NSG 3111 Lecture Notes - Lecture 3: Back Pain, Obstetrics, Weight Loss

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Perry et al. (2017: chapter 16: labour and birth processes, chapter 17: nursing care during labour and birth. Describe the timing & onset of true labour. Describe the critical factors that affect the process of labour & birth. Describe the physiological & psychological adaptations which occur during 4 stages of labour. Highlight the 7 cardinal movements of the fetus during labour. Describe nursing assessment & care for normal vaginal births. Discuss the effect of birth on the family & the nurse"s role in facilitating the experience. A combination of many factors: hormones produced by fetal hypothalamus, pituitary and adrenal cortex, progressive uterine distension, increasing intrauterine pressure, increased concentrations of estrogen, oxytocin and prostaglandins, decreasing progesterone levels. Cervical changes: mild contractions that happen throughout pregnancy; don(cid:495)t work to change the cervix (cid:498)practice contractions(cid:499) uterus tightening a little bit, softening (cid:523)(cid:494)ripening(cid:495)(cid:524, (cid:498)nesting(cid:499, vaginal exam, gi symptoms. 5-1. 5kg in last weeks: related to electrolyte changes and hormone changes.

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