IV.

Nursing Care of the High Risk Pregnant Client during LABOR AND

DELIVERY

- Review on intrapartal care, delivery equipment, medication A. Specific problems of the passenger or Fetus 1. Fetal Malposition 2. Fetal Malpresentation 3. Fetal Distress 4. Prolapsed Umbilical Cord 5. IUFD 6. Post mature 7. Multiple Pregnancy B. Problems with the Passageway or Pelvic Bones & Other Pelvic Structure 1. Abnormal Size or Shape of the Pelvis 2. Cephalopelvic disproportion 3. Shoulder Dystocia 4. Nursing Care of the Clients with problems of the passageway C. Problems with the Powers or Uterine Contractions 1. Dystocia or Difficult Labor/ Ineffective Uterine Force a. Hypertonic Uterine contraction b. Hypotonic Uterine contraction c. Abnormal Progress in Labor d. Retraction Rings 2. Premature Labor 3. Precipitate Labor and Birth 4. Uterine Prolapse 5. Uterine Rupture 6. Induction of Labor 7. Operative Obstetrics D. Placental Problems 1. Implantation in the Lower Uterine Segment (Placenta Previa) 2. Premature Detachment of the Placenta (Abruptio Placenta) 3. PROM 4. Battledore Placenta, Placenta Succenturiata, Circumvallata, Marginata, Velamentous Insertion, vasa previa, placenta accreta. 5. Amniotic fluid embolism E. Problems with the Psyche Factors 1. Inability to bear down properly 2. Feelings/Emotions of the Client in Labor 3. Fear/Anxiety on the Labor Progress __________________________________________________ __________________________________________________

V. Nursing Care of the High Risk POSTPARTAL CLIENT

- Review postpartal care A. Postpartal Hemorrhage 1. Early postpartal hemorrhage 2. Late postpartal hemorrhage a. Subinvolution

B. Postpartal Puerperial Infection 1. Endometritis 2. Salpingitis 3. Pelvic Cellulites 4. Mastitis 5. Cystitis 6. Perineal Hematoma C. Thromboembolic Disorders 1. DVT D. Postpartal Psychiatric Disorder __________________________________________________ __________________________________________________

VI. Nursing Care of COUPLE WITH PROBLEMS OF INFERTILITY

A. Causes of Infertility in Males and Females B. Diagnostic Tests C. Nursing Interventions __________________________________________________ __________________________________________________

VII. Nursing Care of the High-Risk NEWBORN

- Review on Essential Newborn Care - Review on Birthmarks, reflexes, immune system, immunization - Review on Growth and Development theories A. Problems related to Maturity 1. Prematurity 2. Postmaturiy B. Problems related to Gestational Weight 1. Small for Gestational age (SGA) 2. Large for Gestational age (LGA) C. Acute Conditions of the Neonates Such as: 1. Poor APGAR Score 2. Respiratory Distress Syndrome 3. Hypothermia 4. Sepsis 5. ABO/Rh Incompatibility 6. Hyperbilirubinemia 7. Meconium Aspiration Syndrome 8. Colic 9. Failure to Thrive __________________________________________________ __________________________________________________

VIII. Care of the SICK CHILD

A. Cardiac Disorders

1. Tetralogy of Fallot 2. Rheumatic Fever 3. Kawasaki Disease B. Gastrointestinal Disorders 1. Cleft Lip and Cleft Palate 2. Esophageal Atresia 3. Pyloric Stenosis 4. Intussusception 5. Hirschsprung's Disease 6. Imperforate Anus 7. Appendicitis 8. Parasitism 9. Colic 10. Lactose Intolerance 11. Milk Allergy C. Disorders of the Respiratory System 1. Epiglotitis 2. RSV - Respiratory syncytial virus 3. Asthma 4. Aspiration Pneumonia 5. SIDS D. Sensory Alterations 1. Otitis Media 2. Tonsilitis E. Disorders of the Hematologic System 1. Leukemia 2. Sickle Cell Disease 3. Iron Deficiency Anemia 4. Hemophilia 5. Beta Thalassemia Major 6. Idiopathic Thrombocytopenic Purpura 7. Christmas Disease 8. Von Willebrand's Disease 9. Epistaxis F. Disorders of the Integumentary System 1. Eczema 2. Scabies 3. Pediculosis 4. Psoriasis 5. Ptyriasis rosea 6. Steven Johnson's Syndrome G. Disorders of the Muskuloskeletal System 1. Care of the Child with a Cast 2. Congenital Hip dislocation 3. Clubfoot 4. Scoliosis 5. Juvenile Rheumatoid Arthritis 6. Legg-clave perthes disease 7. Torticollis

H. Disorders of the Genitourinary System 1. Undescended testes 2. Hypospadias 3. Phimosis 4. Enuresis 5. Extrophy of the Bladder 6. Wilm's Tumor 7. Ankyloglossia 8. Pierre Robin Syndrome 9. Gastroschisis 10. Hernia 11. Hydrocele, Cytocele, Rectocele 12. Ambigious genitalia 13. Epispadias 14. Imperforate Hymen I. Nervous System Malformations 1. Craniosynostosis 2. Microcephally 3. Hydrocephalus 4. Spina bifida 5. Meningitis 6. Seizure Disorders 7. Cerebral Palsy 8. Neural Tube Disorders 9. Arnold Chiari Deformity J. Chromosomal Disorders 1. Cri du Chat Syndrome 2. Klinefelter's Syndrome 3. Trisomy 21 K. Disruptive Behavior 1. ADHD 2. Autism L. Health Problems common in Adolescent and Young Adult 1. Reproduction and Sexuality a. Dysmenorrhea 2. Metabolic Disorders a. Obesity b. Anorexia Nervosa c. Bulimia Nervosa 3. Psychological Alterations a. Suicide b. Substance Abuse M. Health Problems Common in Adult Women A. Neoplasms 1. Breast and Uterine Cancers 2. Fibroadenoma B. Alterations in the Breast 1. Fibrocystic Disease of the Breast 2. Hypoplasia/Hyperplasia of the Breast C. Infectious Disorders of the Female Genital Organs 1. Vaginal Infection

2. Ovarian Cysts D. Reproduction and Sexuality 1. Myoma 2. Pre-menstrual Syndrome 3. Menopausal Syndrome 4. Vaginal Fistulas N. Health Problems Common in Adult Men A. Neoplasms 1. Cancer of the Prostate B. Others 1. BPH 2. Andropause __________________________________________________ __________________________________________________

VII. Integrated Management of Childhood Illnesses (IMCI)

A. Review/Overview of IMCI B. Management of the Sick Child Aged 2 months up to 5 years 1. Case Management Process Assess & Classify C. Management of Sick Young Infant Aged 1 week up to 2 months 1. Case Management Process Assess and Classify D. Identify Treatment E. Treat the Child 1. Select and Give Appropriate Oral Antibiotics 2. Advice Mother how to treat her Child at Home F. Counsel the Mother 1. Feeding recommendations 2. Care for development 3. Signs of when to return immediately 4. Schedule follow-up visits G. Follow-up