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    Obstetric Nurisng

    Uploaded by

    Lynette Java
    The document discusses the menstrual cycle and phases of the ovarian and endometrial cycles. It then covers fertilization, fetal structures like the fetal membranes and amniotic fluid, and the physiological changes and signs of pregnancy. Prenatal care is also mentioned.

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    © All Rights Reserved
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    Obstetric Nurisng

    Uploaded by

    Lynette Java
    36 views17 pages
    The document discusses the menstrual cycle and phases of the ovarian and endometrial cycles. It then covers fertilization, fetal structures like the fetal membranes and amniotic fluid, and the physiological changes and signs of pregnancy. Prenatal care is also mentioned.

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    © © All Rights Reserved

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    The document discusses the menstrual cycle and phases of the ovarian and endometrial cycles. It then covers fertilization, fetal structures like the fetal membranes and amniotic fluid, and the physiological changes and signs of pregnancy. Prenatal care is also mentioned.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    36 views17 pages

    Obstetric Nurisng

    Uploaded by

    Lynette Java
    The document discusses the menstrual cycle and phases of the ovarian and endometrial cycles. It then covers fertilization, fetal structures like the fetal membranes and amniotic fluid, and the physiological changes and signs of pregnancy. Prenatal care is also mentioned.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    MATERNAL NURSING

    Menstrual Cycle:
     To produce mature ovum (ovulation: discharge of the egg of the ovum) = 14 days before the
    next cycle
     To prepare the endometrium (inner lining of the uterus)

    NO FERTILIZATION: Corpus luteum regress resulted to low prog/estrogen- low ischemia-


    endometrium slough off
     Progesterone: Maintain blood supply in endometrium

    PHASES:
    OVARIAN CYCLE
     Follicular =FSH (mature follicles)
     Ovulatory: LH (Ovulation)
     Luteal: Follicle – luteum (progesterone and estrogen) / regress
    ENDOMETRIAL CYCLE
     Menstrual Phase: endometrium sloughing off
     Proliferative: thickening of endometrium (estrogen)
     Secretory: increased blood supply/secretions (progesterone)
     Ischemic: decreased on the blood supply in the endometrium
    FERTILIZATION
     Union of ovum + sperm (fallopian tube )
     Sperm : 23 (chromosomes); 22 (autosomes) – Y chromosomes
     Egg: 23 (chromosomes); 22 (autosomes) – X chromosomes

    Semen analysis:
    *3-5 ml
    *50-200 ml
    * 50% motility

    HCG:
    - amenorrhea
    - morning sickness
    Mngt: Eat dry crackers in the morning; small frequent meals; increased fluid intake
    FETAL STRUCTURES

     Fetal Membranes: chorion - placenta (baby: amnion)


     Amniotic Fluid:
    - 800-1200ml (Ave: 1 liter); full term; 1kg=weight gain
    -

    COLOR
    Pale Yellow Normal
    Golden Yellow Hemolysis
    Green Meconium Stain
    Gray Infection
    Brown Abortion

    Function:
     Conserves heat
     Cushion/protects the fetus
     Allow movements of fetus
    Sources:

     Amnion
     Fetal urine
     Respiratory secretions of the fetus

    - pH: 7-7.2
    B-blue
    A-alkaline (A. Fluid)
    Y-yellow (Acidic)
    U-urine

     Umbilical Cord
    - 20-22 (length)
    - Too long=risk for cord coil
    - Too short = abruptio placenta

    AVA: 2 arteries, 1 vein


     Placenta: 500g or 1lb
    - chorionic villi (fetal surface) + decidua basalis (maternal surface)
    Function:
    - protective barrier
    - respiratory system
    PHYSIOLGIC CHANGES & DISCOMFORT OF PREGNANCY
    1. Cardiovascular System
     Increased blood volume
    RESPIRATORY SYSTEM:
    URINARY SYSTEM:
    DIGESTIVE SYSTEM
    SIGNS OF PREGNANCY
    Presumptive (subjective cues)
    Psychological changes

    PRENATAL CARE

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