PPT 15 NOTES.pdf AAAAAAAAAAAAAAAAAAAAAAA

MATERNAL AND CHILD HEALTH NURSING

1. NCM109A|CareofMotherandChildatRiskorwith
Problems(AcuteorChronic)
INTUSSUSCEPTION
INTUSSUSCEPTION-adisorderwherein,thereisan
infoldingorthetelescopingactionoftheintestinallumen.
“Telescoping”meansnarrowing.
-Ifthereisswelling,thereisadevelopmentofinflammation.
DuringIntussusceptionbowelsoundisdiminish(absentang
bowelsounds)
-Normalbowelsound(5-30times/minute)
-Normalsoundsofbowelmovement
Gargling
Episodesofburburigmi
LethargicPatient
Markeddrowsiness
Unusuallackofenergy(mentalalertnessisdepleted)
PseudokidneySigns
-itwillshowthatthereisakidneyshapeappearanceofthe
massduringtheUTZintheabdominalarea
-thecharacteristicsofthemorphologicchangesofthe
intrussusceptiveintestinalsegment
ContrastEnemaisjustthesamewithBariumEnema
-thisprocedureusesX-rayandisaidedwithwatersoluble
contrastoradyecontainingbarium
-itwillshowthestructureofcolon,rectum,largeintestine
-itmagnifiesaffectedarea
“Insufflation”-theblowingofairgoingtothebodycavities
pecificallyintothestomach

2. ParaumbilicalIncision-theintussusceptedpartisdeliveredinto
thewoundandmanuallyreduced
PeriumbilicalIncision-donebycreatinganincisiontorepair
intestine
FAILURETOTHRIVE
Affected:Earlychildhood
Milkintolerance-thebodycannotabsorbmilkproducts
MetabolicDisorder-makeithardforthebodytobreakdown,
toprocessortotakeenergyfromfoodkaydilima-process
thoroughly
COMMONMETABOLICDISORDER
Gastroesophagealreflux
Chronicdiarrhea
Liverdisease
HighRBC&WBCresultinCBC-indicatesthatthereisa
possibleinfection
SpecificGravity-theevidenceofinfection;itmeasuresthe
ratioofurinedensitycomparedwiththewaterdensity,andthe
bodiesabilitytoconcentrateurine
Normalvalueforspecificgravity-1.005-1.030

3. OccupationalTherapist-considerthepatientneedsinthecourse
oftreatment
SocialWorkers-actsasaadvocatefortheunderprivilege
people
Psychologist-theyarenotmedicaldoctorsbuttheycanfocus
onpsychotherapy
Psychiarist-theyaremedicaldoctorsthatcanprescribe
medicationandcandiagnoseillness
DIET:HighCaloricFood(energy-richedfood)
-wholemilk,banana,egg,chicken,vegetables
TRISOMY21/DOWNSYNDROME
Chromosome21-achromosomethatcontains200-300genes
thatwillprovideinstructionsformakingproteinsinourbody
Oldermothersproducedoldereggsthathaveagreaterriskfor
improperchromosomedivision
GENETICTEST-atestduringthefirsttrimester
(10-13weekAOG)
-ChorionicVilliSampling
-Amniocentesis
Othersymptoms-shortattentionspan,shortauditorymemory
UTZScan-usetoshownuchaltranslucency

4. GeneticTest-anacceptablescreeningtestforTrisomy21
duringthefirsttrimester
CLEFTLIP&CLEFTPALATE
NasalVigordutation-“natuk-an”

5. IMPERFORATEANUS
Anusistoonarrow.

6. S/SX:
1.Openingofanusismissing
2.Nopassageoffecalmaterialwithin48hours
3.Passageoffecalmaterialinanotheropening
4.Swollenbelly