NURSING 206 FAMILY HEALTH NURSING LABOR & DELIVERY STUDY GUIDE Identify the four stages of labor and nursing interventions appropriate for each stage. 1st Stage (3.5) The first stage is from the onset of regular uterine contractions to full effacement and dilation of the cervix. It is much longer than the second and third stages combined. Parity is a strong factor in the length of the first stage. Full dilation may occur in less than 1 hour in a woman who has had a lot of pregnancies
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knowledge of the role of the immune system in psoriasis has had a significant impact on treatment development. Many new and emerging therapeutic agents target specific immunologic aspects of psoriatic disease. (See"Treatment of psoriasis".) The pathophysiology of psoriasis will be discussed here. The epidemiology‚ genetics‚ clinical features‚ diagnosis‚ and management of psoriasis are reviewed separately. Involvement of the immune system in psoriasis was first indicated in early studies that identified
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lies almost at right angle to uterus o Uterus-flattened fibromuscular structure shaped like an inverted pear o Uterus has two parts: the body (corpus) and the cervix both joined at the isthmus. o Convex upper surface of the body is termed the uterine fundus o Distal cervix protrudes into the vagina dividing the upper vagina into three recesses‚ the anterior posterior and lateral fornices. o Vaginal surface of cervis---ecotocervix o External os of the cerviax- round‚ oval‚ or slitlike depression
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Uterus Copyright © 2008 Lippincott Williams & Wilkins. Uterine Prolapse • Structures that support the uterus weaken and the uterus works its way down the vaginal canal (prolapse) and may protrude out of the vagina (procidentia) – May begin to pull the bladder and rectum with it • Signs/symptoms: pressure and urinary problems aggravated by activity; dyspareunia • Medical Management – Pessaries – Hysterectomy Uterine Prolapse • Nursing Management – Teach Kegel exercises during
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automobile accident Sudden loss of uterine volume (can occur with rapid loss of amniotic fluid or after a first twin is delivered) Risk factors include: Blood clotting disorders (thrombophilias) Cigarette smoking Diabetes Drinking more than 14 alcoholic drinks per week during pregnancy High blood pressure during pregnancy (about half of placental abruptions that lead to the baby’s death are linked to high blood pressure) History of placenta abruptio Increased uterine distention (may occur with multiple
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The Benefits of Breastfeeding The Benefits of Breastfeeding At birth‚ 74% to 81.9% of babies are breastfed. Those numbers decrease dramatically within the first six months of life. It is estimated that only 43.5% to 60.6% of infants are breastfed by the time they reach six months of age (Ricci‚ Kyle & Carman‚ 2013). There are some circumstances when breastfeeding an infant is contraindicated‚ such as in the presence of maternal HIV or active tuberculosis. Breastfeeding should also be avoided if
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that 3. what is pathology 9or pathofiziology) - pathofiz ima quantifiable measures in scientific way 4. is patofiz. Relevant to pH‚ why and why not Obesity appears to be a growing trend ‚ to understand obesity‚ its pathophysiology is improtnat and treatment can folow. pathophysiology emphasizes quantifiable measurements 5. what is health - not merely absence of disease or the whole emotional‚ bodily‚ mental‚ social well being 6. what is disease (disorder) – not health 7. what is the impact of
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which involves only a portion of the placenta covering the cervical os. The diagnosis is of placenta previa is often made in the second trimester by ultrasonography testing and is monitored for placental migration away from the os which occurs with uterine growth. Placenta previa in the second trimester puts the client at risk for developing vasa previa and thought to be a result of inflammatory atrophic changes to the placenta. In the third trimester‚ placenta previa is the leading cause of painless
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96 Marks: 1 Which factor cannot be assessed by the RM during IE? Choose one answer. a. Determine possible congenital anomalies of fetus Correct Congenital anomalies are not identified on vaginal examination alone. Internal examination will help to: • Make a positive diagnosis of labor • (C) Make positive identification of the presentation • Determine engagement of presenting part • Ascertain if bag of waters have ruptured • Assess for cord prolapse • (A) Assess progress or delay in
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) glucocorticoids 5.) a.) cold packs should be applied for the first 12 hours b.) After 12-24 hours heat or sitz baths increase circulation to promote healing c.) mild oral analgesics are sufficient for pain management 6.) skin and uterine incisions‚ uterine incisions are more important of the 2 7.) a.) identify hemorrhage or shock b.) site‚ rate‚ and flow rate c.) firmness‚ height‚ and midline position d.) for drainage and signs of infection e.) quantity‚ color‚ and presence of clots
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