Maternal and Child Health Nursing 2 Notes PDF

Summary

These notes cover topics related to maternal and child health nursing, including detailed explanations of sexual response cycle, fertilization, implantation, and various stages of pregnancy. The information also touches on different signs and symptoms, probable and positive indications of pregnancy, and the nursing process involved.

Full Transcript

Sexual Response Cycle **FERTILIZATION** - - - **IMPLANTATION**: **3-4 days** - - - **Embryonic cells:** - - - **PLACENTA** - - - - **AMNIOTIC FLUID** - - - - **FUNDAL HEIGHT (Bartolomeos Rule)** - - - - - - - - **TERM** - - -...

Sexual Response Cycle **FERTILIZATION** - - - **IMPLANTATION**: **3-4 days** - - - **Embryonic cells:** - - - **PLACENTA** - - - - **AMNIOTIC FLUID** - - - - **FUNDAL HEIGHT (Bartolomeos Rule)** - - - - - - - - **TERM** - - - - **TERM:** an infant born between 38 and 42 wks of gestation **PRETERM:** **ABORTION:** **LIVE:** **Lunar Months: 10** **B. SIGNS AND SYMPTOMS OF PREGNANCY** 1. 2. 3. **Note**: Schistosomiasis (malaki tiyan) PRESUMPTIVE INDICATION OF PREG - - - - - - **PROBABLE** **INDICATIONS OF PREGNANCY** - - - - - - - - **POSITIVE SIGNS OF PREGNANCY** - - - - - **PRENATAL** Routine Visits - - **History Taking** - - - NURSING PROCESS - - - - - - - - - - **PSYCHOLOGICAL CHANGES** **S**: stress reaction **I**: introversion & extroversion **N:** **G:** **R:** **A:** ambivalence **C:** couvade syndrome (lalaki ang naglilihi; normal if no **hallucinations**) **E:** **HEALTH PROMOTION** - - - - - - - - - - - - - - - - - 1. - - - - - - - - **NURSING INTERVENTIONS** EXERCISES - - - - - DANGER SIGNS - - - - **VACCINES ALLOWED** - - MATERNAL DIET - - - - - - **CHILDBIRTH EDUCATION** - - - - **TASK OF PREGNANCY** - - - **LABOR AND DELIVERY** - **Critical factors affecting the process of labor** - - - Theories of labor onset - - 3\. Progesterone Deprivation: as pregnancy I. - - Pelvic type 1. 2. 3. II. - - - III. - - - - STATION - - - - **NOTE:** -3-,2, -1 (3,2,1 cm below ischial spine) +3,+2, +1(3,2,1 cm above the ischial spine) **CHARACTERISTICS OF CONTRACTION** - - - **Cardinal mechanism/movements of labor in vertex presentation** (ED FIRe ERE - - - - - - **Engagement** - movement of the backward as it proceeds under the symphysis pubis and the baby is born by extension over 5he perineum Restitution and external **SIGNS OF LABOR** - - - - - - - - - **2. Onset** - **CERVICAL CHANGES** - - **TRUE LABOR** - **FALSE LABOR** - **STAGES OF LABOR** **1. First stage** - - - **2. Second stage (expulsion)** - - - **3. Third stage : placental** **PLACENTAL SEPARATION** - - - **Placental delivery** may take **5-10** minutes (**max 30 min)** either by - - **4. Fourth stage**- immediate recovery period from delivery of placental to stabilization of maternal systemic response and contraction of the uterus **DANGER SIGNS OF LABOR** - **Nursing care** - - **Second Stage** - **TEMPERATURE OF THE ROOM** - **LOCHIA** - - **TAKING-IN** - **TAKING-HOLD** - **LETTING-GO** **EARLY SKIN-TO-SKIN CONTACT** -

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