Document including photos or drawing seek social services to support you. Do a safety assessment including children and be aware that as a nurse you are a mandated reporter meaning that if you suspect a child was involved in abuse, you must report to Child Protective Services. It isn't you're just going to kind of see how things go, you are mandated to do your reporting. Collaborate including security personnel, and make sure you have safety protocols on board for labor and delivery in our documenting those protocols. < Normally, I take my students to Hillcrest hospital for clinicals. When patients come into the hospital, they can do what's called “ acting out”. They act out of hiding certain people be around them about being allowed into the lock OB unit during the time there in the hospital. < They sign a document, which is shared with all of the nurse managers on the varying parts of OB. It is posted behind the locked door. So, the secretary doesn't leave let them into the unit incidentally. It is part of something shared with security. We need to have safety protocols documented IPV Resources Local resources: ◼ 216-391-HELP ◼ 216-619-6192 ◼ Ohio Domestic Violence Network 800-934-9840 Here are some local resources for intimate partner violence. We're fortunate in Ohio, and that we have many then we can access. And lastly, the most damaging aspect of abuse is a trauma to our hearts and souls from being betrayed by the people that we love and trust. Love doesn't hurt 57
Pregnancy as a Critical Period • Good nutritional status – Optimizes maternal health – ↓ risk of birth defects – ↓ risk of suboptimal fetal development – ↓ risk of chronic health problems in offspring They in an ideal world every woman would enter pregnancy in the best nutritional shape of her life. If she was in good nutritional status, she would do better as well as the fetus the offspring doing better. Pregravid Weight • Obese: – Spontaneous abortion, gestational HPN, preeclampsia, gestational diabetes, C/S (+ wound complications), PPH – ↑ neural tube defects, other congenital anomalies, macrosomia – Childhood obesity • Underweight: – premature delivery, LBW, IUGR – “programs” for adult heart disease,type II diabetes, hypertension, hyperlipidemia The problem is, less than half of women come into pregnancy at a normal pre gravid weight. 58
In America we have a lot of obesity. And because of this, obese women entering pregnancy are at higher risk for < miscarriage < gestational hypertension < preeclampsia - the most common hypertensive disorder of pregnancy, < gestational diabetes < C-section. And when they have cesarean sections are more likely to have wound complications such as infections and wound dehiscence.
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- Ectopic pregnancy, hCG