ZOrAQNFAH CARE OF PATIENT IN TRACTION Extremit Temperature 2 Infection Ropes Hang Freely Alignment Circulation Check (5 F’s) Type & Location of Fracture Increase Fluid Intake Overhead Trapeze No Weights On Pea Or Floorfe. 134 oe eS %. CARE OF ys Rs eo © * Elevate Residual Limb The First 24 Hre * Prevent Contracture Of * Promote Good The Joint Avove Amputation Circulation * Discuss Phantom Limb Pain In Extremity * Analgesics * Promote Comfort * Evaluate Healing * Compression Dressing To Prevent Edema * Discourage Semi-Fower’s Position In Patient With AKA To Prevent PATIENTS WITH Contractures Of The Hip * Observe For La AMPUTATIONS gS "29+ Aosese For Skin Breakdown * Wash, Rinse & Dry Residual Limb Daily 2 * Do Not Apply Anything To Residual Lim KO AlcoholmempDries Lotions Skin Too Som oy) * Encourage Patient To Wear Prosthesis When He Gets Up & All Day To Prevent Residual Limb Swelling «Teach Patient that Leather and Metal Farts of Prosthesis | Should Not Get Wet * Promote Optimum Level of MobilityTRACHEAL - ESOPHAGEAL FISTULA (3C*) C- Choking C- Coughing C ° Cyanosis BB ottreing Education Conouttant inSTAGES OF LABOR (Stage of Cervical Dilation) Begins with onset of regular contractions and ends with complete dilation Latent—> Active—> Transitional -Firet Stage - en) (ee (Stage of Expulsion) Begins with complete cervical dilation and ende with delivery of fetus. y - Second Stage - (Placental Stage) Begins immediately after fetus ie born and ende when the placenta io delivered. - Third Stage - (Maternal Homeostatic Stabilization Stage) Beging after the delivery of the placenta and continues for one to four hours after delivery. = Fourth Stage -PRENATAL CARE Presum Foriods N&V Sears Urination Breast Changes Quickening Probable OPG Tet Enlarged Abdomen Hegar's Sign Softening of Uterus Chadwick's Sign Bluish Vagina Goodel's Sign Softening of the Cervical Lip Ballottement - Fetus Rebounds Braxton-Hicks Contractions Fositive FHR Fetal Movement ~Visible + Felt By Examiner Fetal Sonography RH@or . VORURPR CBC UA Hepatitis B Screen 18. Skin Teot HY Screen Glucose Screening Lab Test? | 7-10 Days After Conception Radloreceptor Asoay (RRA) Radioimmunoassay (RIA) Enzyme Linkes Immunosorbent Aeeay (ELISA) History & Physical Ciaiiais > x Obstetric History Schedule Prenatal Visits Vitals Fara’ Gravida uA Weight: L G Height of Fundus FHRPOSTPARTUM ASSESSMENT Mev» c Breasts Uterus Bowels Bladder Lochia Episiotomy/Laceration/ C-Section IncisionPHYSIOLOGIC CHANGES Sesisttnsiiti Ta ee cca *T Need for H.0- os * Tidal Volume ites IN PREGNANCY ‘Meg Sten" fh # T Lumbosacral Curve * Altered Center of Gravity © Duck Wading Gait. #1 Breast Size * Heaviness, Tingling * Darkening of Nipple * Colostrum { Blood Volume ~ 40-50% * THR 10-19 beateimn #1 Cardiac Palpitations + Slight @BEnurgerent * Murmurs Pregnancy GingMile * Poeuscanomia tae ~ Ptyaliom Gastric Keidiny NY, Heartburn # [Tone & Motilty of Smooth Muscles lcmorrhcide & Constipation Lemptying of the gallbladcer Estrogen Influence ‘# Smooth Muscle Hypertrophy lyperplasia of Lining hick White Secretion ~ Loukorrh: ecrequerey *T Biba tone 1 [Reval noshold for Sugar 2 Glomerular eteraton ‘arical Sottering ~ Goodall's Sign Mucus Piug Color of Mucosa © T Skin Pigmentation Facial Mask — Chioaoma re Vulgario ty Bonel Metabolc Rate ermatitis fascular Spider Novi TFacachyroia Actiy © ABD - Stretch Marke ~ Striae Gravidsrum Linea Nigra Produces FEM, LM, Thyrotropin Aarenoseopin & Prolactin @Nursig EAication Consultants, ncNON-STRESS TEST 3 Negatives in a row to interpret results of non-stress test N Non-Reactive N Non-Stress is N Not Good BH eisring Education Conetantn aHE ary t ge Sleeps 16-20 hours a day the first 2 weeks, General Characterietice: ree ff W810 52cm ae Circulatory System: Blood Aow from uel vessels & plecenta stops Clogure OF at orth fe Ductus Arterceus SFeramen Ovele * » Dictus Venza. + Pulmonary Circulation ransitory Murmurs Hands & Fact = Ph ectee res: 6 Heat Rate 120 10160 Beataltin RO? \ Sj Temp Heat Loss Due To: Evaporatior Persie from ont ign Lung Maturation <" 26th Week Gectation Convection - Body heat to cool air flow. Pe de uatocten Rak Conduction - Body heat to blankets, atc. Aelia 38th Weok Gestation Radiation - Heat lose to cool temps, © Reap fore «| 02 Consumption t Utilization of Glucose (Hypoglycemia < 45mgis) ‘& Brown Fat Need for Calories tRivk Metabolic Acidosio 1 Surfactant Production e 3.400 grams (Average) or Tle. Bor: Usually to 10% wt, lose tot fow days. Regained within 10-14 days ieadt > Molding 3 Elongated as Caput Succedaneum>Edema > Measurement >33,cm. to 35 om (15-14 in.). Circumference x (ised w2to em than oo) > Fontanels » Bulging? or Sunker? Extremes in Size May Indicate mi Microcephaly, Hydrocephaly or ICF_ 9 * Umbilical Cord = 2 Arteries & 1 Vein Obeain cord blood sample ery oom. Lung Function after BS onersng eacation consitanta in Within the Tet minute of birch “lous Busty Cry “Ne Byspnea 26 Retlactlons Roep Rate 30-60 / Min Kaphragmatic & Abcominal Muscle ised lose BreathorSS HIGH RISK NEWBORN TEMPERATURE NURSING INTERVE} ITIONS BR Minimize Cold Stress. ! PK Maintain Skin Temp. 36.1°- 36.7°C (96.8°-97.7°F) Continuously Monitor Ternp, We Prevent Rapid Warming or Cooling Pe Use A Cap To Prevent Heat Loss From Head. RESP FUNCTION ¥ Position T 02 - Semiprone/Side Lying. Maintain Resp Tract Fatency. ee ee We Stimulate > Remind to Breathe. 4K Monitor For Hypoglycemia. $ Monitor O2 Therapy. # Assess Tolerance Of Oral Or Tube Feedings. $® Access Resp Effort. $#X Monitor Hydration Closely. © Grunting WE Assess For Gastric Residual, Bowel Sounds, * Nasal Flaring Change In Stool Pattern, Abdominal Girth. * Cyanosis Monitor Weight Gain Or Loss. © Apnea iri Eascaton Conon is