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knowing love and fall from it is desirable than seen in
love that has not been fallen to,,,,,,,,
End of april 6500
Stressed out and don't have time for massage, facial or visit to the spa?
Cut up an entire cucumber and place it in a boiling pot of water, the
chemicals and nutrients from the cucumber will react with the boiling water
and be released in the steam, creating a soothing, relaxing aroma that has
been shown to reduce stress in new mothers and college students during
final exams.
NURSING PROCESS
1. Assessment
2. Analysis
3. Planning
4. Implementation
5. Evaluation
CLIENT NEEDS CATEGORIES
1. Safe, effective care environment
2. Health promotion and maintenance
3. Psychosocial integrity
4. Physiologic integrity
NAGELE RULE (lmp)
- 3 months + 7 days
BRAXTON HICKS contractions
- BRAXTON HICKS contractions are contractions of the uterus during pregnancy. They are
characterized by a painless tightening of the uterus, occurring sporadically and infrequently
from approximately the sixth week of pregnancy, although many women do not notice them
until more than half-way through the pregnancy. These contractionswere first documented by
John Braxton Hicks, an English obstetrician, in 1872. They are also known as
“practice” contractions, because they slowly prepare the uterus for the real contractions it will
undergo during labor and delivery.
- While Braxton Hicks contractions are harmless, it is often difficult for pregnant women to
distinguish between them and preterm labor, which can be more serious. If a woman is less
than 37 weeks pregnant, she should monitor the Braxton Hicks contractions if there are four
or more in a hour. If the contractions become rhythmic, painful, or increasingly frequent,
accompanied by menstrual-like cramping or abdominal pain, then she should contact her
medical provider or midwife immediately. These symptoms, along with vaginal bleeding or
spotting or watery, mucous discharge that is clear, pink, or blood-tinged are all signs of pre-
term labor. Pelvic pressure and lower back pain accompanied by
increasing Braxton Hicks contractions are also cause for concern.
OXYTOCIN
Secreted by posterior pituitary gland
LABOR and DELIVERY PROCESS
Nuchal cord
Cord rounding the neck
Cardiff count-to-10 method
Kick count of 10 in period of 1 hour
SHAKE TEST
Determine maturity of fetal pulmonary system
Or do LECITHIN –SPHINGOMYELIN RATIO in conjunction w shake test
SONOGRAM
Used to validate rupture of the membranes with an amniotic fluid index
NITRAZINE PAPER turns blue
If water has broken or rupture of membrane+
OXYTOCIN
For contraction
May result to hyperbilirubenimia to infant
METHERGINE
Contract uterus
May cause hypertension/ aggravate
INDOMETHACIN
Halts preterm labor
BETAMETHASONE
Enhances fetal lung maturity
Magnesium Sulfate: calcium gluconate
A central nervous system depressant
Magnesium toxicity
s/s absence of patellar reflex
Hypermagnesimia
s/s deep tendon reflexes
sweating
flushing of skin
oliguria
impaired respirations
lethargy
progression to COMA
glucocorticoids such as bethamethasone
to enhance fetal lung maturity
LABOR 3 phase
Latent q 2 hrs FHB monitoring 6hrs labor
Active q 30 mins FHB monitoring
Transition q 5-10 mins FHB monitoring
ISCHIAL SPINES
Used as landmark to determine the descent of the fetal presenting part
Prostaglandin gel
Cervical refining
External cephalic version
Turning of fetus/ correct presentation
placenta praevia
placenta is abnormally implanted
covering a portion or all of the cervical os
painless vaginal bleeding
with bleeding ; thus: there is exposure of maternal blood sinuses
abruption placenta
?hypovolemic shock
HOMAN’s sign
Indicative of thrombophlebitis
HEPARIN
Prevent blood clot
A major omplication of deep vein thrombosis is pulmonary embolism
Heparin therapy
Antidote is Protamine sulfate
Warfarin excess
Antidote is Vit K
Cystitis is a urinary bladder inflammation
Mastitis is the inflammation of breast tissue
May continue to give breast milk
DOWN SYNDROME
A genetic abnormality that is
caused by extra chromosome
resulting mental retardation
1oz = 30cc
CIRCUMCISION
Plastibell
Gomco clamp
Head circumference 2 cm larger then chest circumference
Simian crease
Single crease in palm
s/ down syndrome
Pneumothorax
Alveoli are over distended, subsequently lung collapses
Compressing heart and lung
And compromising the venous return to the right side of the heart
Diaphragmatic hernia
Associated w respiratory distress soon after birth
Altered somatotropin secretion
Associated w growth disorders; gigantism or dwarfism
Altered testosterone secretion
Associated w masculinization
Altered progesterone secretion
Associated w spontaneous abortion
Breasfeeding position
Lying down position
G P A O
Pneumothorax
Accumulation of air in thoracic cavity
Polycythemia
Evidenced by elevated hematocrit
Suggest hypoxia or congenital heart disorder
YOGA NIDRA
Bilirubin encephalopathy
Absent moro reflex, lethargy, opisthotonos
RESPIRATORY HEALTH PROBLEMS
Tonsillitis
Otitis media
Foreign body aspration
Asthma
Cystic fibrosis
Bronchopneumonia
SIDS
CPR
Croup
Bronchiolitis
CARDIOVASCULAR AND HEMATOLOGIC HEALTH PROBLEMS
Cardiac catherization
TOF
Rheumatic fever
Kawasaki ds
Sickle cell anemia
IDA
Hemophilia
Leukemia
UPPER G I T
Cleft lip and palate
Tracheoesophageal fistula
Anorectal anomaly
Pyloric stenosis
Intussusceptions
Inguinal hernia
Hirschsprung’s ds
Diarrhea and gastroenteritis
Appendicitis
OTHERE
Celiac ds
Food intolerance- caused by gliadin: protein gluten
PKU phenylketonuria
Lack of enzyme to metabolize phenylalanine to tyrosine
Inborn error of metabolism
Colic
URINARY PROBLEMS
Cryptorchidism
Hydrocele
Hypospadias
UTI
Glomerulonephritis
Nephritic syndrome
Renal failure
Wilms tumor
NEUROLOGIC HEALTH PROBLEMS
Myelominingocele
Hydrocephalus
Down syndrome
Seizure disorder
Meningitis
Near drowning
Guillain-Barre syndrome ( infectious polyneuritis)
Head injury
Brain tumor
Spinal cord injury
MUSCULOSKELETAL
Musculoskeletal dysfunction
Cerebral palsy
Duchenne’s muscular dystrophy
Developmental dysplasia of the hip
Congenital clubfoot
Juvenile rheumatoid arthritis
Fracture
Osteomyelitis
?
Atrial fibrillation
Ventricular tachycardia
PVCs
Sinus tachycardia
Fresh frozen plasma or vitamin K
Used to reverse warfarin sodium’s anticoagulant effect
Protamine sulfate
Used to reverse the effect of heparin
Is used to help combat persistent bleeding
Warfarin sodium and heparin
Are anticoagulant
Reviewer

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Reviewer

  • 1. knowing love and fall from it is desirable than seen in love that has not been fallen to,,,,,,,, End of april 6500 Stressed out and don't have time for massage, facial or visit to the spa? Cut up an entire cucumber and place it in a boiling pot of water, the chemicals and nutrients from the cucumber will react with the boiling water and be released in the steam, creating a soothing, relaxing aroma that has been shown to reduce stress in new mothers and college students during final exams. NURSING PROCESS 1. Assessment 2. Analysis 3. Planning 4. Implementation 5. Evaluation CLIENT NEEDS CATEGORIES 1. Safe, effective care environment 2. Health promotion and maintenance 3. Psychosocial integrity 4. Physiologic integrity NAGELE RULE (lmp) - 3 months + 7 days BRAXTON HICKS contractions - BRAXTON HICKS contractions are contractions of the uterus during pregnancy. They are characterized by a painless tightening of the uterus, occurring sporadically and infrequently from approximately the sixth week of pregnancy, although many women do not notice them until more than half-way through the pregnancy. These contractionswere first documented by John Braxton Hicks, an English obstetrician, in 1872. They are also known as “practice” contractions, because they slowly prepare the uterus for the real contractions it will undergo during labor and delivery.
  • 2. - While Braxton Hicks contractions are harmless, it is often difficult for pregnant women to distinguish between them and preterm labor, which can be more serious. If a woman is less than 37 weeks pregnant, she should monitor the Braxton Hicks contractions if there are four or more in a hour. If the contractions become rhythmic, painful, or increasingly frequent, accompanied by menstrual-like cramping or abdominal pain, then she should contact her medical provider or midwife immediately. These symptoms, along with vaginal bleeding or spotting or watery, mucous discharge that is clear, pink, or blood-tinged are all signs of pre- term labor. Pelvic pressure and lower back pain accompanied by increasing Braxton Hicks contractions are also cause for concern. OXYTOCIN Secreted by posterior pituitary gland LABOR and DELIVERY PROCESS Nuchal cord Cord rounding the neck Cardiff count-to-10 method Kick count of 10 in period of 1 hour SHAKE TEST Determine maturity of fetal pulmonary system Or do LECITHIN –SPHINGOMYELIN RATIO in conjunction w shake test SONOGRAM Used to validate rupture of the membranes with an amniotic fluid index NITRAZINE PAPER turns blue If water has broken or rupture of membrane+ OXYTOCIN For contraction May result to hyperbilirubenimia to infant
  • 3. METHERGINE Contract uterus May cause hypertension/ aggravate INDOMETHACIN Halts preterm labor BETAMETHASONE Enhances fetal lung maturity Magnesium Sulfate: calcium gluconate A central nervous system depressant Magnesium toxicity s/s absence of patellar reflex Hypermagnesimia s/s deep tendon reflexes sweating flushing of skin oliguria impaired respirations lethargy progression to COMA glucocorticoids such as bethamethasone to enhance fetal lung maturity LABOR 3 phase Latent q 2 hrs FHB monitoring 6hrs labor Active q 30 mins FHB monitoring Transition q 5-10 mins FHB monitoring ISCHIAL SPINES
  • 4. Used as landmark to determine the descent of the fetal presenting part Prostaglandin gel Cervical refining External cephalic version Turning of fetus/ correct presentation placenta praevia placenta is abnormally implanted covering a portion or all of the cervical os painless vaginal bleeding with bleeding ; thus: there is exposure of maternal blood sinuses abruption placenta ?hypovolemic shock HOMAN’s sign Indicative of thrombophlebitis HEPARIN Prevent blood clot
  • 5. A major omplication of deep vein thrombosis is pulmonary embolism Heparin therapy Antidote is Protamine sulfate Warfarin excess Antidote is Vit K Cystitis is a urinary bladder inflammation Mastitis is the inflammation of breast tissue May continue to give breast milk DOWN SYNDROME A genetic abnormality that is caused by extra chromosome resulting mental retardation 1oz = 30cc CIRCUMCISION Plastibell Gomco clamp Head circumference 2 cm larger then chest circumference Simian crease Single crease in palm s/ down syndrome Pneumothorax Alveoli are over distended, subsequently lung collapses Compressing heart and lung
  • 6. And compromising the venous return to the right side of the heart Diaphragmatic hernia Associated w respiratory distress soon after birth Altered somatotropin secretion Associated w growth disorders; gigantism or dwarfism Altered testosterone secretion Associated w masculinization Altered progesterone secretion Associated w spontaneous abortion Breasfeeding position Lying down position G P A O Pneumothorax Accumulation of air in thoracic cavity Polycythemia Evidenced by elevated hematocrit Suggest hypoxia or congenital heart disorder YOGA NIDRA Bilirubin encephalopathy Absent moro reflex, lethargy, opisthotonos
  • 7. RESPIRATORY HEALTH PROBLEMS Tonsillitis Otitis media Foreign body aspration Asthma Cystic fibrosis Bronchopneumonia SIDS CPR Croup Bronchiolitis CARDIOVASCULAR AND HEMATOLOGIC HEALTH PROBLEMS Cardiac catherization TOF Rheumatic fever Kawasaki ds Sickle cell anemia IDA Hemophilia Leukemia UPPER G I T Cleft lip and palate Tracheoesophageal fistula Anorectal anomaly Pyloric stenosis Intussusceptions Inguinal hernia Hirschsprung’s ds Diarrhea and gastroenteritis Appendicitis
  • 8. OTHERE Celiac ds Food intolerance- caused by gliadin: protein gluten PKU phenylketonuria Lack of enzyme to metabolize phenylalanine to tyrosine Inborn error of metabolism Colic URINARY PROBLEMS Cryptorchidism Hydrocele Hypospadias UTI Glomerulonephritis Nephritic syndrome Renal failure Wilms tumor NEUROLOGIC HEALTH PROBLEMS Myelominingocele Hydrocephalus Down syndrome Seizure disorder Meningitis Near drowning Guillain-Barre syndrome ( infectious polyneuritis) Head injury Brain tumor
  • 9. Spinal cord injury MUSCULOSKELETAL Musculoskeletal dysfunction Cerebral palsy Duchenne’s muscular dystrophy Developmental dysplasia of the hip Congenital clubfoot Juvenile rheumatoid arthritis Fracture Osteomyelitis ? Atrial fibrillation Ventricular tachycardia PVCs Sinus tachycardia Fresh frozen plasma or vitamin K Used to reverse warfarin sodium’s anticoagulant effect Protamine sulfate Used to reverse the effect of heparin Is used to help combat persistent bleeding Warfarin sodium and heparin Are anticoagulant