Quiz on highlighted topics above 8pts + 7pts Normals on 3Ps of Birth (Passenger, Passageway, Power and Psyche) 10:00-10:30 Nursing Care of the client with High-Risk Labor & Delivery t & her Family (10:30- 11:30) 1. Problems of the PASSENGER a. Fetal malposition: OCCIPITOPOSTERIOR POSITION - nursing and medical management b. Fetal malpresentation i. Breech presentation ii. Brow presentation iii. Face presentation March 27, 2017, Monday (10:00-11:30) Quiz on previous topic(9pts) and concepts on Prolapse of umbilical cord, shoulder dystocia and transverse lie(6pts) c. Prolapse umbilical cord i. Cause ii. Contributing factors iii. Assessment &nursing diagnoses iv. Nursing interventions d. Shoulder dystocia e. Transverse lie March 28, 2017, Tuesday (10:00-12:00) Recitation and discussion: 2. Problems with the PASSAGEWAY a. Cephalopelvic disproportion b. Abnormal size or shape of the pelvis - inlet contraction - outlet contraction c. Nursing and medical management - Trial labor - External Cephalic version - Forceps Birth - Vacuum Extraction 3. Problems with the Powers a. Dystocia or difficult labor - hypertonic uterine dysfunction - hypotonic uterine dysfunction
March 29, 2017, Wednesday (10:00-11:30)
Short quiz on Abnormal Progress in Labor - abnormal progress in labor * Dysfunctions in the 1st stage of Labor: - Prolonged Latent Phase - Protracted Active Phase - Prolonged Deceleration Phase - Secondary Arrest of Dilatation * Dysfunctions in the 2nd stage of Labor - Prolonged Descent - Arrest of Descent April 3, 4 &5 2017, Monday (10:00-11:30) ACTIVITY/QUIZ/INTEGRATION PERIOD April 10, 2017, Monday (10:00-11:30) - - Contraction Rings b. Precipitate Labor - Induction and augmentation of labor c. Uterine Rupture and inversion April 11, 2017, Tuesday (10:00-12:00) Pre-quiz on anomalies of the Placenta and the Cord 4. Anomalies of the Placenta - Placenta Succenturiata - Placenta Circumvallata - Battledore Placenta - Velamentous insertion of the cord - Vasa previa - Placenta accrete April 12, 2017, Wednesday (10:00-11:30) 5. Anomalies of the Cord - two-vessel cord - unusual cord length 6. Problems with the Psyche factors April 17, 2017, Monday (10:00-11:30) Nursing Care of the High-Risk Postpartal Client 1. Postpartal Hemorrhage a. Uterine atony b. Lacerations: Cervical, Vaginal and Perineal c. Retained placental fragments d. Subinvolution e. Perineal hematomas April 18, 2017, Tuesday (10:00-12:00) Post-quiz and Pre-quiz, Coverage: April 17 and April 18 topics 2. Puerperal Infection a. Endometritis b. Infection of the Perineum c. Peritonitis 3. Thrombophlebitis d. Femoral thrombophlebitis e. Pelvic thrombophlebitis f. Pulmonary embolus 4. Mastitis April 19, 2017, Wednesday (10:00-11:30) 5. Postpartal Psychiatric Disorder - Pospartum blues - Postpartum depression - postpartum psychosis
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