HLTEN520B Contribute to the Care of Mothers and Babies
Added on 2020-03-07
6 Pages1569 Words74 Views
Running Head: Nursing Midwifery and Babies1Nursing midwifery and babiesNameInstitution1. Karen has Gravida 2 and Para 1. Gravida 2 means that she had 2 pregnancies regardless of whether they were interrupted or relented to a live birth, Para one means she has ever had one pregnancy which reached viability i.e. above 20 weeks’ gestation.
Nursing Midwifery and Babies22. Prenatal glucose tolerance tests helps to diagnose gestational diabetes in order to provide earlytreatment and prenatal care of gestational diabetic mothers (Sosa, Kennell, Klaus, Robertson & Urrutia, 2008). This is done to ensure normal baby and good maternal health after the pregnancy.Normal rages are 7.8mmol/l or less but not excess after drinking the glucose solution. Glucose test after fasting should be 5.3mmol/l one hour after taking sugar solution less than 10.0mmol/l ,2 hours after glucose solution less than 8.6mmol/l and 3hours after glucose solution less than 7.8mmol/l.3.Fundal height during pregnancy is used to measure the size of the uterus. This is done to be able to asses fetal growth sand and development during pregnancy (Barclay et al., 2009). This measurement should correspond to gestational age in weeks between 16 and 36 weeks for a vertex fetus. Fundal height is also used in determining descend of the fetus especially from 36 weeks.4.Spontaneous labour is the labour that begins and progresses without pharmacological, mechanical or operative interventions, leading to delivery of a normal baby without complications to the mother.5. The first stage of labour is usually the longest (Salariya, 2010). It could even last for more than 20 hours. to some women who are prim gravida but short hours to some women, cervix starts to soften and open up or dilate with regular rhythmic contractions, preparing to push the baby via the birth canal.6. The meconium stained liqar can lead to infant respiratory distress and syndrome (Renfrew et al., 2014). This is a respiratory distress which occurs within 4 hours of birth. It becomes worse in48 to 72 hours. If not fat, it resolves within 72hours. Meconium stained liqar also leads to
Nursing Midwifery and Babies3persistence pulmonary hypertension of the new born. This occurs where the fetal circulation resists, with blood being shunted away from the lungs through the foramen ovale and the patent ductus arteriosus. Meconium stained liqar also leads to chronic lung disease. This is as a result ofintense pulmonary intervention. These infants with meconium aspiration have a slightly increased incidence of infection in the first year of life. This is because lungs are still in recovery.7. Shoulder dystocia is a case of obstructed labour which occurs after delivery of the head. the anterior shoulder of the infant cannot pass below, hence requiring significant manipulation to pass (McCormick, 2014). The pubis symphysis, diagnosed when shoulders delays to deliver afterthe fetal head is delivered, is grouped in obstetric emergency case and death of the fetus can occur if not delivered and compresses on umbilical cord.8. Apgar score is a standardized way of evaluation, assessing and recording the condition of a new born baby. It is done within one to five minutes after birth. Apgar score is done by a multiple of doctors or midwife. The vital signs assessed includes; skin colour which should be pink or according to the tribe. If the colour is blue the baby scores zero. If the skin is pink and extremities are blue, the baby scores one. Pulse / heartbeat is evaluated using a stethoscope. if there is no heart pulse or heartbeat, the baby scores are zero. If the heart rate is less than a hundred beats per minute the baby score one(Salariya et al., 2011). If heart rate is greater than a hundred, the baby scores two. If there is grimacing the score is one, and if there is grimacing and cough, sneeze or vigorous cry, the score
End of preview
Want to access all the pages? Upload your documents or become a member.
Related Documents
Nursing: Case Scenarios and Care for Postnatal Depressionlg...
|12
|2677
|272