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MATERNAL AND CHILD NURSING NOTES
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MATERNAL AND CHILDNURSING COMPREHENSIVE
NOTES
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1|Page
, TABLE OF CONTENTS
TOPICS PAGE NUMBER
Abruptio Placenta 4
Anemia in Pregnancy 5
APGAR Scoring System 6
Birth Asphyxia 7
Cesarean Delivery 9
Circumcision 13
Cord Prolapse 14
Dilation And Curettage (D&C) 15
Dysfunctional Labor 17
Early Postpartum Hemorrhage 17
Ectopic Pregnancy 19
Fetal Skull 21
Gestational Diabetes 22
Gestational Trophoblastic Disease (Hydatidiform mole) 23
Hemolytic Disease of the Fetus and Newborn 24
Human Chorionic Gonadotropin (hCG) Pregnancy Test 26
Hyperemesis Gravidarum 27
Integrated Management of Childhood Illness (IMCI) 28
Incompetent Cervix 29
Induction of Labor 30
Infant of a Diabetic Mother (IDM) 32
Infections during Pregnancy 33
Large-for-Gestational Age (LGA) Newborn 35
Mammography 37
Mastitis 38
Papanicolaou Test (Pap Smear) 40
Placenta Accreta 41
Placenta Previa 43
Postpartum Hemorrhage 44
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, Postpartum Mood Disorders 47
Post-term Newborn 49
Pregnancy- Induced Hypertension (PIH; preeclampsia and 50
eclampsia)
Premature Rupture of Membranes (PROM) 53
Preterm Labor 54
Preterm Newborn 56
Prolonged Pregnancy 58
Puerperal Infection 58
Rhesus (Rh) Typing 60
Salpingo-oophorectomy 60
Shoulder Dystocia 62
Small-for-gestational –age Newborn (SGA) 64
Spontaneous Abortion 65
Subinvolution 67
Thrombophlebitis and Thrombosis in Postpartum 69
Urinary Tract Infection in Postpartum Women 73
Uterine Inversion 74
Uterine Rupture 75
Vasa Previa 77
Vasectomy 78
3|Page
, MATERNAL AND CHILD NURSING COMPREHENSIVE NOTES
Abruptio placenta
Description
Abruptio placenta is premature
separation of a normally implanted
placenta after the 20th week of
pregnancy, typically with severe
hemorrhage.
Etiology
1. The cause of abruptio placenta is
unknown.
2. Risk factors include:
Uterine anomalies
Multiparity
Preeclampsia
Previous cesarean delivery
Renal or vascular disease
Trauma to the abdomen
Previous third trimester bleeding
Abnormally large placenta
Short umbilical cord
Pathophysiology
The placenta detaches in whole or in par from the
implantation site. This occurs in the area of the
deciduas basalis.
Assessment Findings
1. Associated findings. Severe abruption placentae
may produce such complications as:
a. Renal failure
b. Disseminated intravascular
coagulation
c. Maternal and fetal death
2. Common clinical manifestation include:
a. Intense, localized uterine pain, with
or without vaginal bleeding.
b. Concealed or external dark red
bleeding
c. Uterus firm to boardlike, with severe
continuous pain
d. Uterine contractions
e. Uterine outline possibly enlarged or
changing shape
f. FHR present or absent.
g. Fetal presenting part may be
engaged.
3. Laboratory and diagnostic study findings.
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