...section is a surgical incision through the mother’s abdomen and uterus to deliver one or more fetuses. NSVD or normal spontaneous vaginal delivery is the delivery of the baby through vaginal route. It can also be called NSD or normal spontaneous delivery, or SVD or spontaneous vaginal delivery, where the mother delivers the baby with effort and force exertion. Normal labor is defined as the gradual subjugation and dilatation of the uterine cervix as a result of rhythmic uterine contractions leading to the expulsion of the products of conception: the delivery of the fetus, membranes, umbilical cord, and placenta. Laboring cannot that be easy; thereby implicating that there are processes and stages to be undertaken to achieve spontaneous delivery. Through which, Obstetrics have divided labor into four (4) stages thereby explaining this continuous process. STAGE 1: It is usually the longest part of labor. It begins with regular uterine contractions and ends with complete cervical dilatation at 10 centimeters. This stage is broken down into three (3) phases: the Early phase, where the contractions are usually very light and maybe approximately...
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...1989, more than 1.5 million children and women have passed through its doors. It is the fourth busiest labor and delivery hospital in the United States and the largest neonatal intensive care unit in the Southeast, and APH ranks fifth out of 5,000 hospitals nationwide in patient satisfaction. “Part of the reason for APH’s success,” says Executive Director Kathy Swanson, “ is the our continuous improvement process. Our goal is 100% patient satisfaction. But getting there means constantly examing and reexaming everything we do, from patient flow, to cleanliness, to layout spaces, to colors on the walls, to speed of medication delivery from pharmacy to patient. Continuous improvements is a huge and never ending task.”. One of the tools the process flow chart. Staffer Diane Bowles, who carries the “Clinical Practice Improvement Consultant” charts scores of processes. Bowles’s flowcharts help study ways to improve the turnaround of a vacated room (especially important in a hospital that has operated at 130% of capacity for years), speed up the admission process, and deliver warm meals warm. Lately, APH has been examining the flow of maternity patients (and their paperwork) from the moment they enter the hospital until they are discharged, hopefully with their healthy baby a day or two later. The flow of maternity patients follows these steps: 1. Enter APH’s Labor and Delivery check-in desk entrance. 2. If the baby is born en route or if birth is imminent, the mother...
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...Running head: The Business of Being Born Get the Heck Out the Hospital? Erica Wade Mesa Community College Abstract In the film titled “The Business of Being Born” directed by Abby Epstein in 2008, you are given information that supports home births being better for the US mortality rate of newborns and their mothers. This film shines light on the tactics used to change home births from a norm in society to a type of outcast or out dated procedure. This film breaks down a specific time line in which, certain medications phased in or out and when child birth went from a personal bonding moment between mother and child to a medical procedure in hospitals. The film displays the fact that the US maternity system has given reign of procedures and policies to the bottom line which is money. Get the Heck Out the Hospital The film stated that the US had the second highest mortality rate among other industrialized cultures. Which raises the question why is the mortality rate so high in the US. I have to honestly say while watching this film I did not receive a definitive answer. Instead poorly supported statistics was used to tie hospital births to the mortality rate in the US. However in the film it is suggested that majority of the deaths that happen in the US are mothers and babies that delivered in a hospital. But what is not provided is real facts and numbers, but it is not taken into consideration that if 99% of births are in hospitals then it would be true that the...
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...Pre-Clinical Assignment- OB Labor and Delivery Medication List Drug Name Typical dose amount Route (for adult OB client) Most common side effects Expected patient response of the female PREGNANT client Magnesium Sulfate Pg 808 diarrhea Pitocin Pg 968 Induction of labor: 0.5-2 milliunits/min; increase by 1-2 milliunits/min q 15-60 mins until pattern established, then decrease dose Postpartum Hemorrhage: 10 units infused at 20-40 milliunits/min. IV or IM (postpartum) (maternal) coma, seizures, (fetal) intracranial hemorrhage, (fetal) asphyxia, increase uterine motility, painful contractions Indications: Induction of labor at term. Facilitation of threatened abortion. Postpartum control of bleeding after expulsion of the placenta. Outcomes: Onset of effective contractions. Increase in uterine tone. Reduction of postpartum bleeding. Cytotec Pg 870 Termination of pregnancy: 400 mcg single dose 2 days after mifepristone if abortion has not occurred. Intravaginally: 25 mcg (1/4 of 100 mcg tablet); may repeat q 3-4 hr, if needed PO or intravaginally abdominal pain, diarrhea, miscarriage Outcomes: Prevention of gastric ulcers in patients receiving chronic NSAID therapy. Termination of pregnancy. Cervical ripening and induction of labor. Brethine C5 2.5-10 mcg/min infusion; increase by 5 mcg/min q 10 min until contractions stop (not to exceed 30 mcg/min), decrease infusion rate to lowest effective amount and maintain for 4-8 hr IV nervousness, restlessness, tremor...
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...Anecdotal Assignment G.D. Leilani Fuller N250: Obstetric and Pediatric Nursing Professor Gahan El Camino College May 14, 2013 Obstetric History G.D. In the midst of an empty Labor and Delivery floor on May 9, 2013, there was a lone laboring mother-to-be with the name of G.D. This individual was of Hispanic descent, Costa Rican to be exact, and was a twenty-five year old female with a religious background in Catholicism. G.D. was in room 10 and eagerly anticipated the vaginal birth of her first child, as were her husband’s parents’ for their first grandchild. She had been laboring since her admission at midnight on May 8, 2013. While G.D. is technically a gravida 2, she is only para 1 as she had an elective abortion in 2009. When the room was empty, all that G.D. had to say about this abortion was that the timing was not right in her life for a child then and now she is prepared to be a mother with her new husband at her side. While G.D. originally planned to labor in the most natural manner possible despite being induced, she quickly changed her mind and accepted the epidural. According to Talbot (2012), the labor pain G.D. was experiencing was based on several factors such as cultural, psychological and physiological. She tried to maintain a natural labor with no rush in delivery as is common with Central American countries like Costa Rica, however this fetus called for a more immediate delivery. She had plans to breastfeed once this baby was born. ...
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...However, there are quite a few myths negatively associated with breastfeeding as well. Unfortunately, these myths can deter a mother from attempting to breastfeed. One of the biggest myths is a baby can be allergic to moms milk. This is a false statement. Breastmilk is specifically tailored to a baby’s needs. LLLI states, “Human milk is the most natural and physiologic substance that baby can ingest. If a baby shows sensitivities related to feeding, it is usually a foreign protein that has piggybacked into mother's milk, and not the milk itself. This is easily handled by removing the offending food from mother's diet for a time.” Another myth is saying breast that are too big or too small cannot breastfeed. This is a false statement. The size of the breast does not matter, rather the nipple and areola are what is looked at if there is an issue. Another myth is claiming breastfeeding is easier than bottle feeding. This is a false statement. The Newman Breastfeeding Clinic at the International Breastfeeding Center states, “Breastfeeding is made difficult because women often do not receive the help they should to get started properly. A poor start can indeed make breastfeeding difficult. But a poor start can also be overcome. Breastfeeding is often more difficult at...
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...Human sexuality final study guide--------------------------Dylan Nguyen Please feel free to pass to you friends if it could help. Chapter 9--- Birth Zygote: upon successful fertilization, the DNA of the man’s sperm and the woman’s ovum join together, and a new organism, combining the genetic material of both, is created. Within hours, this organism, now called the ZYGOTE (P336)-A fertilized ovum (or egg) moving down the fallopian tube. Then it divided into 2-4-8 and so on, travel down the fallopian tube to the uterus in 2 to 4 days. –HCG (human chorionic gonadotropin) increase in woman body, enable to determine of pregnancy through urine. Within two weeks the test is more reliable. Conception may occur, however woman is not yet pregnant because zygote have not yet implant into the lining of the uterus. During conception do not use alcohol/other drugs/take prenatal vitamin that contain FOLIC ACID ( an important B-vitamin for fetal development)-no smoking, drug use, health life style before conception occurs. Blastocyst: 400-500 fertility cycles in an average woman’s fertile lifetime.—if no pregnancy occur the: progesterone and estrogen level diminish ( during second half of woman cycle). Blood flow decreases to uterus, shed of linning. If fertilization occur: thickening of uterus wall, about 4 day after fertilization the Zygote enter the wall, consist of approximately 90 cells surrounding a fluid-filled core. It is called BLASTOCYST On 6-7 days, endometrium lining form...
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...Chapter 1 notes: * Economics: a social science that examines how people choose among the alternatives available to them. * Scarcity: the condition of having to choose among alternatives * Scarce good: a good for which the choice of one alternative requires that another be given up * Free good: a good for which the choice of one use does not require that another be given up * Important questions: * What should be produced * How should goods and services be produced * For whom should goods and serviced be produced * Opportunity cost: the value of the best alternative forgone in making any choice * Economists study choices that scarcity requires us to make * Economic approach to choice: * Economists give special emphasis to role of opportunity costs * Assume that individuals makes choices that maximize the value of some objective and they define their objectives based on self-interests * Individuals maximize by choosing to do little more or little less of something; argue that individuals pay attention to the consequences of small changes in the levels of activities they purchase * Economic way of thinking pushes us to the value of alternatives in each choice we make * Margin: current level of activity * Choice at the margin: decision to do a little more or little less of something * Microeconomics: branch of economics that focuses on the choices made by individual decision-making units in the economy and the...
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...ornormal spontaneous vaginal delivery. A cesarean section is a surgicalincision through the mother’s abdomen and uterus to deliver one or morefetuses. NSVD or normal spontaneous vaginal delivery is the delivery of the baby through vaginal route. It can also be called NSD or normalspontaneous delivery, or SVD or spontaneous vaginal delivery, where themother delivers the baby with effort and force exertion.Normal labor is defined as the gradual subjugation anddilatation of the uterine cervix as a result of rhythmic uterine contractionsleading to the expulsion of the products of conception: the delivery of thefetus, membranes, umbilical cord, and placenta. Laboring cannot that beeasy; thereby implicating that there are processes and stages to beundertaken to achieve spontaneous delivery. Through which, Obstetricshave divided labor into four (4) stages thereby explaining this continuousprocess. STAGE 1: It is usually the longest part of labor. It begins withregular uterine contractions and ends with complete cervical dilatation at10 centimeters. This stage is broken down into three (3) phases: the Early phase, where the contractions are usually very light and maybeapproximately 20 minutes or more apart from the...
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...The profit motive is one characteristic of a command economy. True False Question 3 In a market system, the government enforces laws ensuring that private enterprises and conditions of competition will prevail. True False Question 4 The most common type of business in the United States is the corporation. True False Question 5 Laissez-faire is a policy of no government intervention in the economic activities of individuals and businesses. True False Question 6 In a partnership, each partner’s liability is limited to his or her contribution to the partnership. True False Question 7 There are no government-regulated markets in the U.S. economy. True False Question 8 Which of the following is not among the United States’ economic goals? full employment stable prices healthy economic growth equal distribution of income Question 9 Under the U.S. market system, land and capital goods are owned mainly by the federal government individuals and firms local governments state governments Question 10 The biggest disadvantage of a sole proprietorship is the lack of distinction between the business and the owner. True False Question 11 In the United States, marketing cooperatives are most commonly found in the agriculture industry. True False Question 12 Self-interest is a major tenet of economic liberalism. True False Question 13 Which of the following is considered a command economy...
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...or not. Some people may wonder why knowing what number child this is for the women makes a difference but some people believe that the first one is the hardest. It has been scientifically proven that for the first child, that labor will last the longest. It also gives the women something to compare it to if this is their second or third because they know what to expect and they will be able to think back at their first labor being tedious and painful. Since memories have been proven to sometimes be false this may play an advantage for those who have given birth before because they can remember it to be much more painful than it really was so when they are giving birth during the study it won’t seem as bad as they remember. The researchers conducted the study in different ways; they didn’t start any of the surveys or research methods until the women were in the delivery room. The researchers studied how each woman’s behavior changed throughout the duration of her labor and her pain perception which she would rate from 0-100 in three different time increments throughout the labor process. One of these time was when she was actually pushing out the baby and the baby was being born, which is the period of time that will be most painful because the contractions are so close together and the baby is being pushed through a 9 centimeter hole which naturally would be extremely painful. The researchers also had the moms take a survey that consisted of 24 yes or no questions which would help...
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...Ch6 DQ.2(a). What are qualitative forecasts? What are the most important forms of qualitative forecasts? Qualitative forecasts are used as supplements for quantitative forecasts when the future conditions of consumer tastes or business expectation changes are anticipated and when quantitative forecast data is not available. Qualitative forecasts are invaluable when forecasting demand for a product that the firm intends to introduce in the market. The most important forms of qualitative forecasts are survey techniques and opinions polls. Both these qualitative forecasts techniques helps to plan on the demand of aproducts for consumers and help plan on expenditure for expansion of the firm. Ch6 DQ.2(b). What is the rationale and usefulness? The survey techniques helps to determine the future of a product or service based on the information provided by the consumers in the survey and the economic activities of the business can be planned based on the results from survey for the companies expenditure on its expansion or other production plans. In case of opinion polling, it helps to determine potential buyers and their requirements and this can help firms to forecast its product demands and improvement of options that will have to be added for customers to buy the goods. Ch6 DQ.3(a). What are time-series data? What are the possible sources of variation in time-series data? Time-series data is the values of a variable arranged chronologically by days, weeks, months, quarters...
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...* Getting Ready Signs of Labor: happens 2-3 weeks prior to true labor ~ lightening (engagement): baby drops down and presses on bladder ~nesting: mom has sudden burst of energy ~Braxton Hicks contractions ~cervical ripening (softening and dilating) ~bloody show * Effacement: the thinning of the cervix; measured from 0-100% * Dilatation: the opening of the cervix; measured from 0-10 cm * Stages of Labor: ~1st Stage -Early/Latent: -0-3 cm dilatation -contractions 5-30 min apart -lasting 30-45 seconds -mild to moderate intensity -lasting 6-8 hours -Active: -4-7 cm dilatation -contractions 3-5 min apart -lasting 40-70 seconds -mild to strong intensity -lasting 3-6 hours -inwardly directed, focused, serious -Transition: -8-10 cm dilatation -contractions 2-3 min apart -strong intensity -lasting 45-90 seconds -lasting about 20-30 min -severe pain, N/V, irritable ~2nd Stage: Pushing -from complete dilatation until the birth of the baby -Early/Latent: -contractions are weak; no urge to push yet -Active: -strong contractions resume; urge to push comes (Ferguson reflex) ~3rd Stage: Placenta -from the delivery of the baby to the delivery of the placenta -usually occurs within 10 min -uterus changes shape; globular right before it detaches; sudden gush of blood; cord lengthens ~4th Stage: Post partum Recovery -1st hour after birth -Post partum...
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...Site for More Tutorials: (http://homeworkfy.com/ ) > TAKE ASSESSMENT: EXAM 1 Question 1 2 points Save Which of the following economic systems abolishes all private property? communism socialism fascism all of the above Question 2 2 points Save The profit motive is one characteristic of a command economy. True False Question 3 2 points Save In a market system, the government enforces laws ensuring that private enterprises and conditions of competition will prevail. True False Question 4 2 points Save The most common type of business in the United States is the corporation. True False Question 5 2 points Save Laissez-faire is a policy of no government intervention in the economic activities of individuals and businesses. True False Question 6 2 points Save In a partnership, each partner’s liability is limited to his or her contribution to the partnership. True False Question 7 2 points Save There are no government-regulated markets in the U.S. economy. True False Question 8 2 points Save Which of the following is not among the United States’ economic goals? full employment stable prices healthy economic growth equal distribution of income Question 9 2 points Save Under the U.S. market system, land and capital goods are owned mainly by the federal government individuals...
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...attorney. Hugo was a member of the KKK in the 1920’s. 1923 Black was a trial attorney in Birmingham, Alabama, which at the time was controlled by members of the Klan. He joined the KKK on September 23, 1923. Black later claimed to have left the group after several years, but no clear evidence documented his departure. In 1937 there were allegations he had signed an undated letter resigning from the Klan, which was to have been used to establish a false resignation date if public scandal occurred. Hugo Black is remembered as a U.S. Supreme Court Justice, a progressive U.S. Senator and able to trial attorney. Hugo was a member of the KKK in the 1920’s. 1923 Black was a trial attorney in Birmingham, Alabama, which at the time was controlled by members of the Klan. He joined the KKK on September 23, 1923. Black later claimed to have left the group after several years, but no clear evidence documented his departure. In 1937 there were allegations he had signed an undated letter resigning from the Klan, which was to have been used to establish a false resignation date if public scandal...
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