1. Aling Julia, a 32-year old fish vendor, visited the prenatal clinic suspecting she is pregnant. She has not had her period in several months and stopped taking oral contraceptives.
2. During the assessment, the nurse would check for HCG in a pregnancy test, listen for the fetal heart tone, and examine for edema and weight gain to determine gestation.
3. Prenatal teaching should include exercise, avoiding smoking and unnecessary fatigue, as well as signs that require prompt medical attention like frequent urination or facial edema.
This document provides an overview of postpartum hemorrhage (PPH), including its definition, causes, risk factors, prevention, and medical management. PPH is a leading cause of maternal mortality worldwide. The document discusses the physiology of blood loss after childbirth and classifies PPH as primary (occurring within 24 hours of delivery) or secondary (occurring after 24 hours to 6 weeks postpartum). Prevention focuses on risk assessment, treatment of anemia, and active management of the third stage of labor. Medical management follows the acronym H.A.E.M.O.S.T.A.S.I.S and includes uterine massage, uterotonic drugs, balloon tamponade,
1. The document provides tips for effective study habits, including using memory aids, reviewing notes daily, planning study time for when most receptive, setting a schedule, setting study goals with a method and schedule, and tips for effective group study and reducing test anxiety.
2. It recommends limiting group study to 4-5 serious students, agreeing on a schedule, and finding an alternative if the group makes one anxious.
3. Tips are given for the night before an exam, including doing something pleasant, avoiding extremely anxious people, settling accounts in advance, and bringing past success to feel positive.
This document provides an overview of the Maternal Role Attainment Theory, which aims to help nurses provide appropriate care to help nontraditional mothers develop a strong maternal identity. It describes the theory's key concepts, including the developmental process of maternal role attainment over four stages from anticipating motherhood to feeling personal joy in the role. It also reviews the anatomy and physiology of the female reproductive system and fetal development over the course of a pregnancy.
1. Cesarean delivery is a surgical procedure to deliver babies through incisions in the mother's abdomen and uterus.
2. The most common type of cesarean incision is a low transverse incision in the lower uterine segment.
3. Indications for cesarean delivery include cephalopelvic disproportion, fetal distress, breech presentation, and previous uterine surgeries.
This document summarizes postpartum hemorrhage, its risk factors, etiologies, pathophysiology, nursing interventions, and other potential postpartum complications including infection, emotional disorders, thrombophlebitis, and domestic violence. It discusses postpartum hemorrhage definitions and causes such as uterine atony, retained tissues, and genital tract trauma. It also outlines nursing assessments and treatments for various postpartum complications.
This document discusses problems that can occur with fetal position, presentation, or size during labor and delivery. It describes issues like occipitoposterior position where the baby's head is facing the wrong way, breech presentation where the baby is feet or butt first, face or brow presentations which are types of abnormal head position, and transverse lie where the baby is laying horizontally across the womb. It provides information on assessment of these problems, contributing risk factors, potential complications, and therapeutic management approaches including manual maneuvers, positions, and when cesarean delivery may be recommended.
This document summarizes guidelines for vaginal birth after cesarean (VBAC) based on recommendations from the American College of Obstetricians and Gynecologists (ACOG). It states that over 60-80% of women with one previous low transverse cesarean section can successfully have a VBAC, and lists criteria for candidates, including no prior uterine scarring or ruptures. It notes risks of VBAC like uterine rupture are low at 1% but serious, and benefits include shorter recovery over repeat cesarean. The document provides information on risks, benefits and factors to consider for VBAC.
This document provides an overview of postpartum hemorrhage (PPH), including its definition, causes, risk factors, prevention, and medical management. PPH is a leading cause of maternal mortality worldwide. The document discusses the physiology of blood loss after childbirth and classifies PPH as primary (occurring within 24 hours of delivery) or secondary (occurring after 24 hours to 6 weeks postpartum). Prevention focuses on risk assessment, treatment of anemia, and active management of the third stage of labor. Medical management follows the acronym H.A.E.M.O.S.T.A.S.I.S and includes uterine massage, uterotonic drugs, balloon tamponade,
1. The document provides tips for effective study habits, including using memory aids, reviewing notes daily, planning study time for when most receptive, setting a schedule, setting study goals with a method and schedule, and tips for effective group study and reducing test anxiety.
2. It recommends limiting group study to 4-5 serious students, agreeing on a schedule, and finding an alternative if the group makes one anxious.
3. Tips are given for the night before an exam, including doing something pleasant, avoiding extremely anxious people, settling accounts in advance, and bringing past success to feel positive.
This document provides an overview of the Maternal Role Attainment Theory, which aims to help nurses provide appropriate care to help nontraditional mothers develop a strong maternal identity. It describes the theory's key concepts, including the developmental process of maternal role attainment over four stages from anticipating motherhood to feeling personal joy in the role. It also reviews the anatomy and physiology of the female reproductive system and fetal development over the course of a pregnancy.
1. Cesarean delivery is a surgical procedure to deliver babies through incisions in the mother's abdomen and uterus.
2. The most common type of cesarean incision is a low transverse incision in the lower uterine segment.
3. Indications for cesarean delivery include cephalopelvic disproportion, fetal distress, breech presentation, and previous uterine surgeries.
This document summarizes postpartum hemorrhage, its risk factors, etiologies, pathophysiology, nursing interventions, and other potential postpartum complications including infection, emotional disorders, thrombophlebitis, and domestic violence. It discusses postpartum hemorrhage definitions and causes such as uterine atony, retained tissues, and genital tract trauma. It also outlines nursing assessments and treatments for various postpartum complications.
This document discusses problems that can occur with fetal position, presentation, or size during labor and delivery. It describes issues like occipitoposterior position where the baby's head is facing the wrong way, breech presentation where the baby is feet or butt first, face or brow presentations which are types of abnormal head position, and transverse lie where the baby is laying horizontally across the womb. It provides information on assessment of these problems, contributing risk factors, potential complications, and therapeutic management approaches including manual maneuvers, positions, and when cesarean delivery may be recommended.
This document summarizes guidelines for vaginal birth after cesarean (VBAC) based on recommendations from the American College of Obstetricians and Gynecologists (ACOG). It states that over 60-80% of women with one previous low transverse cesarean section can successfully have a VBAC, and lists criteria for candidates, including no prior uterine scarring or ruptures. It notes risks of VBAC like uterine rupture are low at 1% but serious, and benefits include shorter recovery over repeat cesarean. The document provides information on risks, benefits and factors to consider for VBAC.
This document provides information on physiological changes, nursing interventions, complications, and psychological adaptation during the postpartum period. [1] Key physiological changes include lochia, uterine involution, breast changes, and common discomforts like perineal pain and breast engorgement. [2] Nursing interventions focus on monitoring vital signs, fundal checks, assessing lochia, encouraging feeding and ambulation. [3] Potential postpartum complications discussed are hemorrhage, thrombophlebitis, infection, and mood disorders.
Malpresentation occurs when the fetus is in any position other than head first. Risk factors include maternal factors like parity and pelvic abnormalities, and fetal factors like prematurity and congenital anomalies. Breech presentation is the most common type of malpresentation, occurring in 3-4% of births. It increases risks of complications for both mother and baby. Vaginal breech delivery may be attempted if certain criteria are met, but often cesarean section is recommended. Shoulder dystocia and umbilical cord prolapse are obstetric emergencies that require maneuvers and potentially expedited delivery to prevent harm to mother and baby.
Advanced reproductive age and fertility by Dr. GayathiriMorris Jawahar
Ovarian function and fertility decline with age as a woman's ovarian follicle pool decreases over time. By age 30, fertility rates peak and then decline, with risks of infertility, miscarriage, and birth defects increasing after age 35. While fertility treatments can help increase chances of pregnancy for older women, they do not improve declining egg quality or quantity caused by the natural aging process. Both female and male fertility are affected by advanced reproductive age.
This document discusses abortion from a medical perspective. It defines abortion and outlines the main types: natural abortion, direct/intentional abortion, therapeutic abortion, eugenic abortion, and indirect abortion. Therapeutic abortion aims to save the mother's life, while eugenic abortion targets fetal defects. The document also examines philosophical views on when life begins and ensoulment theories. It outlines the general viewpoints in the abortion debate and considers the physical and psychological effects. Biblical perspectives view life as beginning at conception and abortion as akin to murder.
Abortion should be legal but also regulatedEchi JC
Abortion should be legal but regulated with certain restrictions. While an estimated 123 million women have intended pregnancies each year, 87 million become unintentionally pregnant. 46 million of 211 million annual pregnancies end in abortion. Reasons for legalizing abortion include that making it illegal does not stop it from occurring and allows women control over their lives and health decisions. However, regulations are needed to prevent abuse and ensure safe, legal access to abortion services. Common restrictions include gestational limits, physician requirements, waiting periods, and parental involvement for minors. Continued education and access to contraception are presented as solutions to reduce unintended pregnancy.
Tetanus toxoid immunization is important for pregnant women and child-bearing aged women to protect newborns from neonatal tetanus, a deadly disease. A series of two tetanus toxoid doses must be received by women one month before delivery. Completing the five dose schedule through booster shots provides full protection for both mother and child, and the mother is considered fully immunized. The expanded program on immunization in the Philippines aims to reduce infant and child mortality from seven vaccine-preventable diseases by ensuring children receive recommended vaccinations by age one.
This document provides information about a case study on a 30-year-old female patient who was admitted to the hospital for postpartum hypertension. It includes her medical history, physical assessment findings, laboratory results, nursing diagnoses of postpartum hypertension and urinary tract infection. Her hemoglobin, hematocrit and urine tests showed abnormalities consistent with her conditions. The case study aims to improve nursing students' skills and knowledge in caring for patients with pregnancy-induced complications.
This document outlines nursing care during the prenatal period. It discusses assessment of the pregnant woman including estimating due date, gestational age, obstetric history and physical assessment. Common diagnostic tests are described like ultrasound, amniocentesis, non-stress test and biophysical profile. The nursing care plan involves nutrition assessment, prenatal exercises, hygiene, travel advice, immunizations, managing discomforts, and regular prenatal visits. The goal is to monitor the health of the mother and fetus during pregnancy.
Magnesium sulfate is used to treat acute nephritis, control hypertension in preeclampsia/eclampsia, correct or prevent hypomagnesemia, and as an adjunct treatment for acute MI and asthma exacerbations. It has contraindications for those with heart block, renal insufficiency, or abdominal symptoms. Potential side effects include weakness, dizziness, bowel issues, and hypermagnesemia. Nurses should monitor magnesium levels during IV therapy and watch for signs of toxicity.
This document discusses the normal process of labor and delivery. It begins by defining labor and childbirth as the period from the onset of regular uterine contractions until expulsion of the placenta. It then discusses fetal positioning including lie, presentation, attitude, and position. The cardinal movements of labor are also summarized, including engagement, descent, flexion, internal rotation, extension, external rotation, and expulsion. Mechanisms of labor for both vertex and occiput posterior presentations are presented. Changes in fetal head shape during labor from molding and caput succedaneum formation are also described.
The document summarizes the normal process of a spontaneous vaginal delivery for a 27 year old female in her first pregnancy. It describes fertilization and the development of the zygote and morula. It explains that the morula enters the uterus on day 3 and separates into trophoblast and embryoblast layers by day 4, with the trophoblast implanting into the endometrium on day 6 to begin the embryonic development stages through week 8. Fetal development then continues from week 9 until birth, when the newborn is delivered vaginally.
The document discusses various topics related to fetal lie, presentation, position, and labor including:
- The fetal lie can be longitudinal, transverse, or oblique relative to the mother's long axis.
- Cephalic presentation is most common, with other possibilities including breech, face, brow, and transverse lie.
- Fetal position describes the relationship of parts of the presenting fetal head to the mother's right or left side.
- Leopold's maneuvers are used to determine fetal position and presentation during vaginal exams.
- The cardinal movements of labor are engagement, descent, flexion, internal rotation, extension, and external rotation.
The patient presented with a scanty brownish vaginal discharge and a missed menstrual period. Diagnostic tests revealed an enlarged uterus, increased beta-hCG levels, and an ultrasound showing a "honeycomb" pattern suggestive of a hydatidiform mole. The patient was started on prophylactic methotrexate chemotherapy and underwent suction curettage to evacuate the molar pregnancy tissue.
The document discusses the physiology of labor, including theories of labor initiation and premonitory signs that labor is imminent. It describes the stages of uterine contractions that characterize true labor, cervical changes like effacement and dilation, and other signs like bloody show. Nursing considerations are outlined for events like rupture of membranes, including actions to take for problems like cord prolapse.
A couple is having difficulties breastfeeding their 2-month old premature daughter who was born 7 weeks early. The infant's weight is decreasing due to inconsistent feeding. The nursing diagnosis is ineffective feeding pattern related to the infant's prematurity and the parents' lack of knowledge about feeding a premature baby. The nursing plan is to monitor the baby, provide a calm feeding environment, assess alternative feeding methods, teach proper positioning, record feedings, and educate parents on the importance of proper nutrition. The goals are for the baby to improve intake with no dehydration signs and for parents to increase knowledge and follow the correct feeding pattern.
Management of Post-partum hemorrhage (PPH)Sandesh Kamdi
Post-partum hemorrhage (PPH) is a leading cause of maternal mortality worldwide, accounting for nearly one quarter of all maternal deaths. PPH can occur within 24 hours of delivery (primary) or 24 hours to 6 weeks after delivery (secondary). Active management of the third stage of labor, including administration of uterotonic drugs like oxytocin, decreases the risk of PPH. While oxytocin is the gold standard for treating PPH, misoprostol has been shown to be a safe and effective alternative in settings where oxytocin is unavailable. Secondary PPH is often associated with infection and is generally treated with antibiotics along with uterotonics or balloon tamponade if bleeding continues. Surgical
Episiotomy slideshare by dr alka mukherjee & dr apurva mukherjee msalka mukherjee
Normal birth can cause tears to the vagina and the surrounding tissue, usually as the baby's head is born, and sometimes these tears extend to the rectum. These are repaired surgically, but take time to heal. To avoid these severe tears, it is recommended making a surgical cut to the perineum with scissors or scalpel to prevent severe tearing and facilitate the birth. This intervention, known as an episiotomy, is used as a routine care policy during births in some countries. Both a tear and an episiotomy need sutures, and can result in severe pain, bleeding, infection, pain with sex, and can contribute to long term urinary incontinence.
Episiotomies—incisions made between the vagina and anus during childbirth—have long been a topic of debate among clinicians, researchers and advocates. Outdated clinical guidelines previously recommended the routine use of episiotomy to avoid natural vaginal tearing. Over the past two decades, a growing body of literature and increased advocacy efforts have led to a general consensus that episiotomy should not be conducted as a standard practice. Nevertheless, in many parts of the world, the majority of women still undergo episiotomy during childbirth.
In women where no instrumental delivery is intended, selective episiotomy policies result in fewer women with severe perineal/vaginal trauma.
The document provides 12 tips for a healthy pregnancy over 12 slides. It discusses the importance of proper nutrition, exercise, relaxation through music, adequate sleep, safe driving, staying hydrated, regular health checkups, avoiding stress, micronutrients, proper weight gain, blood sugar control, and dental checkups. Following these tips can help ensure the health of both the mother and baby during pregnancy.
Nursing Licensure Exam Maternal and Child Nursingjthscabrera
Aling Julia, a 32-year old fish vendor, came to the prenatal clinic with her three children. She stopped taking oral contraceptives several months ago and suspects she is pregnant but cannot remember her LMP. The expert provides concise answers to questions about calculating her EDC, signs of pregnancy, her gravida status, fetal development stages, common discomforts in pregnancy, prenatal teaching points, and prevention of varicosities. The summary focuses on the high-level information needed to assess Aling Julia's situation and provide her with appropriate care and education.
This document provides information on physiological changes, nursing interventions, complications, and psychological adaptation during the postpartum period. [1] Key physiological changes include lochia, uterine involution, breast changes, and common discomforts like perineal pain and breast engorgement. [2] Nursing interventions focus on monitoring vital signs, fundal checks, assessing lochia, encouraging feeding and ambulation. [3] Potential postpartum complications discussed are hemorrhage, thrombophlebitis, infection, and mood disorders.
Malpresentation occurs when the fetus is in any position other than head first. Risk factors include maternal factors like parity and pelvic abnormalities, and fetal factors like prematurity and congenital anomalies. Breech presentation is the most common type of malpresentation, occurring in 3-4% of births. It increases risks of complications for both mother and baby. Vaginal breech delivery may be attempted if certain criteria are met, but often cesarean section is recommended. Shoulder dystocia and umbilical cord prolapse are obstetric emergencies that require maneuvers and potentially expedited delivery to prevent harm to mother and baby.
Advanced reproductive age and fertility by Dr. GayathiriMorris Jawahar
Ovarian function and fertility decline with age as a woman's ovarian follicle pool decreases over time. By age 30, fertility rates peak and then decline, with risks of infertility, miscarriage, and birth defects increasing after age 35. While fertility treatments can help increase chances of pregnancy for older women, they do not improve declining egg quality or quantity caused by the natural aging process. Both female and male fertility are affected by advanced reproductive age.
This document discusses abortion from a medical perspective. It defines abortion and outlines the main types: natural abortion, direct/intentional abortion, therapeutic abortion, eugenic abortion, and indirect abortion. Therapeutic abortion aims to save the mother's life, while eugenic abortion targets fetal defects. The document also examines philosophical views on when life begins and ensoulment theories. It outlines the general viewpoints in the abortion debate and considers the physical and psychological effects. Biblical perspectives view life as beginning at conception and abortion as akin to murder.
Abortion should be legal but also regulatedEchi JC
Abortion should be legal but regulated with certain restrictions. While an estimated 123 million women have intended pregnancies each year, 87 million become unintentionally pregnant. 46 million of 211 million annual pregnancies end in abortion. Reasons for legalizing abortion include that making it illegal does not stop it from occurring and allows women control over their lives and health decisions. However, regulations are needed to prevent abuse and ensure safe, legal access to abortion services. Common restrictions include gestational limits, physician requirements, waiting periods, and parental involvement for minors. Continued education and access to contraception are presented as solutions to reduce unintended pregnancy.
Tetanus toxoid immunization is important for pregnant women and child-bearing aged women to protect newborns from neonatal tetanus, a deadly disease. A series of two tetanus toxoid doses must be received by women one month before delivery. Completing the five dose schedule through booster shots provides full protection for both mother and child, and the mother is considered fully immunized. The expanded program on immunization in the Philippines aims to reduce infant and child mortality from seven vaccine-preventable diseases by ensuring children receive recommended vaccinations by age one.
This document provides information about a case study on a 30-year-old female patient who was admitted to the hospital for postpartum hypertension. It includes her medical history, physical assessment findings, laboratory results, nursing diagnoses of postpartum hypertension and urinary tract infection. Her hemoglobin, hematocrit and urine tests showed abnormalities consistent with her conditions. The case study aims to improve nursing students' skills and knowledge in caring for patients with pregnancy-induced complications.
This document outlines nursing care during the prenatal period. It discusses assessment of the pregnant woman including estimating due date, gestational age, obstetric history and physical assessment. Common diagnostic tests are described like ultrasound, amniocentesis, non-stress test and biophysical profile. The nursing care plan involves nutrition assessment, prenatal exercises, hygiene, travel advice, immunizations, managing discomforts, and regular prenatal visits. The goal is to monitor the health of the mother and fetus during pregnancy.
Magnesium sulfate is used to treat acute nephritis, control hypertension in preeclampsia/eclampsia, correct or prevent hypomagnesemia, and as an adjunct treatment for acute MI and asthma exacerbations. It has contraindications for those with heart block, renal insufficiency, or abdominal symptoms. Potential side effects include weakness, dizziness, bowel issues, and hypermagnesemia. Nurses should monitor magnesium levels during IV therapy and watch for signs of toxicity.
This document discusses the normal process of labor and delivery. It begins by defining labor and childbirth as the period from the onset of regular uterine contractions until expulsion of the placenta. It then discusses fetal positioning including lie, presentation, attitude, and position. The cardinal movements of labor are also summarized, including engagement, descent, flexion, internal rotation, extension, external rotation, and expulsion. Mechanisms of labor for both vertex and occiput posterior presentations are presented. Changes in fetal head shape during labor from molding and caput succedaneum formation are also described.
The document summarizes the normal process of a spontaneous vaginal delivery for a 27 year old female in her first pregnancy. It describes fertilization and the development of the zygote and morula. It explains that the morula enters the uterus on day 3 and separates into trophoblast and embryoblast layers by day 4, with the trophoblast implanting into the endometrium on day 6 to begin the embryonic development stages through week 8. Fetal development then continues from week 9 until birth, when the newborn is delivered vaginally.
The document discusses various topics related to fetal lie, presentation, position, and labor including:
- The fetal lie can be longitudinal, transverse, or oblique relative to the mother's long axis.
- Cephalic presentation is most common, with other possibilities including breech, face, brow, and transverse lie.
- Fetal position describes the relationship of parts of the presenting fetal head to the mother's right or left side.
- Leopold's maneuvers are used to determine fetal position and presentation during vaginal exams.
- The cardinal movements of labor are engagement, descent, flexion, internal rotation, extension, and external rotation.
The patient presented with a scanty brownish vaginal discharge and a missed menstrual period. Diagnostic tests revealed an enlarged uterus, increased beta-hCG levels, and an ultrasound showing a "honeycomb" pattern suggestive of a hydatidiform mole. The patient was started on prophylactic methotrexate chemotherapy and underwent suction curettage to evacuate the molar pregnancy tissue.
The document discusses the physiology of labor, including theories of labor initiation and premonitory signs that labor is imminent. It describes the stages of uterine contractions that characterize true labor, cervical changes like effacement and dilation, and other signs like bloody show. Nursing considerations are outlined for events like rupture of membranes, including actions to take for problems like cord prolapse.
A couple is having difficulties breastfeeding their 2-month old premature daughter who was born 7 weeks early. The infant's weight is decreasing due to inconsistent feeding. The nursing diagnosis is ineffective feeding pattern related to the infant's prematurity and the parents' lack of knowledge about feeding a premature baby. The nursing plan is to monitor the baby, provide a calm feeding environment, assess alternative feeding methods, teach proper positioning, record feedings, and educate parents on the importance of proper nutrition. The goals are for the baby to improve intake with no dehydration signs and for parents to increase knowledge and follow the correct feeding pattern.
Management of Post-partum hemorrhage (PPH)Sandesh Kamdi
Post-partum hemorrhage (PPH) is a leading cause of maternal mortality worldwide, accounting for nearly one quarter of all maternal deaths. PPH can occur within 24 hours of delivery (primary) or 24 hours to 6 weeks after delivery (secondary). Active management of the third stage of labor, including administration of uterotonic drugs like oxytocin, decreases the risk of PPH. While oxytocin is the gold standard for treating PPH, misoprostol has been shown to be a safe and effective alternative in settings where oxytocin is unavailable. Secondary PPH is often associated with infection and is generally treated with antibiotics along with uterotonics or balloon tamponade if bleeding continues. Surgical
Episiotomy slideshare by dr alka mukherjee & dr apurva mukherjee msalka mukherjee
Normal birth can cause tears to the vagina and the surrounding tissue, usually as the baby's head is born, and sometimes these tears extend to the rectum. These are repaired surgically, but take time to heal. To avoid these severe tears, it is recommended making a surgical cut to the perineum with scissors or scalpel to prevent severe tearing and facilitate the birth. This intervention, known as an episiotomy, is used as a routine care policy during births in some countries. Both a tear and an episiotomy need sutures, and can result in severe pain, bleeding, infection, pain with sex, and can contribute to long term urinary incontinence.
Episiotomies—incisions made between the vagina and anus during childbirth—have long been a topic of debate among clinicians, researchers and advocates. Outdated clinical guidelines previously recommended the routine use of episiotomy to avoid natural vaginal tearing. Over the past two decades, a growing body of literature and increased advocacy efforts have led to a general consensus that episiotomy should not be conducted as a standard practice. Nevertheless, in many parts of the world, the majority of women still undergo episiotomy during childbirth.
In women where no instrumental delivery is intended, selective episiotomy policies result in fewer women with severe perineal/vaginal trauma.
The document provides 12 tips for a healthy pregnancy over 12 slides. It discusses the importance of proper nutrition, exercise, relaxation through music, adequate sleep, safe driving, staying hydrated, regular health checkups, avoiding stress, micronutrients, proper weight gain, blood sugar control, and dental checkups. Following these tips can help ensure the health of both the mother and baby during pregnancy.
Nursing Licensure Exam Maternal and Child Nursingjthscabrera
Aling Julia, a 32-year old fish vendor, came to the prenatal clinic with her three children. She stopped taking oral contraceptives several months ago and suspects she is pregnant but cannot remember her LMP. The expert provides concise answers to questions about calculating her EDC, signs of pregnancy, her gravida status, fetal development stages, common discomforts in pregnancy, prenatal teaching points, and prevention of varicosities. The summary focuses on the high-level information needed to assess Aling Julia's situation and provide her with appropriate care and education.
This document discusses antenatal care, which refers to the care provided to pregnant women from the first month of pregnancy until delivery. It outlines the objectives, components, and benefits of antenatal care. The objectives include maintaining the health of the mother, promoting well-being of the mother and child, ensuring a healthy full-term baby, and early detection of risks. Components include medical examinations, tests, counseling, and health education. Benefits are better health for mother and baby, increased knowledge, improved preparation, and staying up-to-date. The document also notes obstacles to antenatal care in Bangladesh and recommendations to improve access and utilization.
This document discusses antenatal care and diagnosis of pregnancy. It provides an overview of the objectives, importance and components of initial comprehensive evaluation during antenatal care visits. The initial evaluation involves diagnosing the pregnancy, obtaining a medical history, conducting a physical exam, assessing gestational age, and providing instructions to the patient. The goals are to monitor maternal and fetal health, identify high-risk pregnancies, detect medical issues, and educate the mother. A proper diagnosis is important to guide treatment and management of any existing conditions during the pregnancy.
Antenatal care which is just the care given to a pregnant woman through out pregnancy from the time of conception until the time the woman goes into labor.
CC003 PERFORMANCE TASK ANALYSIS Please citate all information anogglili
CC003 PERFORMANCE TASK ANALYSIS
Please citate all information and include reference page on each part.
Part I: Family Engagement
As you begin to consider how you will engage families at the start of the new school year, it is important to reflect upon why family engagement is necessary and beneficial for children, families, and early childhood programs. Review Document #1: Blue Stream Early Learning Center Overview.
In two to three pages, do the following:
· Explain why family engagement is important for the healthy development of children and why it is essential to creating a foundation for effective early childhood practice.
· Describe at least two strategies that you would use to engage families prior to the beginning of the school year.
· Explain why you chose these strategies and how each strategy can be used to promote a respectful, reciprocal, and responsive partnership with the families.Part II: Individualized Family Communication Plans
Imagine that it is now the second week of the school year. You have received the completed Beginning of the Year Questionnaires that you sent to the children’s families as seen in the following documents:
· Document #2: Jon Hall: Beginning of the Year Questionnaire
· Document #3: Annie Xun: Beginning of the Year Questionnaire
· Document #4: Irene Segers: Beginning of the Year Questionnaire
Based on the questionnaires, create an individualized plan for how you would communicate and collaborate with each of the three children’s families.
Each of the three individualized plans should be two pages in length and include:
· An explanation of the initial method of communication you will use with the family. Explain why you chose the method for this specific family.
· A description of at least one potential obstacle you might face in communicating with the family.
· Describe at least one strategy you might use to overcome the obstacle you identified, so you can effectively communicate and collaborate with the family.
· An explanation of how you will communicate information to the family about their child’s overall development and academic progress. Provide a rationale for your choice.
· An explanation of how you will communicate to the family the opportunities for them to engage in the classroom. Provide a rationale for your choice. Include an explanation of why building a partnership with this family is essential to the healthy development of the child(ren) in this family.
· A description of at least one strategy you would use to obtain information from the family. Provide a rationale for your choice.Part III: Family Newsletter
A month has passed, and it is time to update the families on their children’s progress.
Your newsletter should should include:
· An overview of learning and development that has taken place in the classroom since the first month of school.
· A welcome to families and an invitation to volunteer or become involved in the classroom community at Blue Stream Early Childhood Center. Provide ...
The primary aim of preconception and interconception care is to improve maternal health and birth outcome for mother, infant and family through prevention and interventions.
1) The study examined the effects of a digital prenatal program called the Baby Care Program (BCP) on 512 first-time mothers. The BCP included mindfulness activities like meditation, yoga, music, and baby bonding exercises.
2) Results showed statistically significant benefits for mothers who used the BCP, including lower stress, better sleep, fewer preterm births and higher birth weights, compared to mothers who did not participate.
3) The BCP was found to help mothers develop a stronger bond with their babies, better manage nutrition and pregnancy symptoms, and have an overall healthier pregnancy experience.
Tender Love and Care (TLC) in Recurrent Pregnancy Loss (RPL) Dr Sharda Jain D...Lifecare Centre
This document discusses tender love and care (TLC) in recurrent pregnancy loss (RPL). It defines RPL as three or more consecutive pregnancy losses. RPL can have psychological impacts like depression, anxiety, and stress on both women and their partners. Providing psychological support through TLC which includes frequent checkups, clear communication, emotional support, encouragement of positive coping strategies, and involvement of partners can help improve mental health and pregnancy outcomes for those experiencing RPL. Studies show TLC through a dedicated early pregnancy clinic or supportive partner behaviors significantly decreases miscarriage rates and increases live birth rates compared to no specific care or support.
PRECONCEPTION CARE &PARENTHOOD PREPARATION.pptxBRITO MARY
This document provides an overview of preconception care presented by Mrs. John Britto Mary. It defines preconception care as interventions that aim to identify and modify risks to a woman's health or pregnancy outcome. The goals of preconception care are to optimize the woman's health, minimize risks to her and the fetus, and provide information to make informed decisions about future reproduction. The need for preconception care is to improve pregnancy outcomes and identify risks before pregnancy. Key components include early risk detection and prevention, managing high-risk factors before conception, and creating awareness. Elements addressed include nutrition, genetics, maternal age, environmental hazards, and medical history. The roles of midwives are also outlined.
Primary health care aims to make essential health care universally accessible through community-based services. The document outlines several key family health programs in the Philippines, including maternal health, family planning, child health, immunizations, and nutrition. The goals are to improve survival, health, and well-being for family members and reduce morbidity and mortality rates. Services described include antenatal care, immunizations, breastfeeding promotion, and various modern and traditional family planning methods. The health and nutrition of mothers and children are top priorities for primary health care in the Philippines.
1) The document provides notes on infant feeding and care taken by Mariechen Puchert during her second year studies. It includes information on breastfeeding, formula feeding, growth charts, and indications for various feeding methods.
2) Details are given on nutritional requirements for preterm and term infants, advantages of breast milk, signs of proper breastfeeding attachment, and guidelines for expressing and storing breastmilk.
3) Contraindications to breastfeeding and drugs to avoid while breastfeeding are listed, along with guidelines for use of medications by breastfeeding mothers. Standard infant formulas and those for special conditions are also outlined.
This document provides an overview of a presentation on maternal and child health care programs in developing countries. It discusses key concerns like malnutrition, infection, and uncontrolled reproduction. It then outlines components of antenatal care like checkups, nutrition advice, immunizations and preparing for delivery. Maternal health issues like anemia and infections are addressed. The importance of family planning, neonatal care, and reducing mortality rates is also highlighted. Overall the document covers maternal and child health issues and programs in developing nations.
Ante Natal, Intra Natal AND Post Natal Care of Asian WomenSharda University
This document provides information on maternal and child health (MCH). It begins by introducing MCH and noting that mothers and children are vulnerable groups. MCH refers to promotive, preventive, curative and rehabilitative healthcare for mothers and children, including maternal health, child health, family planning, and more. The objectives of MCH are to reduce mortality and morbidity in mothers, newborns, infants and children, promote reproductive health, and promote physical and psychological development of children. The document then discusses various aspects of MCH including preconceptional care, antenatal care, the maternity cycle, and health education topics for expectant mothers.
This document provides information about healthy pregnancy and lifestyle. It discusses important nutrients like folate, calcium, and iron that pregnant women need. It also describes signs of pregnancy like morning sickness and frequent urination. The document advises eating a nutritious diet with fruits and vegetables and drinking plenty of fluids. It recommends light exercise and warns against smoking, drinking alcohol, or taking non-prescribed medications during pregnancy.
This slideshow provides a comprehensive look at what a doula is and why they are needed. It is the first unit in the certification course from New Beginnings Doula Training.
This document provides guidance for community health workers on maternal and child health and nutrition programs. It outlines key aspects of prenatal care that health workers should provide to pregnant women, including early signs of pregnancy, maintaining a list, health tips, immunizations, breastfeeding preparation, checkup schedules, danger signs, birth spacing, high-risk pregnancies, follow-up visits, and preparing for labor and delivery. The overall goal is to ensure proper prenatal care and management of pregnancies and deliveries in order to improve maternal and child health outcomes.
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
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Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
1. Introduction: The questions are coded according to their sources and will only be for my personal
reference. RED questions are original questions I created. FATIMA studentsREAD and DIGEST each of these
questions
carefully.
Goodluck.
SITUATION : [ND89] Aling Julia, a 32 year old fish vendor from baranggaymatahimik came to see you at the
prenatal clinic. She brought with her all her three children. Maye, 1 year 6 months; Joy, 3 and Dan, 7 years old.
She mentioned that she stopped taking oral contraceptives several months ago and now suspects she is
pregnant.
She
cannot
remember
her
LMP.
1.
Which
of
the
A.
B.
C.
D.
2.
following
be
Appearance
First
Which
would
is
in
calculating
necessary
A.
B.
C.
D.
Aling
Julia's
for
a
positive
With
this
pregnancy,
pregnancy
test?
[1]
Progesterone
HCG
Estrogen
Lactogen
Aling
A.
B.
C.
D.
[3]
lineanegra
fetoscope
rate
edema
by
pulse
of
Placental
3.
EDC?
of
FHT
Increase
Presence
hormone
useful
Julia
is
a
P3
[1]
G3
Primigravida
G4
G3
P3
P0
4. In explaining the development of her baby, you identified in chronological order of growth of the fetus as it
occurs
in
pregnancy
as
[1]
A.
B.
C.
D.
Ovum,
Zygote,
Ovum,
Zygote,
embryo,
ovum,
zygote,
ovum,
zygote,
embryo,
embryo,
fetus,
fetus,
fetus,
fetus,
embryo,
infant
infant
infant
infant
5. Aling Julia states she is happy to be pregnant. Which behavior is elicited by her during your assessment that
would
lead
you
to
think
she
is
stressed?
[3]
A.
B.
C.
D.
She
She
She
told
states
she
laughs
at
every
She
has
you
has
advise
about
her
drunk
husband
very
meager
income
from
selling
you
give
even
when
its
not
funny
difficulty
following
instructions
6. When teaching Aling Julia about her pregnancy, you should include personal common discomforts. Which of
the
following
is
an
indication
for
prompt
professional
supervision?
[2]
A.
B.
C.
D.
Constipation
and
hemorrhoids
Backache
edema
urination
Facial
frequent
7. Which of the following statements would be appropriate for you to include in Aling Julia's prenatal teaching
plan?
[1]
A.
B.
C.
D.
Exercise
is
Limit
Smoking
has
no
Avoid
unnecessary
8.
The
A.
B.
C.
D.
Raise
9.
In
best
advise
you
very
harmful
fatigue,
can
the legs while in
Lay
flat
Use
a
32
day
tiresome,
it
your
effect
on
the
growth
rest
periods
should
be
give
to
Aling
Julia
regarding
should
be
avoided
food
intake
and
development
of
fetus
included
in
you
schedule
prevention
upright position and put it against the
for
most
hours
garters
with
Wear
support
menstrual
cycle,
ovulation
usually
of
varicosities
is
[3]
wall several times a day
of
the
day
nylon
stocking
hose
occurs
on
the
[2]
2. A.
B.
C.
D.
14th
18th
20th
24th
day
day
day
day
after
after
after
after
menstruation
menstruation
menstruation
menstruation
10. Placenta is the organ that provides exchange of nutrients and waste products between mother and fetus. This
develops
by
[4]
A.
B.
C.
D.
First
Third
Fifth
Seventh
month
month
month
month
11. In evaluating the weight gain of Aling Julia, you know the minimum weight gain during pregnancy is [3]
A.
B.
C.
D.
2
5
7
10
12.
The
more
accurate
method
lbs/wk
lbs/wk
lbs/wk
lbs/wk
of
measuring
fundal
height
A.
B.
C.
D.
13.
is
[2]
Millimeter
Centimeter
Inches
Fingerbreadths
To
A.
B.
C.
D.
determine
fetal
Determine
Determine
Locate
Determine
position
degree
part
what
using
the
part
Leopold's
of
of
maneuvers,
the
first
maneuver
cephalic
flexion
and
fetus
presenting
into
back,arms
and
of
fetus
is
in
the
is
to
[1]
engagement
pelvis
legs
fundus
14. Alingjulia has encouraged her husband to attend prenatal classes with her. During the prenatal class, the
couple expressed fear of pain during labor and delivery. The use of touch and soothing voice often promotes
comfort
to
the
laboring
patient.
This
physical
intervention
is
effective
because
[2]
A.
B.
C.
D.
15.
Pain
Gate
It
distracts
Empathy
is
Which
of
the
A.
B.
C.
D.
perception
control
the
client
communicated
following
Fetal
could
be
Amenorrhea,
Frequency
Braxton
is
fibers
away
by
considered
as
a
a
positive
nausea,
of
hicks
outline
from
sign
interrupted
open
pain
person
are
the
caring
of
pregnancy
?
[1]
vomiting
urination
contraction
sonography
by
SITUATION : [FFC] Maternal and child health is the program of the department of health created to lessen the
death
of
infants
and
mother
in
the
philippines.
[2]
16.
A.
B.
C.
D.
17.
A.
B.
C.
D.
What
Promote
Direct
Health
One
philosophy
In
To
the
goal
of
mother
and
infant
health
especially
Training
of
supervision
of
midwives
teaching
to
mother
regarding
of
All
pregnancy
Culture
and
religious
Pregnancy
is
a
The
father
18.
A.
is
maternal
secure
all
the
maternal
and
care,
information
the
that
PHN
would
be
program?
during
the
gravida
local
during
home
proper
newborn
child
experiences
are
the
practices
have
little
effect
part
of
the
life
cycle
is
as
important
this
health
nursing
is
same
for
all
on
pregnancy
of
a
but
provides
no
as
the
responsibility
needing
in
is
birth
stage
hilots
delivery
care
[1]
woman
woman
meaning
mother
[2]
certificate
3. B. To
C.To
D.To
protect
the
baby against tetanus
reach
nutritional
assess
neonatorum
all
status
by
immunizing the mother
pregnant
of
existing
with DPT
woman
children
19. This is use when rendering prenatal care in the rural health unit. It serves as a guide in Identification of risk
factors
[1]
A.
B.
C.
D.
20.
A.
B.
C.
D.
Home
Client
Target
The
Underfive
list
list
schedule
Once
from
Twice
in
Once
in
Frequent
as
of
of
of
clinic
mother's
under
under
based
mother
woman
prenatal
visit
in
the
chart
record
care
vaccination
prenatal
TT
RHU
unit
is
[4]
1st
up
to
8th
month,
weekly
on
the
9th
month
1st
and
second
trimester,
weekly
on
third
trimester
each
trimester,
more
frequent
for
those
at
risk
possible
to
determine
the
presence
of
FHT
each
week
SITUATION : Knowledge of the menstrual cycle is important in maternal health nursing. The following questions
pertains
to
the
process
of
menstruation
21. Menarche occurs during the pubertal period, Which of the following occurs first in the development of female
sex
characteristics?
[2]
A.
B.
C.
D.
22.
Accelerated
Breast
Growth
Which
gland
is
responsible
Menarche
Growth
development
hair
Linear
of
pubic
for
initiating
the
menstrual
A.
B.
C.
D.
23.
cycle?
Ovaries
APG
PPG
Hypothalamus
The
hormone
that
stimulates
the
ovaries
to
produce
estrogen
is
A.
B.
C.
D.
Which
hormone
stimulates
oocyte
maturation?
[2]
A.
B.
C.
D.
GnRH
LH
LHRF
FSH
When
is
the
A.
B.
C.
D.
26.
A.
B.
C.
D.
serum
estrogen
End
To
A.
B.
C.
D.
27.
[1]
GnRH
LH
LHRF
FSH
24.
25.
[3]
correctly
of
determine
Deduct
14
Subtract
Add
7
Add
14
The
serum
days
two
days
days
progesterone
End
level
is
the
from
lowest
3rd
13th
14th
the
menstrual
cycle?
of
ovulation,
the
the
what
mid
mid
at
end
day
of
the
nurse
must
of
the
cycle's
of
the
of
the
the
menstrual
[4]
day
day
day
cycle
menstrual
weeks
from
during
of
in
3rd
13th
14th
day
at
highest
menstrual
[2]
cycle
end
cycle
cycle
cycle?
[4]
day
day
day
cycle
5. A.
B.
C.
D.
RH
RH
RH
RH
+
+
-
mother
mother
mother
mother
who
who
who
who
delivered
delivered
delivered
delivered
an
an
an
an
RH
RH
RH
RH
+
+
-
fetus
fetus
fetus
fetus
38. Which family planning method is recommended by the department of health more than any other means of
contraception?
[4]
A.
B.
C.
D.
39.
Fertility
Awareness
Method
Condom
Ligation
Abstinence
Tubal
How
much
booster
dose
does
tetanus
toxoid
vaccination
for
pregnant
women
has?
A.
B.
C.
D.
[4]
2
5
3
4
40. Baranggay pinoybsn.tk has 70,000 population. How much nurse is needed to service this population? [4]
A.
B.
C.
D.
5
7
50
70
SITUATION : [ND2I246] Reproductive health is the exercise of reproductive right with responsibility. A married
couple
has
the
responsibility
to
reproduce
and
procreate.
41.
Which
of
A.
B.
C.
D.
To
To
To
42.
Which
A.
B.
C.
D.
43.
the
following
achieve
prevent
Provide
practice
RH
of
the
is
following
A.
B.
C.
D.
is
NOT
and
Prevention
Healthy
the international
of
the
goals
of
the
reproductive
health
healthy
sexual
development
and
specific
RH
problem
through
care,
treatment
and
as
a
way
of
life
of
every
man
Maternal
In
ONE
and
sexual
an
element
of
the
child
health
Family
management
of
development
framework of RH,
Women's
Attainment
Achievement
Quality
which
one
of
the
reproductive
and
health
of
of
of
the
[3]
maturation
counseling
rehabilitation
and
woman
health?
[4]
nutrition
planning
complication
nutrition
abortion
and
following is
concept?
ultimate
in
optimum
women's
goal? [3]
reproduction
health
status
life
44. Which one of the following is a determinant of RH affecting woman's ability to participate in social affairs? [3]
A.
B.
C.
D.
45.
A.
B.
C.
D.
Cultural
In
the
philippine
Women's
Health
Poor
Commercial
Status
RH
Gender
Socio-Economic
and
Framework.
living
sex
which
issues
condition
factors
women
psychosocial
of
major
lower
level
service
conditions
workers
are
factor
delivery
lead
exposed
affects
RH
of
to
to
status?
[4]
literacy
mechanism
illness
AIDS/STD.
46. Which determinant of reproductive health advocates nutrition for better health promotion and maintain a
healthful
life?
[4]
A.
B.
Status
Socio-Economic
of
conditions
women
7. D.
Within
1
to
2
days
of
presumed
ovulation
56. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a
defect
in
the
tube
is
most
often
related
to
a
[3]
A.
B.
C.
D.
Past
Fibroid
Congenital
injury
Previous
to
infection
Tumor
Anomaly
tube
a
57. Which test is commonly used to determine the number, motility and activity of sperm is the [2]
A.
B.
C.
D.
58.
Rubin
Huhner
Friedman
Papanicolau
In
the
female,
Evaluation
of
the
pelvic
test
test
test
test
organs
of
reproduction
is
accomplished
A.
B.
C.
D.
by
[2]
Biopsy
Cystoscopy
Culdoscopy
Hysterosalpingogram
59.
When
A.
B.
C.
D.
is
from
60.
In
4th
fetal
the
week
blood
fetal
1st
2nd
3rd
up
vessel,
A.
B.
C.
D.
where
weight
to
gain
16th
is
the
greatest?
week
oxygen
trimester
trimester
trimester
pregnancy
of
content
[3]
highest?
Umbilical
[3]
artery
DuctusVenosus
Ductusareteriosus
artery
Pulmonary
61. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has
heavier
show.
The
membranes
rupture.
The
nurse
understands
that
this
indicates
[1]
A.
B.
C.
D.
The
woman
is
in
The
woman
is
having
a
complication
Labor
is
slowing
down
and
The
woman
is
emotionally
distraught
and
transition
stage
of
labor
and
the
doctor
should
be
notified
the
woman
may
need
oxytocin
needs
assistance
in
dealing
with
labor
SITUATION : [J2I246] Katherine, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room
due to hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0.
62. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near?
[2]
I
II
III
IV
Begins
-
Uterine
contraction
to
A
occur
bear
2-3
desire
down
minutes
with
Perineum
intervals
to
at
defecate
contraction
bulges
seconds
duration
uterine
50
A.
B.
C.
D.
I,II,III
I,II,III,IV
I,III,IV
II,III,IV
63. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? [2]
A.
B.
C.
D.
High
risk
for
infection
Potential
for
injury
Alteration
in
comfort
related
to
Anxiety
related
related
related
increasing
to
to
membrane
to
prolapse
strength
of
uterine
unfamiliar
rupture
cord
contraction
procedure
64. Katherine complains of severe abdominal pain and back pain during contraction. Which two of the following
measures
will
be
MOST
effective
in
reducing
pain?
[4]
8. I
IIIII-Imagery
IV-Breathing
Rubbing
the
back
with
a
tennis
ball
Effleurage
techniques
A.
B.
C.
D.
II,IV
II,III
I,IV
I,II
65. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done
immediately
following
procedure?
[1]
A.
B.
C.
D.
66.
Reposition
Increase
Assess
Which
is
IV
NOT
the
from
Administer
drug
side
fluid
for
of
choice
to
as
maternal
for
side
oxygen
indicated
hypotension
epidural
anesthesia?
A.
B.
C.
D.
[4]
Sensorcaine
Xylocaine
Ephedrine
Marcaine
SITUATION : [SORANGE217] Alpha, a 24 year old G4P3 at full term gestation is brought to the ER after a gush of
fluid
passes
through
here
vagina
while
doing
her
holiday
shopping.
67. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following actions should the
nurse
do
first?
[2]
A.
B.
C.
D.
Monitor
Ask
Place
the
Administer
charge
her
FHT
on
nurse
the
ever
oxygen
to
notify
left
15
the
lateral
minutes
inhalation
Obstetrician
position
68. The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic fluid would
cause
an
alarm
to
the
nurse?
[1]
A.
B.
C.
D.
Greenish
Scantly
Colorless
tinged
Blood
69. Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this position."
Which
of
the
following
response
of
the
nurse
is
most
appropriate?
[3]
A.
B.
C.
D.
Keeping
Completed
You
need
Let
us
you
on
bed
rest
will
prevent
possible
cord
prolapse
bed
rest
will
prevent
more
amniotic
fluid
to
escape
to
save
your
energy
so
you
will
be
strong
enough
to
push
later
ask
your
obstetrician
when
she
returns
to
check
on
you
70. Alpha wants to know how many fetal movements per hour is normal, the correct response is [4]
A.
B.
C.
D.
Twice
Thrice
times
times
Four
10-12
71. Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor. Which of the
following
is
true
in
this
state?
[1]
A.
B.
C.
D.
Last
Cervical
Effacement
for
dilation
is
2
1-3
Self-focused
100%
hours
cm
SITUATION : Maternal and child health nursing a core concept of providing health in the community. Mastery of
MCH
Nursing
is
a
quality
all
nurse
should
possess.
10. B.In
C.In
D.In
the
the
the
active
latent
transitional
phase
phase
phase
of
of
of
labor
labor
labor
82. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except
[3]
A.
B.
C.
D.
Water
Cerebral
83.
The
normal
A.
B.
C.
D.
range
of
90
120
100
140
84.
A
Which
A.
B.
C.
D.
Contraction
Contraction
Who's
1
of
the
of
labor
station
is
pain
that
states
[3]
bpm
bpm
bpm
bpm
means
of
increase
in
and
radiates
that
PAIN
that
[1]
crowning
floating
engaged
spine
ischial
characteristics
Bloody
and
back
of
regular
in
the
approximately
is
is
is
the
at
following
that
are
are
felt
None
Theory
is
140
160
140
180
[-1]
Fetus
Fetus
Fetus
is
Fetus
85.
FHR
to
to
to
to
negative
A.
B.
C.
D.
86.
Diuresis
Hypertension
intoxication
hemorrhage
in
false
labor
frequency
towards
the
labor
is
show
duration
abdomen
above
and
the
cause
by
FEAR
A.
B.
C.
D.
87.
A.
B.
C.
D.
[4]
Bradley
Simpson
Lamaze
Dick-Read
Which
A.
B.
C.
D.
88.
[1]
sign
would
alert
the
nurse
Increase
frequency
Perineum
bulges
Effacement
of
Vulva
encircles
the
Nursing
care
during
Careful
breathing,
Coach
Administer
that
Pillar
is
and
and
internal
largest
the
second
entering
second
intensity
anal
OS
diameter
stage
evaluation
Bear
down
with
Shave
enema
the
each
of
of
of
labor
stage
of
labor?
of
contraction
orifice
dilates
is
100%
presenting
part
should
include
prenatal
and
encourage
contraction
the
to
[1]
the
[1]
history
patient.
perineum
patient
SITUATION : [NBLUE170] Baby boy perez was delivered spontaneously following a term pregnancy. Apgar scores
are
8
and
9
respectively.
Routine
procedures
are
carried
out.
89.
A.
B.
C.
D.
90.
A.
B.
C.
D.
When
is
the
Immediately
after
At
5
minutes
At
1
minute
Immediately
after
The
best
way
to
Prone
On
On
his
birth
after
after
birth
position
On
his
a
APGAR
and
at
birth
and
birth
and
and
at
newboarn
with
side
back
with
during
his
with
the
Score
30
at
at
5
first
30
5
week
head
his
head
head
taken?
minutes
minutes
minutes
minutes
of
life
is
slightly
back,
flat
slightly
[1]
after
after
after
after
to
lay
on
birth
birth
birth
birth
him
[3]
elevated
flat
bed
elevated
11. 91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1]
A.
B.
C.
D.
Milia
Lanugo
Hemangiomas
spots
Mongolian
92.
Baby
boy
perez
A.
B.
C.
D.
must
According
to
A.
B.
C.
D.After
the
carefully
WHO
Within
Within
Within
,
for
the
first
24
hours
of
body
should
the
mother
30
12
a
starts
for
[2]
distress
cry
voiding
temperature
of
in
when
infant's
observed
Respiratory
Duration
Frequency
Range
93.
be
breastfeeding
minutes
hours
day
condition
the
infant?
after
after
after
[4]
birth
birth
birth
stabilizes
94. What is the BEST and most accurate method of measuring the medication dosage for infants and children?
[3]
A.
B.
C.
D.
Weight
95.
The
first
postpartum
Weight
Height
Nomogram
Height
and
visit
should
A.
B.
C.
D.
be
done
by
the
mother
within
24
3
a
a
96.
The
A.
B.
C.
D.
major
Other
cause
of
hours
days
week
month
maternal
complications
[4]
mortality
related
to
in
the
philippines
labor,delivery
and
is
[3]
Infection
Hemorrhage
Hypertension
puerperium
97. According to the WHO, what should be the composition of a commercialized Oral rehydration salt solution?
[4]
A.
A.
A.
A.
Potassium
Potassium
Potassium
Potassium
98.
A.
B.
C.
D.
In
:
:
:
:
preparing
1
1
1
1
glass
glass
glass
glass
1.5
1.5
2.5
2.5
g.
g.
g.
g.
;
;
;
;
ORESOL
of
of
of
of
Sodium
Sodium
Sodium
Sodium
at
Bicarbonate
Bicarbonate
Bicarbonate
Bicarbonate
home,
water,
water,
water,
water,
The
1
2
3
1
2.5g
2.5g
3.5g
3.5g
correct
;
;
;
;
Sodium Chloride 3.5g; Glucose 20 g.
Sodium Chloride 3.5g; Glucose 10 g.
Sodium Chloride 4.5g; Glucose 20 g.
Sodium Chloride 4.5g; Glucose 10 g.
composition
pinch
pinch
pinch
pinch
of
of
of
of
recommnded
salt
salt
salt
salt
and
and
and
and
2
2
4
1
by
the
tsp
tsp
tsp
tsp
DOH
is
of
of
of
of
[4]
sugar
sugar
sugar
sugar
99. Milk code is a law that prohibits milk commercialization or artificial feeding for up to 2 years. Which law
provides
its
legal
basis?
[4]
A.
B.
C.
D.
100.
A.
B.
C.
Senate
Presidential
A
40
year
old
mother
bill
RA
EO
in
her
1044
7600
147
51
Proclamation
third
trimester
should
avoid
[4]
Traveling
Climbing
Smoking
12. D.
Exercising
Passing
CLICK
:
HERE
Question?
Comments?
FOR
Comment
60/100
ANSWERS
up
below
or
AND
email
me
RATIONALE
: pinoybsn@yahoo.com
Budek
http://www.pinoybsn.tk
Posted by Budek on Sunday, July 09, 2006 at 3:59 PMPermalink
SITUATION : [ND89] Aling Julia, a 32 year old fish vendor from baranggaymatahimik came to see you at the prenatal
clinic. She brought with her all her three children. Maye, 1 year 6 months; Joy, 3 and Dan, 7 years old. She mentioned
that she stopped taking oral contraceptives several months ago and now suspects she is pregnant. She cannot remember
her LMP.
1. Which of the following would be useful in calculating Aling Julia's EDC? [3]B. First FHT by fetoscope
2. Which hormone is necessary for a positive pregnancy test? [1]B. HCG
3. With this pregnancy, Aling Julia is a [1]C. P3 G4
4. In explaining the development of her baby, you identified in chronological order of growth of the fetus as it occurs in
pregnancy as [1]C. Ovum, zygote, embryo, fetus, infant
5. Aling Julia states she is happy to be pregnant. Which behavior is elicited by her during your assessment that would lead
you to think she is stressed? [3]C. She laughs at every advise you give even when its not funny
6. When teaching Aling Julia about her pregnancy, you should include personal common discomforts. Which of the
following is an indication for prompt professional supervision? [2] C. Facial edema
7. Which of the following statements would be appropriate for you to include in Aling Julia's prenatal teaching plan? [1]
D. Avoid unnecessary fatigue, rest periods should be included in you schedule
8. The best advise you can give to Aling Julia regarding prevention of varicosities is [3]
D. Wear support hose
9. In a 32 day menstrual cycle, ovulation usually occurs on the [2]
B. 18th day after menstruation
10. Placenta is the organ that provides exchange of nutrients and waste products between mother and fetus. This develops
by [4]
B. Third month
11. In evaluating the weight gain of Aling Julia, you know the minimum weight gain during pregnancy is [3]
A. 2 lbs/wk
12. The more accurate method of measuring fundal height is [2]
13. B. Centimeter
13. To determine fetal position using Leopold's maneuvers, the first maneuver is to [1]
D. Determine what part of fetus is in the fundus
14. Alingjulia has encouraged her husband to attend prenatal classes with her. During the prenatal class, the couple
expressed fear of pain during labor and delivery. The use of touch and soothing voice often promotes comfort to the
laboring patient. This physical intervention is effective because [2]
D. Empathy is communicated by a caring person
15. Which of the following could be considered as a positive sign of pregnancy ? [1]
D. Fetal outline by sonography
SITUATION : [FFC] Maternal and child health is the program of the department of health created to lessen the death of
infants and mother in the philippines. [2]
16. What is the goal of this program?
A. Promote mother and infant health especially during the gravida stage
17. One philosophy of the maternal and child health nursing is [1]
D. The father is as important as the mother
18. In maternal care, the PHN responsibility is [2]
C. To reach all pregnant woman
19. This is use when rendering prenatal care in the rural health unit. It serves as a guide in Identification of risk factors [1]
B. Home based mother's record
20. The schedule of prenatal visit in the RHU unit is [4]
C. Once in each trimester, more frequent for those at risk
SITUATION : Knowledge of the menstrual cycle is important in maternal health nursing. The following questions pertains to
the process of menstruation
21. Menarche occurs during the pubertal period, Which of the following occurs first in the development of female sex
characteristics? [2]
B. Accelerated Linear Growth
22. Which gland is responsible for initiating the menstrual cycle? [3]
D. Hypothalamus
23. The hormone that stimulates the ovaries to produce estrogen is [1]
A. GnRH
14. 24. Which hormone stimulates oocyte maturation? [2]
D. FSH
25. When is the serum estrogen level highest in the menstrual cycle? [4]
B. 13th day
26. To correctly determine the day of ovulation, the nurse must [2]
D. Add 14 days from the end of the cycle
27. The serum progesterone is lowest during what day of the menstrual cycle? [4]
B. 13th day
28. How much blood is loss on the average during menstrual period? [4]
B. 4 tablespoon
29. Menstruation occurs because of which following mechanism? [2]
B. Degeneration of the corpus luteum
30. If the menstrual cycle of a woman is 35 day cycle, she will approximately [2]
A. Ovulate on the 21st day with fertile days beginning on the 16th day to the 26th day of her cycle
SITUATION : Wide knowledge about different diagnostic tests during pregnancy is an essential arsenal for a nurse to be
successful.
31. The Biparietal diameter of a fetus is considered matured if it is atleast [4]
B. 8.5 cm
32. Quickening is experienced first by multigravida clients. At what week of gestation do they start to experience
quickening? [4]
A. 16th
33. Before the start of a non stress test, The FHR is 120 BPM. The mother ate the snack and the practitioner noticed an
increase from 120 BPM to 135 BPM for 15 seconds. How would you read the result? [3]
C. Reactive
34. When should the nurse expect to hear the FHR using a fetoscope? [4]
B. 8th week
35. When should the nurse expect to hear FHR using doppler Ultrasound? [4]
C. 2nd week
15. 36. The mother asks, What does it means if her maternal serum alpha feto protein is 35 ng/ml? The nurse should answer
[4]
D. 35 ng/ml indicates neural tube defect
37. Which of the following mothers needs RHOGAM? [1]
B. RH - mother who delivered an RH + fetus
38. Which family planning method is recommended by the department of health more than any other means of
contraception? [4]
D. Abstinence
39. How much booster dose does tetanus toxoid vaccination for pregnant women has? [4]
C. 3
40. Baranggay pinoybsn.tk has 70,000 population. How much nurse is needed to service this population? [4]
B. 7
SITUATION : [ND2I246] Reproductive health is the exercise of reproductive right with responsibility. A married couple has
the responsibility to reproduce and procreate.
41. Which of the following is ONE of the goals of the reproductive health concept? [3]
A. To achieve healthy sexual development and maturation
42. Which of the following is NOT an element of the reproductive health? [4]
B. Family planning
43. In the international framework of RH, which one of the following is the ultimate goal? [3]
D. Quality of life
44. Which one of the following is a determinant of RH affecting woman's ability to participate in social affairs? [3]
A. Gender issues
45. In the philippine RH Framework. which major factor affects RH status? [4]
C. Poor living conditions lead to illness
46. Which determinant of reproductive health advocates nutrition for better health promotion and maintain a healthful life?
[4]
A. Socio-Economic conditions
47. Which of the following is NOT a strategy of RH? [3]
16. A. Increase and improve contraceptive methods
48. Which of the following is NOT a goal of RH? [3]
D. Strengthen outreach activities and the referral system
49. What is the VISION of the RH? [2]
A. Attain QUALITY OF LIFE
SITUATION : [SORANGE19] Baby G, a 6 hours old newborn is admitted to the NICU because of low APGAR Score. His
mother had a prolonged second stage of labor
50. Which of the following is the most important concept associated with all high risk newborn? [1]
B. Identify complications with early intervention in the high risk newborn to reduce morbidity and mortality
rn
51. Which of the following would the nurse expect to find in a newborn with birth asphyxia? [1]
B. Acidosis
52. When planning and implementing care for the newborn that has been successfully resuscitated, which of the following
would be important to assess? [1]
D. Spontaneous respiration
SITUATION : [P-I/46] Nurses should be aware of the different reproductive problems.
53. When is the best time to achieve pregnancy? [2]
C. 14 days before the next period is expected
54. A factor in infertility maybe related to the PH of the vaginal canal. A medication that is ordered to alter the vaginal PH
is: [2]
D. Na HCO3 Douches
55. A diagnostic test used to evaluate fertility is the postcoital test. It is best timed [2]
B. Immediately after menses
56. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a defect in the
tube is most often related to a [3]
D. Previous injury to a tube
57. Which test is commonly used to determine the number, motility and activity of sperm is the [2]
B. Huhner test
58. In the female, Evaluation of the pelvic organs of reproduction is accomplished by [2]
D. Hysterosalpingogram
17. 59. When is the fetal weight gain greatest? [3]
C. 3rd trimester
60. In fetal blood vessel, where is the oxygen content highest? [3]
B. DuctusVenosus
61. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has heavier
show. The membranes rupture. The nurse understands that this indicates [1]
A. The woman is in transition stage of labor
SITUATION : [J2I246] Katherine, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room due to
hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0.
62. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near? [2]
I - A desire to defecate
II - Begins to bear down with uterine contraction
III - Perineum bulges
IV - Uterine contraction occur 2-3 minutes intervals at 50 seconds duration
B. I,II,III,IV
63. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? [2]
A. High risk for infection related to membrane rupture
64. Katherine complains of severe abdominal pain and back pain during contraction. Which two of the following measures
will be MOST effective in reducing pain? [4]
I - Rubbing the back with a tennis ball
II- Effleurage
III-Imagery
IV-Breathing techniques
D. I,II
65. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done immediately
following procedure? [1]
D. Assess for maternal hypotension
66. Which is NOT the drug of choice for epidural anesthesia? [4]
C. Ephedrine
SITUATION : [SORANGE217] Alpha, a 24 year old G4P3 at full term gestation is brought to the ER after a gush of fluid
passes through here vagina while doing her holiday shopping.
67. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following actions should the nurse do
first? [2]
18. A. Monitor FHT ever 15 minutes
68. The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic fluid would cause an
alarm to the nurse? [1]
A. Greenish
69. Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this position." Which of the
following response of the nurse is most appropriate? [3]
C. You need to save your energy so you will be strong enough to push later
70. Alpha wants to know how many fetal movements per hour is normal, the correct response is [4]
C. Four times
71. Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor. Which of the following is
true in this state? [1]
D. Cervical dilation 1-3 cm
SITUATION : Maternal and child health nursing a core concept of providing health in the community. Mastery of MCH
Nursing is a quality all nurse should possess.
72. When should be the 2nd visit of a pregnant mother to the RHU? [2]
C. Second trimester
73. Which of the following is NOT a standard prenatal physical examination? [1]
D. Examination of the legs for varicosities
74. Which of the following is NOT a basic prenatal service delivery done in the BHS? [2]
A. Oral / Dental check up
75. How many days and how much dosage will the IRON supplementation be taken? [4]
B. 210 days / 200 mg
76. When should the iron supplementation starts and when should it ends? [4]
A. 5th month of pregnancy to 2nd month post partum
77. In malaria infested area, how is chloroquine given to pregnant women? [4]
C. 150 mg / twice a week for the duration of pregnancy
78. Which of the following mothers are qualified for home delivery? [2]
D. 2nd pregnancy, Has a history of 20 hours of labor last pregnancy.
19. 79. Which of the following is not included on the 3 Cs of delivery? [2]
C. Clean Equipments
80. Which of the following is unnecessary equipment to be included in the home delivery kit? [4]
C. Flashlight
SITUATION : [NBLUE166] Pillar is admitted to the hospital with the following signs : Contractions coming every 10
minutes, lasting 30 seconds and causing little discomfort. Intact membranes without any bloody shows.Stable vital signs.
FHR = 130bpm. Examination reveals cervix is 3 cm dilated with vertex presenting at minus 1 station.
81. On the basis of the data provided above, You can conclude the pillar is in the [1]
C. In the latent phase of labor
82. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except [3]
A. Diuresis
83. The normal range of FHR is approximately [3]
B. 120 to 160 bpm
84. A negative 1 [-1] station means that [1]
B. Fetus is floating
85. Which of the following is characteristics of false labor [1]
D. None of the above
86. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR [4]
A. Bradley
87. Which sign would alert the nurse that Pillar is entering the second stage of labor? [1]
D. Vulva encircles the largest diameter of presenting part
88. Nursing care during the second stage of labor should include [1]
B. Coach breathing, Bear down with each contraction and encourage patient.
SITUATION : [NBLUE170] Baby boy perez was delivered spontaneously following a term pregnancy. Apgar scores are 8
and 9 respectively. Routine procedures are carried out.
89. When is the APGAR Score taken? [1]
C. At 1 minute after birth and at 5 minutes after birth
90. The best way to position a newboarn during the first week of life is to lay him [3]
B. On his back, flat
20. 91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1]
A. Milia
92. Baby boy perez must be carefully observed for the first 24 hours for [2]
A. Respiratory distress
93. According to the WHO , when should the mother starts breastfeeding the infant? [4]
A. Within 30 minutes after birth
94. What is the BEST and most accurate method of measuring the medication dosage for infants and children? [3]
C. Nomogram
95. The first postpartum visit should be done by the mother within [4]
A. 24 hours
B. 3 days
C. a week
D. a month
96. The major cause of maternal mortality in the philippines is [3]
D. Other complications related to labor,delivery and puerperium
97. According to the WHO, what should be the composition of a commercialized Oral rehydration salt solution? [4]
A. Potassium : 1.5 g. ; Sodium Bicarbonate 2.5g ; Sodium Chloride 3.5g; Glucose 20 g.
98. In preparing ORESOL at home, The correct composition recommnded by the DOH is [4]
A. 1 glass of water, 1 pinch of salt and 2 tsp of sugar
99. Milk code is a law the prohibits milk commercialization or artificial feeding for up to 2 years. Which law provides its
legal basis? [4]
D. EO 51
100. A 40 year old mother in her third trimester should avoid [4]
C. Smoking
(darn! i got tired of answering those CHN questions! kindly check my answers, dervid)
Posted by
jr_robis | 12:16 PM
im going to change my answer... hehehe, fetoscope can be used to hear FHT at 4 mos. doppler at 3 mos. and stethoscope
at 5 mos.
3 mos. - Doppler
4 mos. - Fetoscope
5 mos. - Stethoscope
21. Posted by
jr_robis | 12:19 PM
Is this the exam leakage that they were talking about?
thanks
Posted by
rn_crucial | 5:17 PM
about question #95 the answer should be ONE WEEK AFTER POSTPARTUM and on number #98, the answer should be itsp
of sugar, 1 pinch of salt in a glass of water.
Posted by
Anonymous | 1:27 PM
86. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR [4]
I think it is dick-read's theory.
Posted by
Anonymous | 2:31 PM
pls check answer # 26 ovulation is 14 days before the next cyle (MCN by Olds) so di badapat subtract 14 days kaya
ngasaques 30 if cycle is 35 days ovulation is on the 21st day and also pls check answer # 42, elements of RH, I checked
the DOH book and family planning is included.
Posted by
Anonymous | 9:19 PM
Pls. check answer # 49 vision of RH (DOH book) is : Reproductive health practice as a way of life for every man and
woman throughout life. Also # 38 Strategy of DOH is to increase andd improve use of more effective or modern
contraceptive methods. Increase the type of methods offered available in the program.