SHOULDER DYSTOCIA Presented by Dr . E . G. Migwi • -an uncommon obstetric complication of cephalic vaginal deliveries • -the fetal shoulders do not deliver after the head has emerged from the mother’s introitus. • -One or both shoulders become impacted against the bones of the maternal pelvis (mechanical reasons).size or positional discrepancy‚ thus almost always after 34 weeks. Anterior shoulder impacted behind the symphysis pubis and also posterior shoulder impacted behind the sacral promontory
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evaluation of "congenital CMV." Please allow me to review the history in my records. The patient is accompanied by his parents. According to the patient’s mother the child was born with "blueberry muffin syndrome." He spent approximately a month in the neonatal ICU with an enlarged liver and spleen‚ and _____(s/l resuscitated) multiple platelet transfusions. Mother states that a small incidental cyst was found in the posterior fossa. The patient has not had any seizures. There has been no unexplained
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Anxiolytics Benzodiazepines (BZD) are one of the most frequently used drugs to treat anxiety which acts on the gamma-amino butyric receptor A (GABA A receptor)- an inhibitory neurotransmitter. BZDs are also used as sedatives‚ light anesthesia in surgery‚ anticonvulsants‚ muscle relaxants and even insomnia. The teratogenicity of BZD remains a mystery among prenatal cases however recent study by Koren (2001) showed that there was no risk of major congenital malformations associated with BZD utilization
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Benchmark: Evidence -Based Practice (EBP) Summary Shannon Marcus Grand Canyon University- NUR-504 Debra Finch-Instructor May 26‚ 2015 Introduction Nasogastric (NG) tube placement is a common procedure done in pediatric and neonatal patient care settings. However‚ there is little research that exists in today’s vast amount of medical information that conclusively proves the safest and most accurate way to verify placement. Although there have been several research and antidotal
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Stress hormone secretion protects the infant from oxygen deficiency‚ and prepares the infant for birth. Vernix Caseosa(skin grease) protects against heat loss. There are three measures of neonatal health and responsiveness; the Apgar Scale‚ Brazelton Neonatal Behavioral Assessment Scale(NBAS)‚ and the Neonatal Intensive Care Unit Network Neurobehavioral Scale. The Apgar Scale is widely used to asses health at one to five minutes after birth. It is performed
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Newborn’s‚ which is the only San Diego hospital dedicated to woman’s care. Services Sharp Mary Birch Hospital offers include medical service‚ health services classes‚ labor and delivery programs‚ and robotic gynecologic surgery and seminars. The Neonatal Intensive Care Unit is one of the largest of its kind in Southern California and ranks among the top four in the nation for NICU infection prevention. They are devoted to providing medical and surgical care for women of all ages‚ including robotic
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Health and Health Promotion Deborah Keller Thomas Edison State College Health Assessment NUR-416 Pamela Card May 5‚ 2014 Health and Health Promotion Introduction A traditional approach to health care in general is one in which the goal of intervention is disease management in an attempt to minimize the harmful effects of a health crisis. Once a health crisis occurs‚ the quality of life for an individual is already negatively impacted. Therefore‚ health promotion is an equally‚ if not more
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interview is the most common method for obtaining a health history. With effective communication‚ the clinical interview can be a valuable means for obtaining information. Obtaining a health history as part of admission process is very important to neonatal health. Maternal conditions such as hypertension‚
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Purpose and Mission The Association of Women’s Health‚ Obstetric‚ and Neonatal Nurses (AWHONN) is a nonprofit‚ professional organization that is committed to nursing research and education. The organization’s main purpose is to simply educate and encourage healthy habits; in fact their main determination of existing is “promoting the health of women and newborns”. Their hope in completing this mission is to do so through advocating for nurses‚ providing education to nurses‚ and aiding in research
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The term concealed penis encompasses a spectrum of conditions in which the penis does not appear to adequately extend from the abdominal wall as an organ distinct from scrotum. (Kaefer 2009). Concealed penis is often of great concern to patient and family. Affected children are brought to surgeons’ attention for cosmetic reasons and difficulty to maintain proper hygiene‚ commonly patients are referred for circumcision revision. (Perger‚ Hanley et al. 2009) This anomaly can lead to phimosis
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