Multiple Pregnancies Definition Multiple pregnancies are a pregnancy where more than one fetus develops simultaneously in the womb. A multiple pregnancy is a pregnancy involving more than one fetus. Twins‚ triplets‚ and quadruplets are multiple pregnancies. The largest multiple pregnancy on recorded to the birth of nine offspring. Twins are the most common type of multiple pregnancies. But worldwide‚ the incidence of multiple pregnancies of all types - twins‚ triplets‚ quadruplets‚ quinteplets
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woman to empty her bladder first. 2. Place woman in dorsal recumbent position‚ supine with knees flexed to relax abdominal muscles. Place a small pillow under the head for comfort. 3. Drape properly to maintain privacy. 4. Explain procedure to the patient. 5. Warms hands by rubbing together. (Cold hands can stimulate uterine contractions). 6. Use the palm for palpation not the fingers. | Purpose | Procedure | Findings | First Maneuver: Fundal Grip | To determine fetal part lying
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pulsation of aorta occurs with widened pulse pressure (e.g.‚ hypertension‚ aortic insufficiency‚ thyrotoxicosis) and with aortic aneurysm. c. lateral pulsation with aortic aneurysm pushes the examiner’s two fingers apart. 2. Light vs. deep palpation a. Light palpation a.i. With the first four fingers close together‚ depress the skin about 1 cm. Make a gentle rotary motion‚ sliding the fingers and skin together. Then lift the fingers (do not drag them) and move clockwise to the next location around
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trauma that punctures the artery and are a known complication of percutaneous arterial procedures‚ such as arteriography‚ arterial grafting‚ or use of an artery for injection. Like true aneurysms‚ they may be felt as an abnormal pulsatile mass on palpation. Morphology Aneurysms are classified by their
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Components of Labor *The 4 P’s: • passage • passenger • powers • psyche i. PASSAGE • refers to pelvis & soft tissues which include: lower uterine segment‚ cervix‚ vaginal canal • 2 pelvic measurements --Necessary to determine adequacy: diagonal conjugate- narrowest at inlet; transverse diameter- narrowest at outlet • If disproportion occurs usually the pelvis (If fetus presents in unusual position); could be R/t mother: being < 4’9” tall being < 18 years old Underwent
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Patient’s Profile Name : D.E Age : 67 years old Address : Annafunan‚ Tuguegarao City Sex : Male Civil Status : Married Occupation : None Nationality : Filipino Religion : Roman Catholic Date of Admission : Nov. 01‚ 07 Time of Admission : 9:45 pm Chief Complaint : Irritability and DOB Final diagnosis : CVA infarct pneumonia Attending Physician : Dr. Marlene Cinco Patient’s History Past Health History: Patient D.E. had completed his immunization when he was a child
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The World of Medicine (Lecture 1) Delivery of Health Care in the US Inpatient versus outpatient Community hospital versus tertiary care Community hospital – serves the common medical needs of the community Tertiary (academic) – addresses complex medical problems‚ training‚ and research (Hershey‚ Geisinger) Teaching hospital Specialty hospital (ortho‚ Meadows) Rehab hospital Prehospital versus hospital (healthcare starts before you get to the hospital) Access to care issues – over 47 million
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INTRODUCTION: “The devotion of such titans of spirit as Lenin to an Ideal must bear fruit. The nobility of his selflessness will be an example through centuries to come‚ and his Ideal will reach perfection” -Mahatma Gandhi Mahatma Gandhi’s quotation stated above means change should start within you. Just like the great leader Lenin‚ his ideals were able to bear fruit. Likewise in the field of Nursing‚ a nurse’s devotion and passion for change‚ particularly on disease
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---------------------------------------------------------------------- PATIENT NAME: Susan Sunshine MEDICAL RECORD: 5555555 DATE OF DEATH: 04/04/1954 DATE OF ADMISSION: 07/31/2013 PROGRESS NOTE CHIEF COMPLAINT: Severe lower abdominal pain and the inability to void for the past 12 hours. PRESENT ILLNESS: Sam Samuel is a 75-year-old Asian-American man who came into the emergency department at 3 am stating that he was in great pain and could not urinate. He had not been seen
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Pleural Effusion Left Parapneumonia vs. Pulmunary Tuberculosis A Case Analysis Presented to the Faculty of College of Nursing St. Dominic College of Asia In partial Fulfillment of the Requirement in NCM 106 Prepared by: Tugbo‚ Jona Q. BSN 4 B August 2013 Introduction Our body is like a machine. Several parts work together in order to function properly and an alteration to any of its parts will cause an impaired over all functioning. Our lung is an organ for respiration
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