developing a hypertensive disorder due to which risk factors? To accurately assess this client’s condition‚ what information from the prenatal record is most important for the nurse to obtain? Pathophysiology of Preeclampsia There is no definitive cause of preeclampsia‚ but the pathophysiology is distinct. The main pathogenic factor is poor perfusion as a result of arteriolar vasospasm. Function in organs such as the placenta‚ liver‚ brain‚ and kidneys can be depressed as much as 40 to 60%
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RN 1. RN EXIT V- 5 FALL 2008 1. COMMUNITY HLTH – CARDIOVASCULAR – CV DISEASE AFRICAN AMERICAN =Set up a clinic for cardiovascular diet‚ 2. COMMUNITY HLTH / FUNDAMENTALS / PROFESSIONAL ISSUES – BASIC NURSING SKILLS / SAFETY / LEGAL / ETHICAL – OSHA MANDATES 3. COMMUNITY HLTH / MEDICAL SURGICAL – MUSCULOSKELETAL – OSTEOPOROSIS PREVENTION=exercise‚ increase vit D calcium‚ roller skating and roller blading COMMUNITY HLTH / MEDICAL SURGICAL – NEUROLOGICAL / PHYSICAL ASSESSMENT
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Exemplar Face Sheet Exemplar Name ! Intrapartum Care (Vol. II pg. 1255-1325) Key Concept Link ! Reproduction Pathophysiology‚ etiology and direct and indirect causes in your own words Pathophysiology: Both mother and baby begin to prepare for birth in the final weeks of pregnancy. The mother is instructed to call the health care provider and come into the birthing unit if any of the following occur. Rupture of membranes‚ regular‚ frequent uterine contractions (nulliparas‚ 5 minutes
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Univeristy of Akron Author Note Mariah Mostardi‚ College of Nursing‚ The University of Akron. This paper is in fulfillment for the course: Nursing of the Childbearing Family 8200: 350. Due September 17‚ 2013. Instructor Pamela Edenfield‚ MSN‚ RNC-OB‚ CNS‚ IBCLC‚ RLC The topic I have chosen for my journal is placenta previa. My patient‚ 39-year-old M.C came in to the hospital for her fourth cesarean delivery. She has three healthy children that are twenty‚ ten and two years old. She is not a
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STUDENT_________________ HEALTH CARE OF WOMEN Date______________________ Labor And Delivery Assessment Worksheet Patient initials: Age: Marital Status: DOB: Admission Date and Time: Vital Signs: BP T P R Gravida Term Preterm Abortions Living Children LMP EDC GA by dates GA by sonogram Received Prenatal Care? Yes No Where? GA at 1st prenatal visit GA when FHTs first heard Blood Type: Hgb/Hct: Urinalysis: Identified risk factors:
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with uterine atony. 2. To learn and improve our knowledge in giving nursing care to patient with postpartal hemorrhage. 3. To come up with health teaching necessary for patient with postpartal hemorrhage. Case Scenario: Mrs. Angela Simons‚ 36 years old‚ G8 P7‚ was rushed to the hospital because of active labor. She had a prolonged and difficult labor. During the first hour of her postpartum‚ she stated that "I was experiencing an excessive vaginal bleeding". Upon assessment‚ Mrs. Simons’ vitals
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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: INCORRECT Assessment of oral fluid intake is important when determining
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preeclampsia is unknown but may be related to abnormal placentation. Obstetric Medicine Curriculum Learner Handout Preeclampsia (Page 1) PREECLAMPSIA Pathophysiology • • Preeclampsia most commonly presents in the second half of pregnancy. It is a multisystem disease associated with diffuse vasospasm and endothelial damage. Pathophysiology • Pathology demonstrates areas of endothelial swelling‚ edema‚ micro-infarctions and microhemorrhages in effected organs. Risk Factors • first pregnancy
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the pp period would suggest what? Late postpartum hemorrhage * What teaching do you give after administering a rubella vaccine? Patient should not get pregnant for one month following the vaccine * You assess a pp client 20 minutes after birth and discover that she has saturated her pad. Her fundus is slightly above the umbilicus but centered (not off to the side this time) and boggy. What will be your next action? Early postpartum hemorrhage. Massage uterus firmly and continuously
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without some assistance Excessive bleeding may cause anemia and fatigue related to insufficient hemoglobin. Signs of infection also include fatigue A short-lived peiod of depression accompanied by emotional fragility is common in the first few weeks postpartum. Continued depression needs further investigation Poor nutrition and dehydration add to feeling fatigue. Protein and vitamin C are needed for tissue regeneration after childbirth Patient will: Identify current stresses leading to ineffective
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