4.1-WK-1-CMP-411-PPT-VIDLECT-FRANCES-REVIEWER-3-15.pdf

.......OUR.. LADY...OF. FATIMA.... UNIVERSITY....... CMP... 411....P R.I M E. R..... PARTS.. OF.VAGINA..................... EXTERNAL...........NORMAL.... OB.....which. includes:......... Vulva: The external part of the genitals,... SPERM.. ANALYSIS.. RESULT......

.......OUR.. LADY...OF. FATIMA.... UNIVERSITY....... CMP... 411....P R.I M E. R..... PARTS.. OF.VAGINA..................... EXTERNAL...........NORMAL.... OB.....which. includes:......... Vulva: The external part of the genitals,... SPERM.. ANALYSIS.. RESULT...... Labia:. Labia..Majora:..The.outer.lips,................. usually SPERM ANALYSIS RESULT.. fleshy pubic hair.. and. covered.. with................. Labia ML SEMEN/EJACULATION 3-5ML... Minora:. The. inner.lips,. located inside the outer lips, starting................ at. the.clitoris SPERM COUNT /ML 20M-150M CLOMID. and. ending.. under. the............... Clitoris:.......... vaginal opening. b g y a b.............. The vulva,.covered.. by. the. clitoral..hood... SPERM COUNT/EJACULATION 400M tip (glans) is at the top of the.............. Extends LIFESPAN 3-5 DAYS / 72HRS......... inside the body with the shaft and crura (roots and legs),.............. made PH 7-8... of spongy nerve endings... tissue. with... many............. Opening.. of. the. Urethra:.. The. small... nzale MORPHOLOGY 30%............. hole.belowwhere. the.clitoris........ urine exits, located just go s............. Opening. urethral. of. the. Vagina:. where.Located.menstrual.below.. MOTILITY 50% the opening,............. blood VIABILITY 50%.are born..exits. and. through..which. babies....... PARTS.. OF.VAGINA......Other. External.. Parts:.................... Mons..Pubis:. The. fleshy..mound. above................ the.puberty.......... vulva, covered with pubic hair after............. Anus:.located. Thebelow. opening.the vaginal.to the. rectum,.. with.. opening,............. sensitive.pleasure. nerve.from.anal.stimulation...... endings that can provide................ INTERNAL....................Vagina:....................... Athe. stretchy..and cervix.uterus....... tube connecting the vulva to............. Serves.blood,. childbirth,.. and. sexual..activity. as the passage for menstrual..........................................................................................P.R E. L.I M.........OUR.. LADY...OF..... UNIVERSITY FATIMA....... CMP... 411....P R.I M E. R...... OVARIES............................. CATEGORY FEATURES... The. donut-shaped... structure.. between.. the............. Cervix:.. vagina... two......... and uterus with a small hole.......... SIZE 4CM X 2CM connecting the.. Allows. menstrual...blood. and. sperm..to pass through and dilates during childbirth............. COLOR grayish white... A pear-shaped... muscular Uterus:.. organ.. where. a............ FUNCTION 1. gonad/sex gland 2. estrogen/Progesterone... fetus. develops.. during..pregnancy................ 3. Ovulation... arousal,..causing..the vagina.. to.elongate.......FALLOPIAN....TUBE.... Lifts toward the belly button during sexual b g y a b.. Two. narrow..tubes. that. transport.. eggs.............. Fallopian Tubes: CATEGORY FEATURES.. from........... the ovaries to the uterus and allow sperm to reach the egg.......... LENGTH 3-4 inches... Finger-like.. projections Fimbriae:... at.the end. of. each............ 1. Interstitial 2. Isthmus... fallopian.. tube. that. help. sweep..the.egg into............. PARTS 3. Ampulla zal 4. Infundibulum n e....................... the tube. o s Ovaries: g 1. gonad/sex gland.. Organs..that(estrogen, hormones.store. eggsprogesterone,. and. produce.............. FUNCTION 2. estrogen/Progesterone 3. Ovulation... testosterone). pregnancy........... controlling menstruation and... UTERUS......... Located..Glands: Bartholin’s......... near the vaginal opening, these......... CATEGORY FEATURES... glands. release.. lubrication...when. aroused.............. SIZE 3”x2”x1”... Positioned.. near Skene’s Glands:. the. urethral.. opening,.. these............... glands.. and. are. also. known.. as.............. WEIGHT 50-60 grams release fluid during female ejaculation....................... SHAPE pear-shaped paraurethral or female prostate glands. Hymen:.. Thin,.. fleshy.. tissue.. partially.. covering vaginal opening, which can stretch or tear. the............ LOCATION Suspended between the urinary bladder and the rectum.. G.Spot:.................... Non-Pregnant: anteverted... Located the.front.awall,. it.can.swell. when. aroused.............. POSITION few inches inside the vagina on Pregnant: retroverted.. and........... is sometimes associated with pleasurable sensations.......... LAYERS Perimetrium - Outer Myometrium - Middle........................ Endometrium - Inner....................... 1.Organ of menstruation 2.Site of implantation FUNCTIONS....................... 3. Houses & nourishes the POC 4.Aids in labor & delivery..................P.R E. L.I M.........OUR.. LADY...OF..... UNIVERSITY FATIMA....... CMP... 411....P R.I M E. R........................... CATEGORY........ FEATURES.............. CATEGORY FEATURES. LOBES........ Each breast is divided into 15-20 lobes that radiate outward from the nipple............... 1.Fundus – Upper triangular portion 2.Corpus – Body......... Each lobe further divides into smaller........................ PARTS 3.Isthmus – Lower part LOBULES lobules, which contain clusters of milk- 4.Cervix – Mouth/ Entrance producing cells called alveoli...... CERVIX.......... ALVEOLI....... Functional units responsible for milk.............. CATEGORY FEATURES......... production......................... Milk travels from the alveoli through DUCTS ducts to the lactiferous sinuses behind bb Internal OS: effaces g y a....................... PARTS Cervical Canal: operculum the nipple. External OS: dilates..... VAGINA.................. A raised projection at the center of the NIPPLE breast with lactiferous ducts opening at its tip.............. CATEGORY FEATURES......... The darker area surrounding the............... AREOLA........ nipple, containing sebaceous glands. zal LENGTH 3-4 inches that produce protective oil. n e....................... o s PELVIS g 1..copulation............. FUNCTIONS 2. Passageway of menstrual discharge.. CATEGORY....... FEATURES.............. 3. Birth canal......... Supports and protects the........................ FUNCTIONS ENVIRONMENT Acidic- pH 4-5 Duoderleine bacilli reproductive and other pelvic organs.. BREAST:... MAMARY... GLAND....... DIVISIONS....... 1. False Pelvis 2. True Pelvis....................... Gynecoid........................ Anthropoid TYPES Android Platypelloid...................... Inlet............... PARTS........ Cavity Outlet................ BOUNDARIES OF............................... Refer to the attached image below TRUE PELVIS..............................................................................................................P.R E. L.I M.........OUR.. LADY...OF. FATIMA.... UNIVERSITY....... CMP... 411....P R.I M E. R............. FETAL PRESENTATION AND FETAL LIE.................(C.B.T)............................. DIAMETER Refer to the attached image below LONGHITUDINAL TRANSVERSE........................................................................................................... FETAL.. POSITIONS...... CEPHALIC BREECH TRANSVERSE b g y a b.... TYPES.. OF.PELVIS....................................... (G.A.A.P).............................................. zale... FETAL...SKULL n................. go s....................... CATEGORY FEATURES....................... most important part because Most frequent presenting part....................... DESCRIPTION Largest part of the fetal body Least compressible............... FETAL Frontal Bones.. STATION........................Maternal 3 MAIN BONES Parietal Bones Occipital Bones.Ischial.Landmark. Spines. :.....................--54... Frontal Suture....................-- 23... Coronal Suture SUTURES Sagittal Suture....................- 1... Lamboidal Suture Anterior fontanelle............ At. Level. of.Ischial FONTANELLES – diamond (12-18 mos.) Posterior fontanelle. Spines......................+ 1........ = station 0 = engaged – triangular (2-3 mos.)...............+3 +2........ 1. Face- Mento-Vertical Diameter (13.5 cm)...............+4........ 2. Brow/ SINCIPUT REGIONS 3. VERTEX +5....................... 4. Occiput- Subocciput bregmatic (SOB)- 9.5 cm....................... ATTITUDES Flexion Extension..................P.R E. L.I M.........OUR.. LADY...OF. FATIMA.... UNIVERSITY....... CMP... 411....P R.I M E. R............. SPERM CELLS....................... periodic, cyclic discharge of blood MENSTRUATIION PARTS....................... from the uterus periodic, cyclic discharge of blood....................... DESCRIPTION LIFESPAN 48 to 72 hours (3-5 days) from the uterus....................... BLOOD LOSS 30-80cc a. gynosperm – large oval head – X – acidic....................... TYPES b. androsperm – small head IRON LOSS 12-29mg – Y – alkaline....MENSTRUATIION.... VS..... ranges. from..23-............MENSTRUAL... CYCLE..... maximum.35 days;. of.40... SEXUAL..... b g y a b............. days MENSTRUAL PERIOD... REPRODUCTION....... MENSTRUAL CYCLE....................... AVERAGE MAXIMUM OF 7....................... 3-5 DAYS PERIOD DAYS...... MENSTRUATION................. occurs during zal puberty, 9-17 y/o n e....... : ORGANS................ o s average of 12 y/o g....... INVOLVED................ - onset is menarche............................................................................................................................................... OVUM......................................... DESCRIPTION female sex cell or gamete.............................................. RELEASED Ovulation THROUGH....................... LIFE SPAN 24 hours....................... corona radiata and the zona....................... LAYERS pellucida..................P.R E. L.I M.........OUR.. LADY...OF..... UNIVERSITY FATIMA....... CMP... 411....P R.I M E. R............ PLACENTA....................... From chorionic villi and Decidua........................ POSITION Basalis...................... WEIGHT 500gms at term; has 15 to 20 cotyledons....................... PRDUCTS estrogen, progesterone, HPL, HCG............................FETAL..MEMBRANE................. 1. Maternal – Duncan – periphery to center 2 SIDES 2. 2.Fetal – Schultz – center to...................... pheriphery. b g y a b............. CHLORIONIC Placenta......... FETAL DEVELOPMENT.............. AMNIOTIC Bow and umbilical cord......... PRE-EMBRYONIC 1st 2 weeks after fertilization..... AMNIOTIC... FLUID............... EMBRYONIC 2 weeks to 2 months.............. VOLUME 500-1200ml; average is 1000ml.......... nzale....................... FETAL 2 months to birth go s 99% H20, 1% solid particles; pH 7-............... DEVELOPMENT....... MILESTONES IN FETAL. 7.25 Vernix, uric acid, urea, COMPOSITION albumin, lecithin, sphyngomyelin....................... LS ratio - heart functions as early as....................... APPEARANCE clear and colorless – straw-colored 16th day FIRST MONTH - development- nervous....................... system; maternal > if green: meconeum- possible hypoglycemia fetal distress............. COLOR INDICATION > if golden: bilirubin- Rh Incompatibility......... - sex differentiation starts - assumes human form....UMBILICAL... CORD..(FUNIS)............... > if gray: infection SECOND MONTH - presence of amniotic fluid FHR determination by Doppler............. transport 02 and nutrients to fetus,......... - renal system is functional -........................ FUNCTION unoxygenated blood and water to sucking reflex is present THIRD MONTH placenta - placenta is fully developed....................... and functional BLOOD VESSELS AVA....................... - FHT by fetoscope - sex differentiation is....................... LENGTH 50-55 cm complete FOURTH MONTH - quickening for multipara - Ig G transport from mother to............. INSERTION center of the placenta......... fetus - lanugo appearance begin.............. INDICATIONS 1. knots – increases perinatal loss................................. 2. cord coil – nuchal cord..................P.R E. L.I M.........OUR.. LADY...OF. FATIMA.... UNIVERSITY....... CMP... 411....P R.I M E. R...PROBABLE...SIGNS.....................Enlarged.. Uterus..................... 12 FIFTH MONTH - vernix appears - FHT by stethoscope.pubisweeks.. – above.. symphysis.................. 20. weeks.. – at. umbilicus..... -Quickening for primigravida..............Hegar’s......... - surfactant production begins SIXTH MONTH -Hears external sound and Goodell’s Sign Chadwick’s Sign..............(+).Urinary SEVENTH MOTH - continued growth and development..Pregnancy.. Test........................... - Bone ossification2 wks after the first missed period Positive Signs............. Ultrasound... evidence - subcutaneous fat is present...after. 6.weeks.. bb - iron transfer from mother to g y a............. (between.FHT.. 8-12. weeks)...... EIGHT MONTH fetus - lanugo disappears............. Quickening NINTH MONTH... felt - testes descends in scrotum. by. the. examiner.............................. PRESUMPTIVE...... SYMPTOMS..... OF. PREGNANCY........ nzale....................... go s...BREAST.. CHANGES................................................................................. MORNING... SICKNESS... (4-6 weeks gestation)... QUICKENING.................... (16-20 weeks)............................................................................................................... CHLOASMA.... “MASK OF PREGNANCY”...............................................................URINARY.. FREQUENCY......... AMENNORHEA....................................P.R E. L.I M.........OUR.. LADY...OF. FATIMA.... UNIVERSITY....... CMP... 411....P R.I M E. R.. Estimating... Age. of. Gestation...in..... ASSESSMENT.....OF. FETAL.... Relation...to the. Height.. of. the. Fundus.... GROWTH... AND.. DEVELOPMENT....... 5th. month.. of.pregnancy...= fundus.. at.. Estimating... Fetal. Growth:...Fundal. height.... the. level. of. the. umbilicus/navel....... McDonald’s... Rule......... Early. process......... 9th month = below xyphoid. - Fundic.. height.. measurement... cm..... End. of. 9th. month.. = at. 8th. month.... - Fundic.. Height.. x.8/7.= AOG. in. weeks - Fundic height in cm = AOG in weeks.............. level of the xyphoid process Determining the Length of the Fetus....................... - (2nd trimester and up) b g y a b............ Haase’s FORMULA. Measures..Rule.the.crown. to. heel. length.. of..... FHt. “cm”..x 8/7...... the. fetus..in cm........ AOG in weeks=.... FHt. “cm” AOG in months=..x 2/7......... FORMULA................... First. Multiply.5 months:. no.. of.months. in. itself. or... nzale. Estimating... Age. of. Gestation....... months².. (squared)........ go s. Computation....by Date.. of.Check. Up.... Example:........... A27.pregnant........ mother with LMP of August came for a clinic visit on August 15...... 5 months²=...25 cm..... 5 months x 5 months= 25 cm. The. mother.. is.how. many. weeks..... 6-10..months. (month.. x.5).................. Example: pregnant?.. x 5........ Month..... FORMULA......... 6 months.. x 5. months=.. 30.cm.......................... no. of days in the month (-) Day of LMP= N.............. Estimating... Fetal..Weight..in.. N + (No. of months passed till day of visit) =X/7 Better to use manual.............. Grams Solution:......... computation for accuracy............... Johnson’s LMP: April 27 Visit: August 15 ---------------------------------------------... Rule...... If you’ll use calculator, choose the most closer to............... can. only..be used..for cephalic... April = 30 days your answer. LMP = 27 -Based from review vertex presentation....... 7./ 110. = 14.2 ------------------- = 3 days.............. center...... 14. weeks + 31 days May + 30 days June. in.andwks: AOG.2 days..... FORMULA.. (NEGATIVE... S.)................. N.x 155. =.est..weight. in.grams... + 31 days July (-) station fundal height in cm - 12 = N +15 days August (Visit)....................... -------------------- = 110 days Refer to page 6 for fetal station..................P.R E. L.I M.........OUR.. LADY...OF..... UNIVERSITY FATIMA....... CMP... 411....P R.I M E. R.................................... FORMULA If the LMP of the woman fall between..(+) station. FORMULA. fundal..height. in. cmS.).- 11.= N... (POSITIVE.......... month of April to December use the formula -3 + 7 + 1...N x 155. =. est..weight. in. grams............... Example: If the first day of a woman’s LMP....................... was on June 10, 2020. When is her EDD?. Delivery.. (EDD).......... Calculation for Estimated Date of.......... June 10, 2020= 06-10-2020. Naegele’s.. Rule..(-3.+7+1)................. 06 - 3 = 03..Determine.. last..menstrual.. period............... 10 + 7 = 17 2020 + 1 = 2021 b g y a b..(LMP)........... Subtract 3 months from month of.......... Answer:..LMP............03-17-2021...or March.. 17,. 2021.....Add........... 7 days from the day of LMP Add 1 from the year of LMP.FETAL.. MOVEMENTS......................(Kick. count/hr)....... nzale................. 1st. fetal. movements.... s FORMULA go Shortcut:....................... QUICKENING If the LMP of the woman fall between month of January to March 24 use the............. formula +9 +7..... 20. weeks PRIMIGRAVIDA................. Example: If the first day of a woman’s LMP was on January 22, 2020. When is her....................... EDD?..... 16. weeks MULTIGRAVIDA................. January 22, 2020= 01-22-2020....................... 01 + 9 = 10 22 + 7 = 29..... 16-20 AVERAGE. weeks............................. 10-29-2020... or. October.. 29,. 2020......... 28-38. weeks.... Answer: PEAK.............................................. NORMAL 5-10-15 times/hr EXAMPLE Given LMP: March 29, 2020............. 03, 29, 2020....................... +9 +7 -------------------------------------------------....................... 12 36 2020.. 36th Walang. day. of. the. month.................. yung..number. of. days. ng. December... +1 -31 +1 So add 1 sa month then subtract 31 since ------------------------------------------------- yun............. Januery 5, 2021.....P.R E. L.I M.. then add 1 sa year.......OUR.. LADY...OF. FATIMA.... UNIVERSITY....... CMP... 411....P R.I M E. R.............................. clear COLOR. to. pale. straw.....Uses:.. ULTRASOUND..................... To. diagnose.. pregnancy............ Sphingomyelin LECITHIN... Ratio..... Confirm.of the. placenta.. and. amount.. of...... DISCOMF0RTS presence, size and location.......... amniotic...fluid.......... OF. PREGNANCY......... defects............... INCREASED...30%-50%... Detect fetal abnormalities and HEMODILUTION/ PHYSIOLOGIC ANEMIA.. Determine... fetal. position.. and......... (Rapid. plasma.. Volume... bb BLOOD VOLUME g y a.. presentation,.Determine.. fetal.fetalmaturity. sex..by means......... increase)....... ofgrading. biparietal.. diameter,... placental.......... 12-16 NON-PREG: HGB. gm/dl............................. Full. bladder............... 37-47% Preparation of the Client: NON-PREG: HCT..... nzale.. Drink.. a glass..of water.. every. 15......... 11.gms/dL.... go s PREG: HGB.. minutes.(