduced libido
-
Insomnia
Question 10
Question
PPD risk factors:
- Before pregnancy and birth: past history of [blank_start]depression[blank_end] or other mental health
problem, relationship difficulties, especially with the [blank_start]father[blank_end] of the baby or with own mother, having little social [blank_start]support[blank_end], life stresses or difficulties such as [blank_start]money[blank_end] or housing problems.
- Risk factors related to the birth: birth [blank_start]complications[blank_end], such as caesarean delivery, birth did not go as
planned (eg. birth in hospital or with intervention when the woman wanted a home or natural birth), birth of a [blank_start]brain-damaged[blank_end] or ill baby.
- Risk factors after birth: persisting postnatal blues, not wanting to hold the baby or feeling detached, having negative thoughts about the baby, sleep problems, the baby is [blank_start]fussy[blank_end], has problems feeding, or has colic or reflux.
Answer
-
depression
-
father
-
support
-
money
-
complications
-
brain-damaged
-
fussy
Question 11
Question
EPDS (Edinburgh postnatal depression scale) is the most commonly used diagnostic tool for PPD.
Question 12
Question
Treating PPD:
- Enhanced social support and psychological [blank_start]therapy[blank_end] should be considered first, especially if symptoms are mild
- If moderate depression then SSRI is recommended, [blank_start]sertraline or escitalopram[blank_end] are currently the most preferred (compatible with breastfeeding)
Question 13
Question
New born skin problems:
- Newborn acne is very common. The best way to treat it is to do [blank_start]nothing[blank_end] - don't pick, scrub or treat them.
- Dry and peeling skin is simply the shedding of dead skin, and using lotions won't [blank_start]speed[blank_end] up this process
- Erythema toxicum neonatorum - affects at least 50% of babies is [blank_start]harmless[blank_end] and requires no treatment. Typically the [blank_start]rash[blank_end], which appears as red marks on the skin.
- Cradle cap - scaly rash that [blank_start]commonly[blank_end] affects the scalp of babies. Possible causes include overactive oil producing glands, mum’s hormones and yeasts that live on the skin.
Answer
-
nothing
-
speed
-
harmless
-
rash
-
commonly
Question 14
Question
Watery eyes – blocked tear duct
- [blank_start]1/3[blank_end] of babies experience this
- pus in the eye
- crusting eyelids and eyelashes
- redness in the [blank_start]inner corner[blank_end] of the eye
- the condition resolves itself in [blank_start]90[blank_end] percent of infants by their first birthday.
- Gentle [blank_start]cleaning, massage[blank_end]
Answer
-
inner corner
-
1/3
-
90
-
cleaning, massage
Question 15
Question
Red flags for watery eyes:
- inflammation
- redness
- discharge that is [blank_start]yellow or green[blank_end] in colour
- pain
- changes in eye or eyelid structure
- sensitivity to [blank_start]light[blank_end]
- itching (your child may [blank_start]rub[blank_end] their eyes often)
Answer
-
yellow or green
-
light
-
rub
Question 16
Question
Teething
- Start around 6 months -1 year
- Many babies’ teeth come through without any problems, but for some the gums [blank_start]swell[blank_end] and become sore as teeth break through.
- Signs: crying, have a slight [blank_start]fever[blank_end], have [blank_start]red[blank_end] cheeks, drool, not eat or sleep well and want to [blank_start]bite[blank_end] something
hard
- Gently rub their gums with a clean [blank_start]finger[blank_end] or the back of a cold spoon. You can also wrap ice pack in wash cloth and place the cloth on your baby’s cheek. Give baby something to chew on, such as a clean teething ring.
Answer
-
swell
-
fever
-
red
-
bite
-
finger
Question 17
Question
When to refer to the doctor
Blue [blank_start]lips[blank_end]. Call an ambulance immediately.
Blue, yellow or pale skin.
Yellow [blank_start]eyes[blank_end].
A red, pusy or smelly [blank_start]umbilical[blank_end] cord.
An extreme temperature or fever
Less than [blank_start]six[blank_end] wet nappies a day
Frequent bowel movements, especially with [blank_start]liquid or mucous[blank_end]
Repeated vomiting
Several refusals to [blank_start]feed[blank_end] in a row.
Excessive sleepiness or any other drastic behavior change.
Answer
-
lips
-
eyes
-
umbilical
-
six
-
liquid or mucous
-
feed