NC DHHS 4142 2023-2025 free printable template

N.C. Department of Health and Human Services Division of Public Health Women's and Children's Health Section Women's Health Branch, Perinatal Health Nonparticipant Information Last NameFirst NameMIHealthy

How to fill out dhhs dph womens and

How to fill out NC DHHS 4142

1. Start by downloading the NC DHHS 4142 form from the official website.
2. Fill in your personal information at the top of the form, including your name, address, and contact details.
3. Provide the details of the service or assistance you are requesting.
4. Indicate your household income and the number of people living in your household.
5. Review the eligibility criteria and check the appropriate box to confirm your eligibility.
6. Attach any required supporting documents, such as proof of income or identification.
7. Sign and date the form at the bottom to verify the information is accurate.
8. Submit the completed form to the appropriate DHHS office or agency.

Who needs NC DHHS 4142?

1. Individuals or families in North Carolina seeking assistance with health services or support programs.
2. Residents who may qualify for Medicaid, food assistance, or other state health programs.

People Also Ask about

What is included in the postnatal assessment of the mother?

First 24 hours after birth: All postpartum women should have regular assessment of vaginal bleeding, uterine contraction, fundal height, temperature and heart rate (pulse) routinely during the first 24 hours starting from the first hour after birth. Blood pressure should be measured shortly after birth.

What is included in a postpartum assessment?

The comprehensive postpartum visit should include a full assessment of physical, social, and psychological well-being, including the following domains: mood and emotional well-being; infant care and feeding; sexuality, contraception, and birth spacing; sleep and fatigue; physical recovery from birth; chronic disease

What are the 5 postnatal checks?

What usually happens at your post natal check you will be weighed and get weight loss advice if you need it. you should be asked how you are feeling. your urine will be tested to make sure your kidneys are working properly and there is no infection. your blood pressure will be checked.

What are the components of postnatal assessment?

5.1 Routine core postnatal care for the mother 1 Check the mother's vital signs. 2 Check if her uterus is contracting normally. 3 Clean the mother's belly, genitals and legs. 4 Check for heavy bleeding (haemorrhage) 5 Check the mother's genitals for tears and other problems. 6 Help the mother to urinate.

What is postnatal assessment of mother and newborn?

A key part of every postnatal visit is to assess the newborn for general danger signs, including: not feeding, convulsions, lethargy or abnormal body movements, fast breathing with chest in-drawing, jaundice, skin lesions including umbilical infection, eye discharge and neonatal tetanus.

How do you write a postnatal assessment?

Examination Pulse, blood pressure and temperature. Check for Pallor. Conduct an abdominal examination to see if the uterus is well contracted. Examine the vulva and perineum for the presence of any swelling or pus. Examine the pad for bleeding and lochia. Examine the breasts for the presence of lumps or tenderness.

What should be included in the assessment of the postpartum uterus?

UTERUS. The fundus is assessed for: By approximately one hour post delivery, the fundus is firm and at the level of the umbilicus. The fundus continues to descend into the pelvis at the rate of approximately 1 cm or finger-breadth per day and should be nonpalpable by 14 days postpartum.

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What is NC DHHS 4142?

NC DHHS 4142 is a document used in North Carolina for reporting various information related to health and human services, often pertaining to compliance and regulatory requirements.

Who is required to file NC DHHS 4142?

Organizations and individuals that provide specific health related services or are involved in health care delivery in North Carolina may be required to file NC DHHS 4142.

How to fill out NC DHHS 4142?

To fill out NC DHHS 4142, obtain the form from the NC DHHS website, provide accurate details as required in the sections, and ensure all necessary signatures and dates are included before submission.

What is the purpose of NC DHHS 4142?

The purpose of NC DHHS 4142 is to collect and report vital information that supports compliance with health regulations and ensures effective delivery of health services.

What information must be reported on NC DHHS 4142?

Information that must be reported on NC DHHS 4142 typically includes provider details, service delivery information, patient data, and any other relevant health care compliance information.