1. knowing love and fall from it is desirable than seen in
love that has not been fallen to,,,,,,,,
End of april 6500
Stressed out and don't have time for massage, facial or visit to the spa?
Cut up an entire cucumber and place it in a boiling pot of water, the
chemicals and nutrients from the cucumber will react with the boiling water
and be released in the steam, creating a soothing, relaxing aroma that has
been shown to reduce stress in new mothers and college students during
final exams.
NURSING PROCESS
1. Assessment
2. Analysis
3. Planning
4. Implementation
5. Evaluation
CLIENT NEEDS CATEGORIES
1. Safe, effective care environment
2. Health promotion and maintenance
3. Psychosocial integrity
4. Physiologic integrity
NAGELE RULE (lmp)
- 3 months + 7 days
BRAXTON HICKS contractions
- BRAXTON HICKS contractions are contractions of the uterus during pregnancy. They are
characterized by a painless tightening of the uterus, occurring sporadically and infrequently
from approximately the sixth week of pregnancy, although many women do not notice them
until more than half-way through the pregnancy. These contractionswere first documented by
John Braxton Hicks, an English obstetrician, in 1872. They are also known as
“practice” contractions, because they slowly prepare the uterus for the real contractions it will
undergo during labor and delivery.

2. - While Braxton Hicks contractions are harmless, it is often difficult for pregnant women to
distinguish between them and preterm labor, which can be more serious. If a woman is less
than 37 weeks pregnant, she should monitor the Braxton Hicks contractions if there are four
or more in a hour. If the contractions become rhythmic, painful, or increasingly frequent,
accompanied by menstrual-like cramping or abdominal pain, then she should contact her
medical provider or midwife immediately. These symptoms, along with vaginal bleeding or
spotting or watery, mucous discharge that is clear, pink, or blood-tinged are all signs of pre-
term labor. Pelvic pressure and lower back pain accompanied by
increasing Braxton Hicks contractions are also cause for concern.
OXYTOCIN
Secreted by posterior pituitary gland
LABOR and DELIVERY PROCESS
Nuchal cord
Cord rounding the neck
Cardiff count-to-10 method
Kick count of 10 in period of 1 hour
SHAKE TEST
Determine maturity of fetal pulmonary system
Or do LECITHIN –SPHINGOMYELIN RATIO in conjunction w shake test
SONOGRAM
Used to validate rupture of the membranes with an amniotic fluid index
NITRAZINE PAPER turns blue
If water has broken or rupture of membrane+
OXYTOCIN
For contraction
May result to hyperbilirubenimia to infant

3. METHERGINE
Contract uterus
May cause hypertension/ aggravate
INDOMETHACIN
Halts preterm labor
BETAMETHASONE
Enhances fetal lung maturity
Magnesium Sulfate: calcium gluconate
A central nervous system depressant
Magnesium toxicity
s/s absence of patellar reflex
Hypermagnesimia
s/s deep tendon reflexes
sweating
flushing of skin
oliguria
impaired respirations
lethargy
progression to COMA
glucocorticoids such as bethamethasone
to enhance fetal lung maturity
LABOR 3 phase
Latent q 2 hrs FHB monitoring 6hrs labor
Active q 30 mins FHB monitoring
Transition q 5-10 mins FHB monitoring
ISCHIAL SPINES

4. Used as landmark to determine the descent of the fetal presenting part
Prostaglandin gel
Cervical refining
External cephalic version
Turning of fetus/ correct presentation
placenta praevia
placenta is abnormally implanted
covering a portion or all of the cervical os
painless vaginal bleeding
with bleeding ; thus: there is exposure of maternal blood sinuses
abruption placenta
?hypovolemic shock
HOMAN’s sign
Indicative of thrombophlebitis
HEPARIN
Prevent blood clot

5. A major omplication of deep vein thrombosis is pulmonary embolism
Heparin therapy
Antidote is Protamine sulfate
Warfarin excess
Antidote is Vit K
Cystitis is a urinary bladder inflammation
Mastitis is the inflammation of breast tissue
May continue to give breast milk
DOWN SYNDROME
A genetic abnormality that is
caused by extra chromosome
resulting mental retardation
1oz = 30cc
CIRCUMCISION
Plastibell
Gomco clamp
Head circumference 2 cm larger then chest circumference
Simian crease
Single crease in palm
s/ down syndrome
Pneumothorax
Alveoli are over distended, subsequently lung collapses
Compressing heart and lung

6. And compromising the venous return to the right side of the heart
Diaphragmatic hernia
Associated w respiratory distress soon after birth
Altered somatotropin secretion
Associated w growth disorders; gigantism or dwarfism
Altered testosterone secretion
Associated w masculinization
Altered progesterone secretion
Associated w spontaneous abortion
Breasfeeding position
Lying down position
G P A O
Pneumothorax
Accumulation of air in thoracic cavity
Polycythemia
Evidenced by elevated hematocrit
Suggest hypoxia or congenital heart disorder
YOGA NIDRA
Bilirubin encephalopathy
Absent moro reflex, lethargy, opisthotonos

7. RESPIRATORY HEALTH PROBLEMS
Tonsillitis
Otitis media
Foreign body aspration
Asthma
Cystic fibrosis
Bronchopneumonia
SIDS
CPR
Croup
Bronchiolitis
CARDIOVASCULAR AND HEMATOLOGIC HEALTH PROBLEMS
Cardiac catherization
TOF
Rheumatic fever
Kawasaki ds
Sickle cell anemia
IDA
Hemophilia
Leukemia
UPPER G I T
Cleft lip and palate
Tracheoesophageal fistula
Anorectal anomaly
Pyloric stenosis
Intussusceptions
Inguinal hernia
Hirschsprung’s ds
Diarrhea and gastroenteritis
Appendicitis

8. OTHERE
Celiac ds
Food intolerance- caused by gliadin: protein gluten
PKU phenylketonuria
Lack of enzyme to metabolize phenylalanine to tyrosine
Inborn error of metabolism
Colic
URINARY PROBLEMS
Cryptorchidism
Hydrocele
Hypospadias
UTI
Glomerulonephritis
Nephritic syndrome
Renal failure
Wilms tumor
NEUROLOGIC HEALTH PROBLEMS
Myelominingocele
Hydrocephalus
Down syndrome
Seizure disorder
Meningitis
Near drowning
Guillain-Barre syndrome ( infectious polyneuritis)
Head injury
Brain tumor

9. Spinal cord injury
MUSCULOSKELETAL
Musculoskeletal dysfunction
Cerebral palsy
Duchenne’s muscular dystrophy
Developmental dysplasia of the hip
Congenital clubfoot
Juvenile rheumatoid arthritis
Fracture
Osteomyelitis
?
Atrial fibrillation
Ventricular tachycardia
PVCs
Sinus tachycardia
Fresh frozen plasma or vitamin K
Used to reverse warfarin sodium’s anticoagulant effect
Protamine sulfate
Used to reverse the effect of heparin
Is used to help combat persistent bleeding
Warfarin sodium and heparin
Are anticoagulant