eenage pregnancy, also known as adolescent pregnancy, is pregnancy in a female under the age of 20. Pregnancy can occur with sexual intercourse after the start of ovulation, which can be before the first menstrual period (menarche) but usually occurs after the onset of periods.
Vital statistics related to maternal health in indiaPriyanka Gohil
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This topic contains introduction of vital statistics, list of important statistics, birth rate, death rate, specific death rates, infant mortality rate, neonatal mortality rate, under five mortality rate, maternal mortality rate (detailed), perinatal mortality rate (detailed), expectation of life, general fertility rate and still births.
This presentation is helpful for MBBS 1st year students to have basic Ideas on family health. This can be used by Masters in Public Health (MPH) students as well.
Vital statistics related to maternal health in indiaPriyanka Gohil
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This topic contains introduction of vital statistics, list of important statistics, birth rate, death rate, specific death rates, infant mortality rate, neonatal mortality rate, under five mortality rate, maternal mortality rate (detailed), perinatal mortality rate (detailed), expectation of life, general fertility rate and still births.
This presentation is helpful for MBBS 1st year students to have basic Ideas on family health. This can be used by Masters in Public Health (MPH) students as well.
Bernadette Madrid, University of the Philippines, Director of the Child Protection Unit, Philippines - Parenting support in the context of violence prevention, Expert Consultation on Family and Parenting Support, UNICEF Office of Research – Innocenti Florence 26-27 May 2014
Business Ethics 66Thomas Farrow had been evaluated as having b.docxRAHUL126667
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Business Ethics 66
Thomas Farrow had been evaluated as having been inflicted by managerial hubris at the time of the bank’s collapse in 1920.
With this in mind, address the following questions, with thorough explanations and well-supported rationale.
1. How did corporate culture, leadership, power and motivation affect Thomas’ level of managerial hubris?
2. Relate managerial hubris to ethical decision making and the overall impact on the business environment.
3. Explain the pressures associated with ethical decision making at Farrows Bank.
4. Evaluate whether the level of managerial hubris would have been decreased if Farrow Bank had a truly ethical
business culture. Could this have affected the final outcome of Farrow Bank? Explain your position.
Parenting the AdolescentView Full Description
It is often said that there is much similarity in adolescent and toddler development. In fact, some say that the toddler you had comes back as a teenager. Given what you have read about parenting the toddler (Week 3) and the adolescent (Week 5) describe at least one similarity and one difference and describe how parenting is both the same and different. Â Please note in your post the relevant developmental stages and how parents effectively meet them.Â
Parenting changes as children get older, offering new challenges to parents at home. School-age children spend more time away from home, and their interactions with others become increasingly complex. Parents maintain many of the same fundamental responsibilities with school-age children as they did with preschoolers. They need to continue to provide love and affection, to set age-appropriate rules and boundaries, and to support physical, cognitive and social development.
Topics to be covered include:
· Normal physical, emotional and social development in during the elementary school and early teen years
· Ways parents can support their child’s development during the elementary school and early teen years
· Techniques to help parents maintain positive relationships with their adolescents as they become more independent and move toward adulthood
· Techniques to help school-age children develop positive relationships with family and peers
· Ways parents can promote healthy lifestyles with school age children
· Effects of media use on children’s development· Sleep
· Sleep helps attention, emotional well-being, and learning. Adequate sleep helps the body regulate its metabolic processes and weight control. Parents should establish a consistent bedtime schedule as well as bedtime routines to help children develop the habit of sleep. Parents who adopt positive and nurturing parenting styles support healthy sleep patterns in children.
· School-age children usually sleep independently; however, maintaining a normal bedtime routine is part of good sleep hygiene. Sleep hygiene includes a number of practices that support healthy sleep, like avoiding caffeine in the afternoon, having a cool, dark room, and a r ...
Child abuse or child maltreatment is physical, sexual, or psychological maltreatment or neglect of a child or children, especially by a parent or other caregiver. Child abuse may include any act or failure to act by a parent or other caregiver that results in actual or potential harm to a child, and can occur in a child's home, or in the organizations, schools or communities the child interacts with.
Preventive psychiatry in india: Preventing on Child Psychiatric FrontDevashish Konar
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Parenting training of would-be-parents, early detection of vulnerable children and timely intervention are some of the efforts that will give large dividend. We have very limited number of child psychiatrists. So including general psychiatrists, pediatricians, family physicians, health workers and teachers would be the most suited public health strategy for India. They need to be trained to work within their limits and need to learn to refer at the right time without wasting precious time of the growing children and adolescents.
Prolonged labor is the inability of a woman to proceed with childbirth upon going into labor. Prolonged labor typically lasts over 20 hours for first time mothers, and over 14 hours for women that have already had children.
Anemia during pregnancy/types/causes/prevention and managementBabitha Mathew
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It's normal to have mild anemia when you are pregnant. But you may have more severe anemia from low iron or vitamin levels or from other reasons. Anemia can leave you feeling tired and weak. If it is severe but goes untreated, it can increase your risk of serious complications like preterm delivery
A serious pregnancy complication in which the placenta detaches from the womb (uterus).
Placental abruption occurs when the placenta detaches from the inner wall of the womb before delivery. The condition can deprive the baby of oxygen and nutrients.
Symptoms include vaginal bleeding, stomach pain and back pain in the last 12 weeks of pregnancy.
Depending on the degree of placental separation and how close the baby is to full-term, treatment may include bed rest or a Caesarean (C-section).
Antenatal exercises aim at improving the physical and psychological well-being of an expected mother for labor and preventing pregnancy-induced pathologies by various physical means. It generally includes low impact aerobic exercises and stretching exercises.
Antenatal care /objectives/history collection abdominal examinationBabitha Mathew
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Antenatal care is the care you get from healthcare professionals to ensure you have a healthy pregnancy. It includes information on services and support to make choices right for you. Antenatal care will include regular appointments with a midwife, ultrasound scans and screening tests for you and your baby.
Antenatal assessment physical well being /introduction and methodsBabitha Mathew
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The tests used to monitor fetal health include fetal movement counts, the nonstress test, biophysical profile, modified biophysical profile, contraction stress test, and Doppler ultrasound exam of the umbilical artery.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
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Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
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Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
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As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
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Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Prix Galien International 2024 Forum ProgramLevi Shapiro
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June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
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i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
2. *
*Content on physical development of the adolescent is
covered in the PPT Adolescence based on Chapter 19 of
Hockenberry.
*Teen-age Pregnancy adds a whole new set of risks because
the adolescent is still developing physically and
psychologically
*See birth rates: Figure 17-1 p. 379 Olds, 9th ed.; p. 717, 10th
ed.
3. *Early Adolescence (14 yrs and <)
*Rapid physical changes:self-centeredness but locus of control
is external—parents and school authorities
*Egocentric and concrete thinker
*Fantasy thinker, doesn’t foresee consequences of behavior
*Middle Adolescence (15-17 years)
*Challenges authority—often experiment with drugs, alcohol,
thinks she is invincible
*Locus of control still external—now peers and support group
*Fluctuates between wanting to be adult but fearing
responsibility
*Moving from concrete thinker to formal operational thought
*Late Adolescence (18-19 years)
*Thinks abstractly and anticipates consequences
*More confident of personal identity
4. *
*Socioeconomic and Cultural Factors
*Poverty, Race
*Low educational achievement
*High-Risk Behaviors (CDC Stats)
*Sense of invulnerability
*46% of all teens 15-19 years have had sex, 62% of HS seniors
*Media influence—TV, internet, movies, etc.
*Varied sexual practices—multiple partners, STI’s ,
inconsistent use of contraceptives
*Psychosocial Factors
*Teen may have underlying desire to retaliate against parent,
her form of delinquency, but may improve her health choices
*Higher risk of mental illness in the future
*Int’l Perspective—culture may encourage early pregnancy
5. *
*Physiologic: preterm births, LBW babies, pre-
eclampsia/eclampsia, iron deficiency anemia, CPD. Early
and consistent prenatal care is essential to safe care,
early detection, and early intervention!
*Psychologic: the risk of interruption of progress in her
developmental tasks of establishing her own identity (see
Table 17-3); different for early, middle, vs late adolescence
*Key to care:
*Be non-judgmental in approach
*Ensure confidentiality
*Integrate teen’s mother/parents in plan of care.
*Evaluate support system and encourage building
relationships
6. *
*Sociologic—teen pregnancy may result in prolonged
dependence on parents, dropping out of school, poorer
job opportunities, single parenting, larger family
*Dating violence may be perceived as ‘normal’ in young teen
*Cost to taxpayers: $7 billion each year (Pinkleton et al,
2008)
*Risks to her Child—high rates of family instability,
*behavioral problems,
*developmental delays, poor success in school,
*higher rates of abuse and neglect, and
*may in turn become adolescent parent.
7. *
*Research shows that 2/3 of adolescent dads are in
their 20’s
*Many are in serious, supportive relationship with teen
mom, engaged in the whole pregnancy, and present
for labor and delivery
*Relationships among teens often deteriorate over time
partly due to conflicts with baby’s grandparents,
financial struggles
*Fathers are included in birth certificate, and
legal paternity helps with benefits for baby
*Some teen moms may want nothing to do w/dad,
esp. in cases of rape, incest, or exploited sex. RN
must investigate to protect mom and baby—social
services referral is indicated.
8. *
*Assessment :
*Hx family & personal physical health, OB hx,
gyne hx, substance abuse hx
*Developmental health and acceptance of pg
*Family & social support network + or --
*Father of baby’s involvement
*Nursing Dx: (possibilities)
*Imbalanced Nutrition: less than body
requirement R/T poor eating habits
*Risk for Situational Low Self-esteem R/T
unanticipated pregnancy
9. *
*Nsg Plan and Implementation—early is
essential. Establish trust and rapport!
*Community-Based Nursing Care—helps
provide coordinated care that pulls in all
resources available: WIC, Medicaid-if eligible, Social
Services and support, teen parenting classes.
Nursing coordinates teaching at appropriate cognitive and
developmental level
*Social media—Facebook—may be a good venue for teaching
*Issues of confidentiality & consent for care—review
emancipated minor (p. 387, 9th ed.; p. 884, 10th ed.) status!
*Development of a trusting relationship with the teen mom—be
gentle if this is first pelvic exam. Explain and describe all
procedures simply and calmly.
10. *
*Promotion of Self-Esteem & Problem-Solving Skills—
*Involve in all decision-making re: plan of care.
*Provide overview of pregnancy; always focus on effect of pregnancy
on teen mom because of egocentrism.
*Promotion of Physical Well-being—
*Careful monitoring of weight and BP is critical
*Discuss realistic weight gain: pp.408-410 and Table 18-1 Dietary
References Intake pp. 396-397 for adolescent.
*Figures as high as 50Cal/kg/day for active young adolescents
*Iron supplements—27mg of iron/day indicated to prevent anemia
*Adequate Calcium (1300mg/day) also essential to prevent
hypertension and pre-eclampsia, LBW infant. May need to
supplement
*Assess teen’s eating habits over time not just 24-hr period.
Individualize and focus on mom’s health to keep her fit.
12. *
*Promotion of Physical Well-being—cont’d
*Screen early for STI’s—gonorrhea, chlamydia, candida,
Trichomonas, & Gardnerella, syphilis, HIV.
*Discuss substance abuse: tobacco, alcohol, drugs, caffeine.
*Monitor fetal growth: McDonald’s rule, US, quickening, etc.
*Promotion of Family Adaptation
*Assess family system at 1st prenatal visit. Include pt’s mother as
much as she & pt want. Strive to renew or re-establish positive
relationship
*Assess pt’s mother & father’s involvement
*Integrate baby’s father—prenatal visits, prenatal classes, US, health
teaching.
*Facilitation of Prenatal Education—prenatal educ’n in HS with
school nurse. Keep mainstreamed AMAP. Offer teen birthing
classes. Include content on breastfeeding.
13. *
*Hospital-based Nursing Care: respect & support essential
*Importance of sustained presence—teen mom’s choice
*Provide education to help with choices. Integrate teen dad as
much as he wants to be involved.
*Integrate non-pharmacological interventions. Doula might be
a great advocate to the adolescent.
*Educate! Educate! Educate! In the postpartum period.
*Safe and effective contraception must be discussed prior
to discharge: condoms plus OC, or IUD( ACOG approved
2007), or long-acting OC.
*Discuss community resources to support her—WIC,
Lactation Consultant, sx of PP Depression
*Return to high school—home tutor required by state of IL
for 6 weeks
