N106. Nursing Care of the Expanding Family. Outline. Issues & Trends Menstrual Cycle Conception Fetal Development. Issues and Trends. Family Centered Role of Nurse Legal and Ethical Cultural Influence Client Teaching. Ovarian and Endometrial Cycles. . Menstrual Cycle. Conception.
Nursing Care of the
Sperm penetration of an ovum
Figure 3–12 The actual size of a human conceptus from fertilization to the early fetal stage. The embryonic stage begins in the third week after fertilization; the fetal stage begins in the ninth week. Source: Adapted from Marieb, E. N. (1998).
Figure 3–11 Fetal circulation. Blood leaves the placenta and enters the fetus through the umbilical vein. After circulating through the fetus, the blood returns to the placenta through the umbilical arteries. The ductus venosus, the foramen ovale, and the ductus arteriosus allow the blood to bypass the fetal liver and lungs.
focus: self-centered R/T physiologic changes
Healthful eating Largest portion - grains, rice, bread, and pastaSmallest portion - fats, oils, and sweets,
Figure 14–5 Example of a reactive nonstress test (NST). Accelerations of 15 bpm lasting 15 seconds with each fetal movement (FM). Top of strip shows FHR; bottom of strip shows uterine activity tracing. Note that FHR increases (above the baseline) at least 15 beats and remains at that rate for at least 15 seconds before returning to the former baseline.
Figure 14–6 Example of a nonreactive NST. There are no accelerations of FHR with FM. Baseline FHR is 130 bpm. The tracing of uterine activity is on the bottom of the strip.
Figure 14–8 Example of a positive contraction stress test (CST). Repetitive late decelerations occur with each contraction. Note that there are no accelerations of FHR with three fetal movements (FM). The baseline FHR is 120 bpm. Uterine contractions (bottom half of strip) occurred four times in 12 minutes.
Hypoglycemiashakinesssweatingcold, clammy skinpallordisorientationirritabilityheadachehungerblurred visionTeaching Self-Care – S&S
The cervix is not dilated, and the placenta is still attached to the uterine wall, but some bleeding occurs.
The placenta has separated from the uterine wall, the cervix has dilated, and the amount of bleeding has increased.
. The embryo or fetus has passed out of the uterus, but the placenta remains.
Various implantation sites in ectopic pregnancy. The most common site is within the fallopian tube, hence the name “tubal pregnancy.”
Premature Rupture of Membranes
flu like symptomsgeneralized edemanausea and vomitingsevere elevated BPproteinuria
Criteria of diagnosishemolysiselevated liver enzymes AST(SGOT)>72U/L ALT(SGPT)>50U/L serum LDH>600IU/Llow platelet<100,000/mmPIH - HELLP syndrome – reflects severity of disease
anticonvulsive therapy antihypertensive therapy stimulant for fetal surfactant
Types of substance
Signs and Symptoms
Infections during Pregnancy