ch14 - Chapter 14 Obstetrics Topics The Prenatal Period...

Info iconThis preview shows pages 1–21. Sign up to view the full content.

View Full Document Right Arrow Icon
Chapter 14 Obstetrics
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Topics The Prenatal Period General Assessment of the Obstetric Patient General Management of the Obstetric Patient Complications of Pregnancy The Puerperium Abnormal Delivery Situations Other Delivery Complications Maternal Complications of Labor and Delivery
Background image of page 2
The Prenatal Period The prenatal period is the time from conception until delivery of the fetus.
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 4
Anatomy and Physiology of the Obstetric Patient Placenta—organ of pregnancy Afterbirth—placenta and membranes that are expelled from uterus after the birth of a child (bring to the hospital to ensure no retained products) Umbilical cord—structure that connects fetus and placenta Amniotic sac—membranes that surround and protect the developing fetus Amniotic fluid—clear watery fluid that surrounds and protects the developing fetus
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 6
Physiologic Changes of Pregnancy (1 of 2) Reproductive System Uterus increases in size. Vascular system. Formation of mucous plug in cervix. Estrogen causes vaginal mucosa to thicken. Breast enlargement. Respiratory System Progesterone causes a decrease in airway resistance. Increase in oxygen consumption. Increase in tidal volume. Slight increase in respiratory rate.
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Physiologic Changes of Pregnancy (2 of 2) Cardiovascular System Cardiac output increases. Blood volume increases. Supine hypotension. Gastrointestinal System Hormone levels. Peristalsis is slowed. Urinary System Urinary frequency is common. Musculoskeletal System Loosened pelvic joints.
Background image of page 8
Fetal Development Time of fertilization - conception 40 weeks from 1st day of LMP EDC = estimated date of confinement Each trimester is thirteen weeks or three months 3 stages Preembryonic Embryonic Fetal
Background image of page 9

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Fetal Developmental Milestones
Background image of page 10
Milestones 16 wks - determine gender 20 wks - fetal heart tones 20 wks - fetal movement 28 wks - can survive if born premature 38 wks - considered term
Background image of page 11

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Fetal Circulation Placenta provides O2 and nutrients via the umbilical vein Connects directly to the inferior vena cava via the ductus venosus Blood is shunted around the lungs and GI tract
Background image of page 12
OB Terminology Gravidity - # of pregnancies Parity - # carried to term Primigravida - 1st time pregnant Multigravida - pregnant more than once
Background image of page 13

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Fetal Circulation
Background image of page 14
Fetal Blood Supply
Background image of page 15

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
General Assessment of the Obstetric Patient (1 of 3) Initial Assessment History—SAMPLE EDC Pre-existing Medical Conditions Diabetes, heart disease, hypertension, seizure Pain Vaginal Bleeding Labor
Background image of page 16
General Assessment Diabetes Heart Disease Hypertension Seizures Neuromuscular disorders Pain Vaginal bleeding Labor
Background image of page 17

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Physical Exam Maintain privacy Fundal height - distance from synphysis pubis to the top of uterus Vital signs Place left lateral Exam the genitalia (only observe do not touch)
Background image of page 18
General Assessment of the Obstetric Patient (2 of 3) Physical Examination Asses fundal height to determine gestation.
Background image of page 19

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
the Obstetric Patient (3 of 3) Do not perform an internal vaginal examination in the field. Always remember that you are caring
Background image of page 20
Image of page 21
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 03/25/2010 for the course PAR 100 taught by Professor Alan during the Spring '10 term at Miramar College.

Page1 / 68

ch14 - Chapter 14 Obstetrics Topics The Prenatal Period...

This preview shows document pages 1 - 21. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online