> endometrium, upper posterior wall - most common uterine site for implantation
>1 sperm + 1 egg cell = zygote (3 layers: endoderm, mesoderm, ectoderm)
ECTODERM - CNS brain, spinal cord
MESODERM - muscle, musculoskeletal system, cardiovascular system, heart
ENDODERM - GIT/GUT, stomach, intestines, reproductive system, liver
>Fetal outline of sonography/ ultrasound - positive signs of pregnancy
>Greenish amniotic fluid - will cause alarm
>Get the FIRST day of LMP - to get the EDC/EDD
>Methylegonovine - Methergine causes hypertension
promotes uterine contraction - SUSTAINED uterine contraction / puro contraction lang, no relaxation
Oxytocin - causes intermittent uterine contraction / on and off contraction
>IRON - 210 days / tablets, to be taken once a day, 200mg
>AVOID smoking - during pregnancy d/t can cause vasoconstriction that can cause hypertension and may compromise nutrients going to fetus that may lead to SGA small for gestational age.
best exercise for pregnant mother - walking
SEX is not contraindicated
TRAVEL is not allowed during 3rd trimester via air d/t high altitude
>LEG CRAMPS - dorsiflex the foot while extending the knee
caused by insufficient calcium. eat/ drink high in calcium: milk, cheese, dairy products, dilis, saluyot
>TRUE labor - increased frequency and duration contraction, bloody show, contraction felt at lower back and radiates towards the abdomen
>PRIMARY POWER of labor - uterine contraction
secondary power - pushing of the mother
> (-1) Station - FLOATING
0 station - at ischial spina
-1 station - 1cm above ischial spine floating
-2 station - 2cm above ischial spine floating
-3 station - 3cm above ischial spine floating
+1 engaged 1cm below ischial spine engaged
+2 engaged 2cm below ischial spina engaged
+3 engaged 3cm below ischial spine CROWNING
>extreme Flexion - VERTEX
posterior - occiput presentation / vertex
anterior - sinciput
>Ripening of cervix - 1st stage of labor (ripening of cervix first before dilatation)
1st - dilation
2nd - expulsion
3rd - placenta
4th - recovery
>Oxytocin - Hypotension
Methergine - Hypertension
>Direct Coomb's - newborn test (for RH incompatibility)
Indirect Coomb's - mother test (for RH incompatibility)
>Boggy uterus with rubra lochia - massage the uterus
>Magnesium Sulfate - check the RR
>give RHOGAM - RH - , Coombs -
>vaginal bleeding & one sided pain - Ectopic pregnancy
>primary infertility - never had a child
secondary infertility - had a child, but di na nagkaroon ng kasunod
mahabang pag gamit ng pills ay nakakasira ng pag function ng ovary
>sperm MOTILITY - most important for conception to occur
>severe nausea, cold, clammy skin - decreased oxygenation - elevate legs
>Meperidine (Demerol) - cause respiratory depression to newborn
>first sign of EXCESSIVE MgSO4 - disappearance of knee jerk reflexes
>Ectopic Pregnancy - Sharp, lower right or left abdominal pain radiating to the shoulder
>bag of water ruptured - FIRST ACTION: place to lying position then check fetal heart tone
>nitrazine paper test - procedure to know if bag of water ruptured
Blue - amniotic fluid
Yellow - urine
>Patient asked for Demerol (pain reliever) during labor - ask to change position, to alleviate pain
>Heart and Brain of baby develops - 1st month : vital organs
>Fetal heart tone variability -unpredictable ang FHT ; abnormal ; cord compression
Early deceleration - NORMAL DECELERATION : increased contraction = decreased FHT, relax uterus = go back/increase FHT
(fetal head compression)
Late deceleration - increased contraction = decreased FHT, relax uterus = lalo bababa FHT
abnormal ; utero placental problem, decreased oxygen mapupunta sa baby ; placental insufficiency
>MgSO4 blood therapeutic level - 0.5-1.5 meq/l
>15 years old pregnant - maliit pa ang balakang / pelvic inlet. during labor, assess for signs of cephalo pelvic disproportion
>Hyperventilation - Respiratory alkalosis
>Anterior Position - common fetal position
Posterior position (painful) - severe back pain
>"the baby is coming" - check the perineum to validate
>to remain calm/ reduce fear of client - explain what's happening
>assess to prevent complication during labor and delivery - family history of lung illness
>Bag of water - expect to see clear to straw colored
small segment of umbilical cord - cord prolapse - CS
>Bag of water ruptures - first action: monitor fetal heart tone
>purpose of Episiotomy - to minimize laceration, widen/enlarge vaginal opening
>under PHOTOTHERAPY - increase fluid intake to prevent dehydration dahil nagkakaroon ng fluid loss. cover infant's eyes and genitals, 12-18 inches away from the baby if masyado mataas is useless at if masyado malapit sunog
>Neonate post mature / more than 42 weeks - hypoglycemia (placenta ay up to 42 weeks life span and unti unti na mamamatay ang placenta: sa placenta dumadaana ang nutrients/sugar at hindi na ito makakadaan)
premature - infection
>Post term - wrinkled, peeling skin (decreased vernix caseosa and magddry ang skin ng baby = desquamation)
>Start giving solid food - 6 months
>breast milk in freezer - 6 months
body of ref - 3 months
chest type freezer - 12 months
>plastic - container of breast milk
>tubal pregancy = immediate surgery - ask consent for salphingectomy
(removal of fallopian tube)
hysterectomy - removal of uterus
oophorectomy - removal of ovary
TAHBSO - total abdominal hysterectomy bilateral salphingectomy oopherectomy
>Heart disease at early stage of labor - semi fowlers position
>Breastfeeding sore nipples - warm compress
Non breastfeeding sore nipples - cold compress
>CROWNING - pant blowing technique to decrease chances of laceration
>baby breast swollen & red vaginal discharge of newborn (pseudomenstruation) - NORMAL d/t increased progesterone at kusang mawawala without treatment
>Ectopic Pregnancy - can happen after pelvic Infection / PID
>Epidural anesthesia - check for hypotension
>LGA baby of diabetic mother - check for HYPOGLYCEMIA
>prevent seizure in Eclampsia - restricting visitors and room darkened, quiet environment
> Mastitis - due to improper breastfeeding = continue breastfeeding.
>PIH - BP systolic increased 30mmHg, diastolic increased 15mmHg
>False Labor - walk to alleviate pain/discomfort
>Large, diamond fontanel (Anterior) - presentation Brow
>Pale, diaphoretic, severe lower abdominal pain with tearing sensation during IV oxytocin - rupture of uterus
>HIV transmitted - most commonly results of sexual contact
>Occiput posterior position - painful, intense back pain d/t posterior position
YOU ARE READING
Nurse Z
Non-FictionZee rarely talk or smile to anyone. She prefers staying at home than going out. You will never see her speaking in public. Can she survive in College of Nursing and School of Midwifery? Wherein the students must establish rapport to patients/communi...
