Professional Documents
Culture Documents
(OB)
MCN -
- Traditionally refers to care of women
during pregnancy Birth and postpartum
as well as the care of infants Children
and adolescents. Specifically tasked
complexities in health care has nurses to be
maternal and women’s health care
practitioners, nurse and midwives etc.
OBSTETRICS – Science that deals
with childbirth
- it deals with duration
Pregnancy 38-42 weeks
Labor & Delivery 20 hours
Puerperium 6-8 weeks
*Prevention
ex: mammograms, SBE, cervicacancer,
screening, cervical vaccines, prenatal care,
smoking cessation programs, healthy lifestyle,
food choices etc.
*Early Intervention
*Continuity of Care
Vagina – connects external to
internal reproductive organ
- It is a tube with rugae, distensible
- Copulation and passage way
- 3-4 inches long
- Acidic, due to its normal flora
- Ph – 4-5- average
Fallofian - Infundiberlum
Tubes Ampulla Fertilization
4 inches Intramus Passageway
Interstitial
UTERUS
- Pear shaped
- 3 Layers
1. endometrum
2. myometrum
3. perimetrium
- 50-60gms weight
- Antenor rectum
- Posterior to the bladder
- Ligaments
- Broad, Cardinal, uterosacral
- Ovarian cycle Follicular maturation
of follicles
Intral ovulation
- Endometrial Cycle
Proliferative
Secretory
menstrual
Monthly shedding of the uterine lining
Ave onset =12years – menarche
Ave duration =50-52 years- menopause
Ave amount =50ml (30-80ml)
Ave cycle =28 days
Menstrual blood consists of endometrial
cells, blood, mucus unfertilized ovum
Menorrhagia
Dysmenorrhea
Amenorrhea
menopause
Organs Hormones Functions
Brain
Hypothalamus GnRH -stimulates the APG to
secrete gonodo- trophic
Hormones
Brain
APG FSH -Responsible for
maturation of Follicles
Ovary Estrogen -Responsible for
*development of ducts of
the breasts
*spinnbarkeit secretions
Organs Hormones Functions
Embryo ammion
trophoblast
Chorionic Villi
Decidua Basalis
PLACENTA
Implantation occurs 7 to 10 days after conception
Organ of metabolic and nutrient exchange
between the embryonic and maternal
circulation – begins 3rd week of embryonic
development
Diameter – 15 to 20 cm (8in)
Cotyledons Membranes
Chorion
amnion
1. Respiratory
2. Nutritive
3. Excretory
4. Barrier – Bacteria, Virus
5. Endocrine
- HCG, HPL, Estrogen & Progesterone
Functions:
- quickening
- baby has patterns of sleep,
sucking, kicking
- vernix and lanugo are present
24 weeks – Fetal respiratory movements
begin
28 weeks – Eyes begin to open and close
*Goodells
*Chadwicks
- higher glandular cell glands leading to
leukorrhea
OVARIES
Cease to function
Hypertrophy
Hyperplasia
Vascularization
Results in:
Thickening of mucosa
Chadwick’s SX
BREASTS
Higher in size
Nipples erectile
Pigmented areola
Montgomary tubercles
Ptayalism
Heart burn
hemorrhoids
URINARY TRACT
Higher urinary frequency due to growing
uterus
Glycosuria is common
Chloasma
Mood swings
Depression
PICA
Most metabolic functions
accelerate during pregnancy in
support to the additional demands
of the growing fetus, the mother’s
tissue replacement needs and in
preparation to labor and lactation.
Normal =25-30 lbs.
=11-13 kg.
FAB Ballotement
Introversion
- focusing on oneself-common during early
pregnancy
Mood scrimp
- feels, great joy, cry, disbelief etc.
Promotion
of the health and well being of a
woman and her partner before pregnancy.
GOAL:
Identify any areas such as health problems,
lifestyle habits or other concerns that might
unfavorably affect pregnancy.
GOAL:
Healthy mother for a healthy baby
Frequency.
8 months = 2x moth
9 months = weekly
TERMS:
OB Scoring - GP (TPAL)
Example:
- Vital signs
- Urine
- Blood
BP
FH measurement
F Movement
FHR
- A procedure that is performed to
determine presentation, position and lie.
Minor Discomforts
Danger Signs
Teratogens
Exercises
Nutrition
Nutrient NP Present Lactation
Calories 2,200 2,500 2,700
Protein 60 gms 80 gms 80 gms
Folate 400 mcg 600 mcg 500 mcg
Iron 18mg 27mg 9mg
Calcium 1000g 1000g 1000g