MECHANISM OF LABOR and DELIVERY Labor and birth is physically and emotionally straining for a woman. As the patient’s body undergoes physical changes to help the fetus pass through the cervix‚ she may also feel discomfort‚ pain‚ panic irritability‚ and loss of control. Providing measures to promote relaxation is key during labor and breath. * FETAL PRESENTATION - is the relationship of the fetus to the rvix. It can be assessed through vaginal examination (IE)‚ abdominal inspection and palpation
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Industrializing Structures for Delivery Industrializing Structures for Delivery The delivery of Health Care is undergoing a change that is formalizing through “Industrialization” which mirror those that began in other industries a century ago (Rastegar‚ 2004). The 20th century was an era of immense political shifts and technological developments. It was the revolution that paved the way for the development and flow of new technologies that shape our everyday life. The three elements that could
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SPONTANEOUS VAGINAL DELIVERY Date of Procedure: Preop Dx: 38 week IUP in active labor (with-‐list any other diagnosis). Postop DX: Same with delivery of viable male infant at 1400 hours weighing 7#12oz with Apgars of 9 @ 1 min and 9 @ 5 min. Procedure: Spontaneous Vaginal Delivery Surgeon: (list
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Labor and Delivery Pathophysiology Ashley Keyser Tarleton State University Nursing 3302 Diana Kunce-Collins RNC-MNN January 24‚ 2015 Labor and Delivery Pathophysiology Definition: The physiologic process during which the fetus‚ membranes‚ umbilical cord‚ and placenta are expelled from the uterus. (Medscape 2014) Etiology: According to research‚ the exact cause of labor has yet to be discovered. Labor normally starts when the fetus is mature enough to adjust easily to extra uterine life
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Chapter 1 - Health Care Delivery Systems There are many interesting and important points in this chapter. Some of them include: Pennsylvania Hospital founded by Ben Franklin was the 1st US hospital University of PA was the US first medical school The AMA was founded in Philadelphia in 1847. The Flexner Report was published in 1910 and impacted the status of medical school education. Hill-Burton Act of 1948 provided federal monies to update hospitals JCAH which is now JCAHO
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Explain types of electronic monitoring‚ both fetal and UCs: What is it? Advantages / Disadvantages? INTERNAL / DIRECT: Internal fetal monitoring is accomplished with a fetal scalp electrode that is a direct electrocardiogram of the FHR and therefore produces the most accurate FHR tracing having an advantage over the external monitoring. The FSE is attached to the fetus during a vaginal exam and then connected to a fetal monitor. Because the risk of transmission to the fetus is increased by
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On Time Package Delivery The report should discuss in detail the solutions to the several issues that are being faced by OTPD. Based on the conversations Wayne had with Dan Gunther (District manager-Boston)‚ Carol Klein (Key account manager-Phil)‚ Mike Wagner (Sales representative -DC) and Carmella Stringer (Director of Admin services- Strawn‚ Night and Squires)‚ one of the few major issues seems to be the lack of follow up training on the new service –(Express delivery). It looks like the sales
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cited international example of a micro credit institution is the Grameen Bank in Bangladesh. But there are numerous others. Even during the Asian financial crisis‚ Bank Rayat Indonesia not only survived but also thrived; as did BancoSol in Bolivia. Delivery Models of Microfinance Individual Banking Based Model This is a formal banking model where individual clients are provided financial services. The group formation costs are not incurred. Group peer pressure is absent and therefore programmes management
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How to Prepare and Deliver a Persuasive Speech Persuasive presentations are formal or informal presentations designed to influence the audience’s choices. Successful persuasion depends on the evidence and logic of the message‚ the credibility of the persuader‚ the psychological needs of the listeners‚ and the opinions held by key audience members. To be able to effectively prepare and deliver a successful persuasive speech there are several steps to consider. Preparing a persuasive speech begins
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