Summary Maternal and Child Nursing Reviewer 1 - Part 9
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Course
Maternal And Child Nursing
Institution
Pamantasan Ng Lungsod Ng Maynila
Book
The Nurse and the Childbearing Family
The document is part of an another series of reviewers in line with Maternal and Child Nursing. Purchase all of the documents to have a better comprehension and complete picture of the topic. The reviewers in this series is a very comprehensive and competently summarized for students who are crammi...
TABLE OF CONTENTS • OLIGOHYDRAMNIOS: less than 300-500cc of
• REPRODUCTIVE & SEXUAL HEALTH amniotic fluids. (fetal kidney abnormalities)
1. Process of Fertilization
2. Progress of Fetal Development • PROTECTIVE PURPOSES OF AMNIOTIC FLUID
a. Maintain body temperature of the fetus
• SOURCE: Pilliteri 6th Edition – Maternal and b. Protects the fetus from any trauma
Child Nursing c. Source of oral fluids
d. Storehouse for waste
e. Free movements and developments
f. Enable symmetric growth of fetus.
2. AMNION
- develops from the interior cells of the • DIAGNOSTIC PURPOSES OF AMNIOTIC FLUIDS:
blastocyst a. AMNIOCENTESIS: aspirating of amniotic fluid
to identify more details about the fetus and
- Develops the covering of the umbilical cord chromosomal anomalies
(2arteries, 1 vein) which are protected by b. KARYOTYPING: is the procedure of
secretions called Wharton’s Jelly combining nd organizing all the chromosomes
- Covers the chorion on the surface of the of an organism, determines the sex and
placenta structure and/or number of chromosomes
- Blends with placenta c. L/S ratio (Lecithin/ Sphingomyelin):
- Accommodate the fetus and holds the amniotic determine fetal maturity
fluids. d. MECONIUM: presence of meconium in the
amniotic fluid is a sign of fetal distress.
• 2.1 AMNIOTIC FLUID
• 2.2 UMBILICAL CORD
- clean, transparent fluid in which the fetus
float. - 2 arteries that carries blood away from the
embryo back to the placenta villi and 1 vein
- Start to develop at 11-15 wks. Neutral to
carries blood back to the embryo (AVA),
slightly alkaline (Ph 7.2)
gelatin-like structure which are protected by
- Increase pH=alkaline, decrease=acidic
Wharton’s Jelly
- At term, it is clear, colorless containing of
- Serves as the connection for carrying oxygen
vernix caseosa and lanugo hair.
and foods to the fetus coming from the
- Within 24 hours, it will produce about 500-
placenta and waste product back to the
800-1200ml and fetus ingest it an equally
placenta
quick rate and goes to the intestine mixes with
- It is safe to cut the cord during delivery
the fetal circulation.
because it does not have any nerve supply
o Then, to the umbilical arteries and to
- Prostaglandin formation due to the production
the placenta.
of phospholipid bilayer can cause or the uterus
- Urine is added to the amniotic fluid by the 4th
to contract during labor
lunar month including maternal serum. It can
• COMPRESSION: It the cord lies between the fetal
be determinant for fetal health conditions
head and the pelvis or twisted around to the body
- PURPOSES:
of fetus
o shield the fetus against pressure or a
• CORD COIL (NUCHAL): when the cord is wrapped
blow to the mother’s abdomen.
around the fetal neck. About 20% of this case
- Because liquid changes temperature more
occurs due to the high pressure of the blood flow.
slowly than air, it also protects the fetus
from changes in temperature.
• FUNCTIONS OF UMBILICAL CORD
- it aids in muscular development, because
a. maternal nutrients and oxygen are suppled t
it allows the fetus freedom to move.
the fetus thru the blood and vessels on the 3rd
- it protects the umbilical cord from week
pressure, protecting the fetal oxygen supp b. it guarantees continues nourishment of the
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