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Postnatal Physical Exam - Baby

Discussion in 'PMDC Step 3 Preparation' started by Shazy, Nov 13, 2014.

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  1. Shazy

    Shazy ĎŐŃ'Ť ĹŐŚĔ ĤŐРĔ Administrator Global Moderator Forum Moderator

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    Postnatal Physical Exam - Baby ( Obstetrics and Gynecology )

    Baby

    <Clair>
    appears
    <well, moving all four limbs, ...> :

    If bottle feeding:
    <Clair>
    is bottle feeding, taking
    <SMA || Cow and Gate || ...>,
    <50 mL>
    per feed, feeding
    <well>
    every
    <4>
    hours, and is
    <wetting her nappies [alternatively: if <3 days, can say "passing meconium and urine"]>.

    If breast feeding:<Clair>is breast feeding
    <8>
    times a day
    <and through the night>,
    feeding
    <on demand || by docking>,
    with each feed lasting
    <10 minutes, with 5 minutes per side>.
    <Clair>
    <is satisfied>
    with her feed, and her nappies
    <are wet>.
    <Mrs. O'Connor>
    <feels || does not feel>her breasts empty and swell,
    <has no nipple concerns, and>
    <is comfortable taking Claire on and off, as she went to a class>.

    If nation's protocol is for BCG vaccination and/or Guthrie tests:<Clair>
    <had || is scheduled for>
    her BCG on
    <Tuesday>,and her metabolic screen is on
    <Wednesday>.

    Contraception / parenting / PT
    After pregancy, she
    <will || will not>
    <start on || go back on>
    <the combing oral contraceptive pill in 4 weeks time [alternatively: starting on the day of her next period] || ...>,
    <as it has offered good protection in the past>.
    <She will not not use the pill because she doesn't like it>.
    <She has had attended parenting sessions [esp. important if young with first baby]>.
    <She has an appointment booked with the physiotherapist on ...>.

    Social support
    She
    <has a partner at home who works as a ... || is self-supported socially>,
    and is going home
    <today>
    to her
    <1 bedroom house>.

    Optionally:
    She will be taking iron and has booked an appointment with her
    <GP || hospital>
    in 6 weeks time and
    <will || will not>
    have a smear at that time.
     
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