At 0600 Jennie is brought to the Labor and Delivery triage area by her sister. The client complains of a pounding headache for the last 12 hours unrelieved by acetaminophen (Tylenol)‚ swollen hands and face for 2 days‚ and epigastric pain described as bad heartburn. Her sister tells the nurse‚ "I felt like that when I had toxemia during my pregnancy." Admission assessment by the nurse reveals: today’s weight 182 pounds‚ T 99.1° F‚ P 76‚ R 22‚ BP 138/88‚ 4+ pitting edema‚ and 3+ protein in the urine
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Catanduanes State Colleges COLLEGE OF HEALTH SCIENCES Department of Nursing Virac‚ Catanduanes Name of Student: Mezil B. Nazareno Ward: OB/DR Year/Block: BSN 2A Date of Exposure: August 8‚ 2011 Group: 4 Clinical Instructor: Prof. Janet Lim I. Personal Data Name: Sharon Magtangob Gender: Female Age: 25 years old Birthdate: April 18‚ 1986 Address: Antipolo Del Sur Virac‚ Catanduanes Religion:
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Maternal Child Nursing I. Family A group of two or more persons who lives together in the same household‚ perform certain interrelated social tasks and share an emotional bond II. Types: a. Nuclear i. Husband‚ wife‚ children ii. Provide support and feel affection to family members b. Cohabitation family i. Heterosexual couple living together But NOT married ii. Short or long term c. Extended or Multigenerational family i. Nuclear family + other family members ii. May experience financial
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35‚ and the majority are delivered without complications. "Women over 35 are at higher risk for developing high blood pressure and gestational diabetes‚ but with good prenatal care‚ they should be off to a healthy start‚" says Lynn Simpson‚ M.D.‚ an ob/gyn at Columbia Presbyterian Medical Center in New York City. Here‚ a look at what older pregnant women should consider: General health Women this age need to eat properly‚ exercise‚ and attend all prenatal appointments. "Since older women tend to
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“[sic] … however‚ medico-legal issues and concerns about the risk of uterine rupture have contributed to a reversal in this trend” (Amstrong‚ 2011) and in 2006 only 8.5% of woman successfully gave vaginal birth after previous c-section experience (ACOG‚ 2010). Nowadays less than 10% of mothers chooses TOLAC over elective
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What are the major differences between gestational hypertension‚ preeclampsia and eclampsia? Pregnancy-induced hypertension is a rise in blood pressure‚ without proteinuria‚ during the second half of pregnancy. Pre-eclampsia is a multisystem disorder‚ unique to pregnancy‚ that is usually associated with raised blood pressure and proteinuria. It rarely presents before 20 weeks’ gestation. Eclampsia is one or more convulsions in association with the syndrome of pre-eclampsia. (Duley‚ L. (2008)
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Risk factors for placenta accreta are prior c-section and any other uterine surgeries. A presentation of placenta previa plus previous h/o other uterine surgery carries a 4% incidence of placenta accreta. In addition‚ a history of c-section plus a presentation of placenta previa in current pregnancy is associated with a 10-35% incidence of placenta accreta.(Uptodate) Management of placenta accreta depends on whether uterine preservation is an option or strongly desired. Two thirds of patient with
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diseases Therapies to help with problems with sexual functions 4. GYNECOLOGY AND REPRODUCTIVE HEALTH SERVICES-treatment of various conditions and diseases Abnormal pap smears Abnormal vagina bleeding Endometriosis Ovarian cyst Pelvic pain Uterine and vaginal prolapse 5. PREGNANCY AND CHILDBRITH- regular prenatal care Planning and preparing for pregnancy Prenatal care High risk pregnancies Breast feeding and nursing 6. INFERTILITY SERVICES- infertility specialist Testing to determine
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the prenatal record is most important for the nurse to obtain? A) Pattern and number of prenatal visits. B) Prenatal blood pressure readings. C) Prepregnancy weight. D) Jennie’s Rh factor. 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
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Simpson‚ K.R. & Creehan‚ P.A. (Eds) (2008) Perinatal Nursing (3rd ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. VII. Contributors: Lead Author: Robin Seaton‚ MSN‚ RN‚ FNP-BC Nurse Educator‚ Labor and Delivery VIII. Endorsements: OB Patient Care Committee month/year Page 4 of 4
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