Study Guide 6 – Friday‚ March 1st Know the 4 P’s Power – Uterine contractions and maternal pushing efforts (all about the mom’s labor and delivery powers) Problems with Power Hypotonic dysfunction – ineffective contractions‚ coordinated‚ infrequent contractions‚ brief‚ too weak‚ active phase‚ uterine wall is stretched and contracts poorly**‚ INDIVIDUALS AT RISK are multiparous women‚ over distention of the uterus such as multiples‚ over distended uterus that poorly contracts Hypertonic dysfunction
Premium Childbirth Pelvis
2. Monitor/palapte fundus for location/tone. * Helps to determine the status of the uterus and may indicate additional interventions. * Uterine atony – as evidence by a boggy uterus is the most common cause of postpartum hemorrhage. * If fundus is boggy apply gentle massage and assess tone response to promote uterine contractions and increase uterine tone. (3: 539‚ 542) | * Patient’s fundus was firm and located at the umbilicus as would be expected. | 3. Monitor intake/output‚ assess
Premium Blood Childbirth Uterus
bright red vaginal discharge is normal after delivery. It is difficult for 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:
Premium Blood Childbirth
Chapter 23 high risk pregnant client during labor and delivery Four main components of the labor process 1. passenger or fetus 2. passage way or pelvic bones and other pelvic structure 3. powers or uterine contractions 4. clients psyche or psychological state Problems with the passenger -Problem may arise if preterm‚ also during multiple gestation. Fetal malposition 1. Occipitoposterior position ROP or LOP Second stage of labor Complains of severe back pain from the pressure
Premium Childbirth Obstetrics Pelvis
Leiomyomas Leiomyoma’s‚ also called myomas‚ or uterine fibroid these are benign tumor‚ which develop from smooth muscle cell in the myometrium. Leiomymas also called fibromyomas‚ or myomas‚ uterine fibroids have an increased risk of uterine cancer and does not develop into cancer. The 70% to 80% of women have uterine fibroids sometime during their lives‚ and it remain small and asymptomatic. It is common among women ages 30 to 50 years but not common in women with menopause. (Huether & McCance‚ 2012)
Premium Cancer Pregnancy Oncology
Casie Coffin Disease Process ___Constipation____________________________________________ Pathophysiology Poorly understood but is thought to include interference with one of the three major functions of the colon: mucosal transport‚ myoelectric activity‚ or the processes of defecation. The urge to defecate is stimulated normally by rectal distension
Premium Defecation Constipation Feces
delivered. Pathophysiology The primary cause of premature separation is unknown. Predisposing factors * High parity * Advanced maternal age * Short umbilical cord * Chronic hypertensive disease * PIH * Direct trauma * Cigarette use * Sudden release of amniotic fluid Types of Abruptio Placenta 1. Complete Separation- placenta becomes completely detached from uterine wall. 2. Partial Separation- portion of placenta adheres to uterine wall. 3. External
Premium Pregnancy Fetus Childbirth
Diagnosis The assigned clinical experienced was an opportunity to meet and interact with a patient that was scheduled to have a cesarean and to obtain a history. The Patient‚ T is a 27 year old female who is a Multipara and has a history of marijuana use‚ HPV‚ Abnormal Pap smear‚ CIN changes‚ and anxiety with depression. This patient is blood type A‚ RH and G Betta negative. She is also Rubella immune. The first baby was delivered via cesarean at 40 weeks‚ due to fetal distress and cord entanglement
Premium Childbirth Pregnancy Obstetrics
At 0600 Jennie is brought to the Labor and Delivery triage area by her sister. The client complains of a pounding headache for the last 12 hours unrelieved by acetaminophen (Tylenol)‚ swollen hands and face for 2 days‚ and epigastric pain described as bad heartburn. Her sister tells the nurse‚ "I felt like that when I had toxemia during my pregnancy." Admission assessment by the nurse reveals: today’s weight 182 pounds‚ T 99.1° F‚ P 76‚ R 22‚ BP 138/88‚ 4+ pitting edema‚ and 3+ protein in the urine
Premium Obstetrics Pregnancy Blood pressure
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
Free Pregnancy Childbirth Obstetrics