Handout Maternal Nursing

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Maternal Child Nursing

I.Family
A group of two or more persons who lives together in the same household, perform certain interrelated social tasks and share an emotional bond

II.Types:
a.Nuclear
i.Husband, wife, children
ii.Provide support and feel affection to family members
b.Cohabitation family
i.Heterosexual couple living together But NOT married
ii.Short or long term
c.Extended or Multigenerational family
i.Nuclear family + other family members
ii.May experience financial problems since the family’s income must be stretched to accommodate other people d.Single Parent Family
i.50-60% of the population
ii.Financial issues are a concern
iii.Lack of family support for childcare
e.Blended family
i.Two separate families joined as one as a result of marriage ii.Jealousy, friction between members may occur
iii.Children may adapt more to the new situation
f.Communal Family
i.Group of people who have chosen to live together who are not necessarily related by blood or marriage. ii.Related by social or religious values
g.Gay or Lesbian Family
h.Foster Family
i.Adoptive Family

Anatomy and Physiology
Female Anatomy
I.External

There are seven openings in the female external genitalia

Vagina
Anus
Bartholin’s Duct (2)
Urethra
Skene’s Duct (2)

Sexual Maturity
Begins at 10 years of age in Girls / 12 years of age in boys
Thelarche
Adrenarche
Menarche

II. Internal Organs
a.Vagina
i.Female organ for copulation
ii.Divided into 3 parts: upper, middle, lower
iii.pH 4-5
iv.pH from infancy to prepubertal and menopause pH is 7.5 v.Normal bacterial flora cells lactobacilli - Doderlein bacillus and the vaginal epithelial environment vi.Cells contain glycogen
vii.Rugae - permits stretching without tearing

b.Uterus
i.Hollow muscular organ
ii.Shape
1. non pregnant - pear shaped
2.pregnant - ovoid
iii.Weight
1. non pregnant – 50 -60 g
2. pregnant – 1,000g
iv.Pregnant/ Involution of uterus:
4th stage of labor - 1000g
2 weeks after delivery- 500g
3 weeks after delivery- 300 g
5-6 weeks after delivery- 50 – 60g
v.Ligaments of the uterus
1.Upper portion - broad and round ligaments
2.Middle portion – cardinal pubocervical and uterosacral ligaments 3.Lower portion – pelvic muscle floor
vi.Cervix
1.Narrow neck of the uterus
2.It is lined with columnar epithelium
3.Highly elastic due to its high fibrous and collagenous content

c.Fallopian Tubes
i.Otherwise known as the Oviducts or uterine tubes
ii.Parts of the FT (from inside to out) –
In-Is-A-If
1.Interstitium
a.uterine portion
2.Isthmus
a. narrow and straight, site of sterilization
3.Ampulla
a.central portion, site of fertilization
4.Infundibulum or the fimbriae
a.fingerlike projection to the ovaries, longest of which is the fimbriae ovarica, site of Ectopic pregnancy iii.Functions
1.Provide transport for the ovum
2.Provide site for fertilization
3.Nourishes the zygote
d.Ovaries
i.3 to 4 cm long, 2 to 3 cm wide and 1 to 3 cm thick
ii.Almond shape
iii.From pubertal dull white to pitted gray organ
iv.Held in place by infundibulopelvic ligaments
v.No peritoneal covering – easy spread of malignant cells vi.Source of primary hormones – estrogen and progesterone

III.Bony Pelvis
a.Support and protect the pelvic contents
b.Made up of 4 bone
i.Innominate bones
ii.Sacrum
iii.Coccyx
c.Lined with fibro cartilages and held together by ligaments

IV.Muscular floor of the bony pelvis
a.Provides stability and support for surrounding structures b.Levator ani muscle makes up most of the major portion of the floor and comprises by: i.Iliococcygeus
ii.PuboCoccygeous
iii.Puborectalis
iv.Pubovaginalis

V.Pelvic Types
a.Gynecoid
i.Normal female pelvis. Transversely rounded or blunt, most favorable for vaginal birth b.Android
i.Oval shape. Adequate outlet,...
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