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A 29 y/o, G3P2, 35 weeks gestation presents for prenatal care. She complains of on and off scanty vaginal bleeding not associated with other signs and symptom. Your impression is placenta previa. The simplest, most precise and safest method to confirm your diagnosis is which of the following?
- Sonography
- Magnetic resonance imaging
- Computed tomography
- Double set-up examination
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- A dilatation and curettage (DC) for missed AB (missed abortion is the technical term for miscarriage) is on the OR schedule. Danny, a CST, finished setting up and went to the preoperative care unit (PCU) to help the circulating nurse bring the patient back to the OR. The young woman was tearful and said she had been told the 16-week fetus had been infected with a parasite she may have gotten from her cat. Her husband was deployed overseas and she had no one to help with cleaning the house. To which parasite was she likely exposed?Maternal and Newborn Health Unit Liverpool School of Tropical Mediine LSTM/RCOG Lie Saving Skilh -Eential (Emergency) Obstetic Care and Niewborn Care LSTM Symbols Usual frequency of examina tion Cervix Vaginal examination 4 hourly Head X - X hourly Fetal Heart Rate Breech Fetal heart rate Contractions: Palpate abdomen (uterine fundus)over 10 min. «20 seconds Mild Amniotic fluid Maderate 20-40 seconds Membranes intact Strong >40 seconds Membranes ruptures, clear fluid Descent: Abdominalpalpation Meconium stained fluid M 45 35 2 Biood stained fluid Abdomer Moulding Sutures apposed Helve covty Sutures overlapped but reducible 2+ Conpety Sp Sincipa Encixt Groput re M Ng y Sutures overlapped but not reducible Ocuut Ou Ox O jae ra 1. WHO Managing compications in pregnancy and chidbirm 1 Matemal and Newban Health Unit iverpool School of Tropical Medicine LSTM/RCOG Life Saving Skils-Easential (Emergency) Obstetric Care and Newborn Cam LSTM Name: Mrs DG Partograph Case 3 Hospital No.: 462432 XY…Mrs. Vanessa Narciso , 22 year old Gravida 1 Para 1 delivered spontaneously to a live Isaby girl weighing 3,600 grams. Immediate postpartal care is done by Nurse Marina who is assigned to her. After the delivery has been completed, the following Interventions are done, except which of the following? Monitor her VS (every 10-15 mins) Lower her legs from the stirrups one after the another Cover her with blanket to avoid chilling Linen under her buttocks are replaced with a sterile perineal pad.
- Tracy is a 25-year-old woman, Roman Catholic, from a semi-remote First Nation Community, L.A., Laguna. She is 37weeks pregnant, 65 kgs and attending a prenatal visit with her community nursetoday. This is her third pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. She stated that she experience minimal vaginal discharge, with mild contraction.Tracy is very quiet and makes limited eye contact during visit. Tracy’s pregnancy has been fairly uneventful. Laboratory values (Complete blood count (CBC), hepatitis B Screening (HBSag) ,Urinalysis(UA), ABO typing) and vital signs have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. During her visit the nurse told her the labor signs and symptoms and when to go for hospitalization.Mrs. Zexy Lucero, 25 years old, G1PO, 39 4/7 weeks age of gestation is in labor. Internal examination revealed: cervix 5-6 cms dilated, 50% effaced, cephalic, Station 0, (+) BOW. External fetal monitoring revealed a variable decelerations. Nurse Zasha is preparing for cesarean birth. Which of the following activities should not be implemented without clarification by Nurse Zasha? (Select all that apply) Slow the intravenous flow rate. Continue the oxytocin drip if infusing. Place the client in a high Fowler's position Administer oxygen, 8 to 10 L/ minute, via face maskErika, a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole 500…
