Week 7

JULLIANNE DANDAN · 43問 · 2年前

通報

問題一覧

Symphysis level

12-14 weeks

Midway between the umbilicus and symphysis pubis

16 weeks

Umbilicus or 20 cm above symphysis pubis

20 weeks

Increase 1 cm per week

21 - 36 weeks

Xyphoid process

36 weeks

Goes down beginning of engagement

>37 weeks

- lowering of the head of the baby

Engagement

• Using tape measure to get fundic height in cm x 8/7 = AOG in weeks

McDonald's rule

- indicator of fetal well-being

Fetal Heart Rate

Doppler

10 weeks

Fetoscope

16 weeks

Stethoscope

18-20 weeks

• Confirms the process of pregnancy • Cervix size • Pelvic abnormalities • Detects early pregnancy and gestations Chadwick's, Goodell's, and Hegar's Sign • After 34 weeks: done to assess consistency of the cervix, length and dilatations, fetal presenting part, bony architecture of pelvis, anomalies of the vagina and perineum

Internal Examination (IE) or Vaginal Examination Purposes

• Done in the third trimester to determine CPD • Reveals information on the health of both external and internal reproductive organs • Pelvic Examination

Pelvic Examination and Estimating Pelvic Size

* HSV 2, Skene's and Bartholin's glands infection, Rectocele, Cystocele

External genitalia

•Position and color of cervix, pap smear, signs of infection, position, contour, consistency, and tenderness of pelvic organs, strength and irregularity of posterior vaginal wall

Internal Genitalia

• Initial visit • Repeated at 28-32 weeks • To detect anemia

СВС

• Indirect Coomb's Test • Antibody titers for Rubella and Hepatitis B (HBsAg) •HIV screening • Plasma glucose level

Blood typing (including RH factor)

- Color- Color of water; late in pregnancy, slightly yellow tinge (normally ____). - L/S ratio- __ for lung maturity. - Phosphatidyl glycerol and desaturated phosphatidylcholine- presence indicate lung maturity. - _________ - for blood incompatibility. - Chromosome analysis- for ______. - ________ - damage to fetal membranes releases the substance; can signal preterm labor. - Inborn errors of metabolism- ______ are present in the amniotic fluid. - Alpha- fetoprotein

1.Amniocentesis 2. clear - pale 3. 2:1 4. Bilirubin determination 5. karyotyping 6. Fetal fibronectin 7. enzymes

- Assessment of fetal heart rate - Woman in ______ position - External fetal heart rate and uterine contraction monitors are attached - FHR is recorded for ______

1. Rhythm Strip testing 2. semi-Fowler's 3. 20 minutes

• Uses a catheter to get a sample • Done: __ trimester (8 to 10 weeks) Purpose: detection of genetic defects ___: consent, full bladder ____: Monitor Maternal VS, FHR

1. Chorionic Villi Sampling 2. 1" 3. Pre 4. Intra

Visualization of the fetus by inspection through a fetoscope To confirm the intactness of the fetus To obtain biopsy samples of the fetus To perform elemental surgery • Can be performed as early as the ___ or __ week

1. Fetoscopy 2. 16 or 17 week

- To observe FHR, movement, respirations, position and presentation, fetal death • Can detect: - A gestational sac as early as __ to __ weeks after the LMP - Heart activity by the __ to __ weeks - Fetal breathing movement by __ to __ weeks of pregnancy • Crown-to-rump measurements can be made to assess fetal age until the fetal head can be visualized clearly.

1. Ultrasonography 2. 5 to 6 weeks 3. 6 to 7 weeks 4. 10 to 11 weeks

- Microscopie examination - To test glycosuria, pyuria and proteinuria

Urinalysis

• Has the potential to replace or complement ultrasound • Most helpful in diagnosing complications like ectopic pregnancy and trophoblastic disease

MRI (Magnetic resonance imaging)

- Protein produced by liver of unborn baby - Best done at __- __ weeks of pregnancy - Normal value: ___ Mom (multiple of mean) ______ - neural tube or abdominal defect ______ - chromosomal anomaly down syndrome - Health teaching: Increase folic acid (___ - ___ mcg)

1. Maternal Serum alpha-fetoprotein (MSAFP) 2. 16-18 weeks 3. 2.5 4. Increased AFP (Alpha fetoprotein) 5. Decreased AFP 6. 400-800 mcg

• Acoustic stimulator is applied to the mother's abdomen to produce a sharp sound to startle and wake the fetus

Vibroacoustic stimulation

- Visual inspection of amniotic fluid through cervix and membranes -To detect meconium staining

Amnioscopy

- Analysis of 3 indicators: MSAFP, unconjugated estriol of HCG - Requires a simple venipuncture

Triple Screening

• Increases risk for miscarriage.

TB screening

Latin Abbreviations

Latin Abbreviations

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Skin Assessment

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Positioning the Patient for different Examinations

Positioning the Patient for different Examinations

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Body Mechanics

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Moving and Transferring Patient

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Self Efficacy Theory

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HEALTH BELIEF MODEL

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HEALTH PROMOTION MODEL

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Preceed Proceed Model

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Modes of Communication

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Communication and Globalization

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Intercultural Communication

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The Cultural Texts

The Cultural Texts

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The Communication Process

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Lecture 1 and 2

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Lecture 3

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Lecture 4 and Microflora

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Lecture 1 & 2

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LEARNING andthe LEARNER

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NURSING AS A PROFESSION

NURSING AS A PROFESSION

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Barbara Carper & Patricia Benner

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Legal Aspects of Nursing

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Nursing as a Profession

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OVERVIEW OF THE CODE OF ETHICS FOR NURSES

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GLOBAL EVOLUTION/HISTORY OF NURSING

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Thorax and Lungs (Respiratory Assessment)

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Bed Bath

Bed Bath

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Gastrointestinal

Gastrointestinal

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Cardio

Cardio

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COMMUNICATION

COMMUNICATION

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COMMON COMMUNICATION STRATEGIES/TECHNIQUES (Therapeutic Communication Techniques)

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MAN

MAN

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PRE-NATAL CARE AND ASSESSMENT

PRE-NATAL CARE AND ASSESSMENT

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DRUG ADMINISTRATION

DRUG ADMINISTRATION

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Antepartum / Prenatal Assessment

Antepartum / Prenatal Assessment

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Diagnostic and Laboratory Tests in Pregnancy

Diagnostic and Laboratory Tests in Pregnancy

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Nursing Care During Prenatal Period:Positioning, Draping, Enema & Catheterization

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Labor

Labor

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Carbohydrate

Carbohydrate

26問 • 1年前

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FATS

FATS

26問 • 1年前

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Vitamins and Minerals

Vitamins and Minerals

32問 • 1年前

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Nutrition and Diet

Nutrition and Diet

23問 • 1年前

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WEEK 2

WEEK 2

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Week 3

Week 3

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Week 5

Week 5

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Chapter 1

Chapter 1

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Chapter 2

Chapter 2

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Week 7

Week 7

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NUTRITION-AND-THE-LIFE-CYCLE-LEC-AND-LAB

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THERAPEUTIC DIET

THERAPEUTIC DIET

21問 • 1年前

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VITAMINS AND MINERALS

VITAMINS AND MINERALS

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Week 8 and 9

Week 8 and 9

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Week 10

Week 10

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Drug study

Drug study

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Abbreviations

Abbreviations

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