pregnancy. While seating on a bench‚ she suddenly felt a very severe pain in the right lower quadrant of her abdomen. She didnt ot felt this kid of pain ever in her entire pregnancy. She describes the pain as if she is on labor. She was then admitted to the OB ward-EBMC. Her urine was tested and she was internally examined by DR. Rendon and found out that he cervix was not dilated. Her urine was positive for UTI. Initial Physical Examination Upon initial physical examination‚ Mrs. Anabelle was
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using an intrauterine pressure catheter (IUPC). It is inserted into the uterine cavity through the cervical os. It reflects the pressure inside the uterine cavity. As the pressure changes‚ it traces on the graph paper. The IUPC can measure the resting tone of the uterus between contractions‚ referred to as intensity. An advantage of an IUPC is that it provides a near-exact pressure measurement for contraction intensity and uterine resting tone. The sensitivity of the IUPC allows for very accurate timing
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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 apart for one hour; multiparas‚ 6-8 minutes
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2. Monitor/palapte fundus for location/tone. * Helps to determine the status of the uterus and may indicate additional interventions. * Uterine atony – as evidence by a boggy uterus is the most common cause of postpartum hemorrhage. * If fundus is boggy apply gentle massage and assess tone response to promote uterine contractions and increase uterine tone. (3: 539‚ 542) | * Patient’s fundus was firm and located at the umbilicus as would be expected. | 3. Monitor intake/output‚ assess
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Chapter 23 high risk pregnant client during labor and delivery Four main components of the labor process 1. passenger or fetus 2. passage way or pelvic bones and other pelvic structure 3. powers or uterine contractions 4. clients psyche or psychological state Problems with the passenger -Problem may arise if preterm‚ also during multiple gestation. Fetal malposition 1. Occipitoposterior position ROP or LOP Second stage of labor Complains of severe back pain from the pressure
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bright red vaginal discharge is normal after delivery. It is difficult for 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:
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Leiomyomas Leiomyoma’s‚ also called myomas‚ or uterine fibroid these are benign tumor‚ which develop from smooth muscle cell in the myometrium. Leiomymas also called fibromyomas‚ or myomas‚ uterine fibroids have an increased risk of uterine cancer and does not develop into cancer. The 70% to 80% of women have uterine fibroids sometime during their lives‚ and it remain small and asymptomatic. It is common among women ages 30 to 50 years but not common in women with menopause. (Huether & McCance‚ 2012)
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Casie Coffin Disease Process ___Constipation____________________________________________ Pathophysiology Poorly understood but is thought to include interference with one of the three major functions of the colon: mucosal transport‚ myoelectric activity‚ or the processes of defecation. The urge to defecate is stimulated normally by rectal distension
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delivered. Pathophysiology The primary cause of premature separation is unknown. Predisposing factors * High parity * Advanced maternal age * Short umbilical cord * Chronic hypertensive disease * PIH * Direct trauma * Cigarette use * Sudden release of amniotic fluid Types of Abruptio Placenta 1. Complete Separation- placenta becomes completely detached from uterine wall. 2. Partial Separation- portion of placenta adheres to uterine wall. 3. External
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Diagnosis The assigned clinical experienced was an opportunity to meet and interact with a patient that was scheduled to have a cesarean and to obtain a history. The Patient‚ T is a 27 year old female who is a Multipara and has a history of marijuana use‚ HPV‚ Abnormal Pap smear‚ CIN changes‚ and anxiety with depression. This patient is blood type A‚ RH and G Betta negative. She is also Rubella immune. The first baby was delivered via cesarean at 40 weeks‚ due to fetal distress and cord entanglement
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