Describe the stages of labor, noting dilation and effacement and give any pharmacological interventions that may be needed for pain management or to augment labor.
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- The nurse is assessing a client with suspected endometriosis. Which of the following findings would support a diagnosis of endometriosis? Dyspareunia Hot flashes Weight gain AmenorrheaIdentify at least 5 theories of labor. Identify 3 methods to manage pain in Childbirth. Give a description of each Childbirth Method.Recognize risk factors for postpartum hemorrhage. Identify postpartum hemorrhage due to uterine atony. Demonstrate teamwork and communication skills during a simulated postpartum hemorrhage. Mrs. Marla Togan is a 38-year-old G3P2 who was admitted in active labor at 39 + 3 weeks and had a spontaneous vaginal delivery 30 minutes ago. Her delivery was uncomplicated. She had a first-degree laceration that did not require repair. She is approximately 30 minutes postpartum and has just called out because she is feeling dizzy and had more bleeding. Her initial vitals are - BP 130/80, HR 105bpm, R 18bpm, EBL (expected blood loss) 500cc. Her vitals now read - BP 90/66, HR 125bpm, R 22bpm, EBL 1000cc (American College of Obstetrician and Gynecology 2019). Lab Data Hemoglobin: 12.2 Hematocrit: 36.6 WBC: 12,000 Platelets: 218,000
- A nurse explains that the efficiency of the basal body temperature method of contraception depends on fluctuation of the basal body temperature. What factor will alter its effectiveness? 1. Presence of stress 2. Length of abstinence 3. Age of those involved 4. Frequency of intercourseDiscuss the nursing interventions for a patient with endometriosis.Briefly describe the variety of disorders affecting women’s health and the drugs used to treat them
- List two different classifications of drugs used for pain relief during labor and birth, and include potential side effects of the drugs on the fetusDiscuss the complications of Multiple pregnancy and complications of pregnancy associated with Maternal disease such as Diabetes, hypertension. Also include fetal risk that may be occur due to these conditions.Describe the permanent sterilization procedures for both males and females. Be sure to mention the anatomy that is affected and the mechanism as to how this procedure will permanently prevent conception. AND THEN ALSO discuss at least two forms of reversible contraception. For each, identify how they function as well as any possible side effects, if any.
- Describe 5 common laboratory or diagnostic tests done during the antenatal period and state the purpose(s) of each.Identify drug-related concerns during pregnancy and lactation and provide an explanation of the physiologic basis for these concerns.Summarize the stages of labor and delivery through the following table: Stages Phases/ Description Salient events Duration & interval of contractions (IF APPLICABLE) Intensity of contractions (IF APPLICABLE) Nursing care (instructions, Breathing techniques if necessary) stage 1 stage 2 stage 3 stage 4