Kersy Wilcon BAZAR‚ Normina ROJAS‚ Policronio III VELASCO‚ Dennard CEQUIRINA‚ Reynaldo BERBIGAL‚ Czyzl NOVAL‚ Keecee Amor OLAPE‚ Myeh Table of contents PAGE 1 Introduction 3 2 Client’s Profile 4 3 Physiology of labor 5 4 Stages of Labor 6 5 Ideal Nursing Interventions 13 6 Actual Nursing Interventions 16 7 Drug Study 19 8 Discharge Planning 21 9 Health teachings 22 10 Bibliography 23
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resolving or easing the problem? N/A for this week 2. Provide an example of an incident during clinical that reinforced the theory you have learned in OB lectures. An incident that reinforced what I have learned in lecture was the postpartum hemorrhage simulation. I learned how chaotic and overwhelming everything can be during an emergency‚ but also realized how important it is to have teamwork and a general game plan. It’s amazing how good teamwork allows things to go so smoothly. The entire
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the nurse to ascertain client stability merely by assessing the vaginal discharge and estimating amounts of vaginal blood loss. C) Uterine firmness. Feedback: CORRECT Pitocin is a hormone used to stimulate uterine contractions and prevent hemorrhage from the placental site. Prior to discontinuing the IV‚ it is most important to ensure that the uterus is contracting by assessing fundal firmness. D) Oral intake. Feedback: INCORRECT Assessment of oral fluid intake is important when determining
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1. What nursing action is required b4 you measure fundal height= empty bladder full bladder make the fundal height higher. 2. What should a nurse do to prevent heat loss from evaporation= dry them up and remove the wet linen. 3. Child with cephalohematoma. What condition is associated with cephalohemetoma = jaundice 4. Why do we perform gestational age in a baby= to identify developmental level 5. What kind of exam do we perform to access for gestational age = ballot score 6. A baby has been
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The placenta separates from the wall and natural removal occurs by uterine contractions. The birth of the placenta takes place 5 – 30 minutes after the birth of the baby. The placental stage is crucial because of the possibility of maternal hemorrhage. Signs of the placental separation are as follows: a. The uterus becomes globular in shape and firmer. b. The fundus rises in the abdomen. c. Lengthening of the cord. d. Sudden gush of blood. There are two different placental mechanisms which
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Postpartum Endometritis Evidence Based Paper March 13‚ 2012 Endometritis is the inflammation or irritation of the uterus‚ which is a common post partum complication that occurs in more than 15% of all pregnancies and is currently the leading cause of maternal mortality (Scott & Hasik‚ 2001). When endometritis is not related to pregnancy‚ it is referred to as pelvic inflammatory disease (PID). The Centers for Disease Control and Prevention (CDC) 2010 sexually transmitted diseases treatment
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screened even during and after pregnancy. Thyroid hormone plays a critical role during pregnancy both in the development of a healthy baby and maintaining the health of the mother. With proper management‚ hypothyroidism‚ subclinical hypothyroidism and postpartum thyroiditis during pregnancy can prevent fetal birth defects and health complications to the mother by mandatory screening‚ education‚ diet‚ and medication treatment. Health care providers diagnose hypothyroidism in pregnancy through a careful
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her prepregnant state without complications to hemorrhage. 1. Assess and teach pt to palpate uterus for height and firmness and location - Following birth the fundus has to be firm and should decrease one finger breath a day or more if breastfeeding from the umbilicus. A fundus that is hard tells you the uterus is contracting. If the fundus is above the umbilicus‚ boggy‚ blood may be collecting in the
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Observe bleeding during contraction Manifestations: * bright red‚ painless vaginal bleeding * risk of hemorrhage increases with nearing of labor * fetus often in abnormal presentation because uterine segment is covered‚ therefore‚ there is no descent * fetus may have anemia because of chronic bleeding * Mother may be more at risk postpartum for infection and hemorrhage * Vaginal organisms can easily reach placenta site * Lower portion of uterus has fewer muscles resulting
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An example of cardiomyopathy Physiological Changes • Increase in the intravascular volume • Increase in cardiac output • Lowering in the systemic BP • • • • • In case of Pregnancy Complications: Antepartum hemorrhage Preterm labour Pre‐eclampsia Blood loss at delivery Postpartum hemorrhage Cardiac Conditions • High risk of maternal mortality: Eisenmenger’s syndrome Severe pulmonary hypertension Cardiomyopathy Marfan syndrome (aortic root dilatation > 4 cm) Pre‐conceptional Counselling
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