NCM-107-LECTURE-NOTES.iugiyg8igt87t (1).pptx

NCM 107 lecture notes

1. 5 HYPERTENSIVE DISORDERS OF PREGNANCY

2. CHRONIC HYPERTENSION – 10 TH WEEK OF GESTATION LAST UPTO 20WKS AOG

3. GESTATIONAL HYPERTENSION – OCCURS AT 20WKS AOG UPTO 6WEEKS POSTPARTUM – INCREASED BLOOD PRESSURE OF 140/100 AND ABOVE

4. VASOCONTRICTION – NARROWING OF THE BLOOD VESSELS BECAUSE OF THE PLAQUE FORMATION – FAT SOLUBLE FORMATION PRE-ECLAMPSIA - STARTS AT 20WKS AOG UPTO 6WKS POSTPARTUM. CARDINAL SIGNS – INCREASE BLOOD PRESSURE EDEMA -PROTEINURIA

5. COMMON LABORATORY TESTS FOR PREGNANT WOMEN CBC – HEMOGLOBIN LEVEL CHEST XRAY – PNEUMONIA/ TB URINALYSIS – GLUCOSE LEVEL/PROTEIN HBSAG – HEPA B TEST VDRL/SYPHILIS TEST – HIV/AIDS

6. ECLAMPSIA SEIZURE

7. MAGNESIUM SULFATE POLYAMP FORM – LIQUID 6 DOSES AS STANDARD MEDICATION TOXIC – MAGNESIUM TOXICITY – COMA –

8. MAGNESIUM SULFATE CONSIDERATIONS RESPIRATORY RATE – 12-20BPM CLINICAL – 16-20BPM URINE LEVEL – 30-50ML/HR DEEP TENDON REFLEX - +2/+1

9. POSITIVE MAGNESIUM TOXICITY ANTIDOTE – CALCIUM GLUCONATE – POLYAMP FORM – LIQUID THRU INTRAVENOUS LINE.

10. HELLP SYNDROME HEMOLYSIS – RUPTURE OF RBC ELEVATED LIVER ENZYME LOW PLATELET -

11. NORMAL VALUES TEMPERATURE – 36.5 – 37.5 RR NEWBORN – 30 – 60 BREATHS/MIN RR ADULT – 12-20BPM = 16-20BPM PR NEWBORN – 120-160CPM PR ADULT – 60-100CPM BLOOD PRESSURE - <120/80 MMHG SYSTOLIC – 90-120 DIASTOLIC – 60-90 O2 SATURATION – 95-100%

12. TERM – 38WKS TO 42 WEEKS PRETERM – 37WEEKS AND BELOW POST TERM – 42 WEEKS AND ABOVE

13. 4 STAGES OF LABOR

14. 1 ST STAGE OF LABOR PUSHING STAGE TRUE DILATION PROGRESS OF LABOR 3 PHASES LATENT/EARLY PHASE 0-3CM DILATION – INTERNAL EXAMINATION ACTIVE PHASE 4-7CM DILATION TRANSITIONAL PHASE 8-10CM DILATION

15. 2 ND STAGE OF LABOR - DELIVERY OF THE BABY – OXYTOCIN TO THE MOTHER - INDICATION: PROMOTE MILK PRODUCTION AND ALSO TO PROMOTE UTERINE CONTRACTION.

16. BREASTFEEDING BREASTFEEDING PER DEMAND BABIES WEIGHT MICROSOMIA – BELOW 2.5KG MACROSOMIA – ABOVE 3.5K NORMAL WEIGHT – 2.5KG TO 3.5KG HYPGOLYCEMIA – LOW BLOOD SUGAR

17. HOW TO CHECK IF THE BABY IS ALREADY HUNGRY? LIP SUCKING MOUTH MOVEMENT MOVEMENT OF THE LOWER AND UPPER EXTREMITIES CRYING – DIAPER IS FULL

18. 3 RD STAGE OF LABOR PLACENTAL DELIVERY LAST UPTO 30MINUTES - > MEDICAL EMERGENCY 4 SIGNS OF PLACENTAL SEPARATION LENGTHENING OF THE CORD FUNDUS BECOMES GLOBULAR SUDDEN GUSH OF BLOOD UTERINE CONTRACTION

19. 2 TYPES OF EPISIOTOMY MEDIAN MEDIOLATERAL

20. 2 TYPES OF PLACENTA SCHULTZ – SHINY PLACENTA DUNCAN- DIRTY PLACENTA

21. 4 TH STAGE OF LABOR RECOVERY STAGE POSTPARTUM STAGE CHECK THE VITAL SIGNS FOR 2HOURS STARTING FROM THE DELIVERY OF THE BABY. Q15 MINUTES VITAL SIGNS TAKING FOR 2HOURS.