Maternal child Essays

Maternal child Essays Maternal child Essay Maternal child Essay Problems with psyche Perceived threat of pain, fear, nonsupport, body responds to stress via fight or flight Shoulder dissociate and what is role as a nurse? Shoulder dissociate is head is born and retracts against the perineum (like a turtle) Intervention is required to prevent cord compression: Micrometers maneuver: Women flexes her thighs against abdomen Supersonic pressure: Done by an assistant to push fetal shoulder downward to displace it from the mothers pubis symposia Assessment: After delivery palpate infants clavicles, assess for fracture, assess to identify creepiest or deformity, if present, follow-up is required What is the position that is most uncomfortable and prolongs labor? Cockpit posterior or transverse position (delays decent) What pelvis shape is best for vaginal delivery? Confide pelvis pelvis is round and cylinder-shaped, has a wide pubic arch, rigorous for vaginal birth is GOOD Know what is preterm labor and your actions if a pregnant woman complains of low back pain that is intermittent Preterm labor defined: after 20th week, before 37th week Risk to mother hemorrhage and infection** Low back pain that is intermittent could be an indicator of preterm labor and needs to be assessed by bob/gym Adequate hydration is important when uterine activity occurs before pregnancy is at term Teach: Any activity by mother can increase recurrence of contractions** What medications are used for stopping preterm labor? Magnesium sulfate IV, then oral Attributable Assessment Fetal Heart Rate, maternal pulse, maternal blood pressure Magma sulfate is a CNN depressant and smooth muscle relaxant can be used short and long term Attributable is a bronchiolar and smooth muscle relaxant only used for short term Know about Mothering: actions and when it should not be used Exotic drug Produced uterine contractions, increases BP, should not be given in Clamps** Loopholes maneuver: Why is it done? Determines the presentation and position of the fetus and to aid in locating fetal heart tones. Less likely to yield information if the woman has a thick abdomen fat pad, excessive amniotic fluid, or a very preterm fetus After delivery and unable to find uterus, what is your action? If uterus is found above expected level or shifted from the midlines the bladder may be distended (have mom void) recheck after voided If funds is difficult to locate or is soft and boggy, the nurse should stimulate the uterine muscle to contract by gently massaging massage until firm Hemorrhage is a potential complication of labor and delivery, what are the s/s for a postpartum mom? Funds is difficult to locate, funds is soft and boggy, saturation of one pad per 15 minutes, severe perinea or rectal pain, tachycardia, excessive clots expelled What is atone? Absence or lack of usual muscle tone that results in failure of the uterine muscle fibers to contract firmly around blood vessels when the placenta separates. This prevents the relaxed muscle to stop rapid bleeding which can cause hemorrhaging. With fast deliveries, what trauma may occur? Fast deliveries occur within three hours within onset of labor Abruptly placenta, teal encomium, postpartum hemorrhage, and low PAPPAS may occur from rapid delivery** If the mom you are caring for has a firm funds, but you note a steady trickle of blood, what is happening? A continuous trickling of blood can lead to significant blood loss that can become life threatening; it is often a sign of early postpartum hemorrhage What are the s/s of hypoglycemic shock? Increased pulse rate, falling BP, increase respiratory rate Weak, diminished, or threads peripheral pulses Cool, moist skin, pallor, or occasions (late sign) Decreased urinary output (

How Cloze Reading Can Be Used to Solidify Learning

How Cloze Reading Can Be Used to Solidify Learning Cloze reading is an instructional strategy where users are required to fill in the blanks within a passage with correct words from a word bank. Cloze reading is used to assess a students understanding of vocabulary. STAR Reading is an online assessment program that embraces cloze reading passages. Many teachers create cloze reading passages to assess student vocabulary understanding within a particular story or passage or a group of spelling words. Cloze reading passages are easily created and can be adjusted to specific content and/or grade level. Cloze Reading Passages Teachers can also have students create their own cloze reading passages as they read a story. This makes the learning more authentic. It also helps students find and make connections between key vocabulary within in the story and how their meaning enhances the story. Finally, students can exchange their cloze reading passages with other classmates. This naturally reinforces the critical components of the story including key vocabulary as students interact with each other and share what they created. This gives students ownership in the learning process. Cloze Reading as a Study Tool Cloze reading can also be used to help students study and prepare for a test. Students can be taught to create their own study guide using the cloze reading process. They can essentially build their own version of the test from their notes. As they put together the guide, it cements the content, makes the connections, and helps them remember it. Providing students with this skill will help them develop better study habits that can help them succeed throughout life. Most students struggle with test and quizzes because they do not know how to study. They simply read through their notes and call it studying. True studying is a much more rigorous and time-consuming process. Developing cloze reading passages that align to a test is one way to study more authentically. Five examples of cloze reading: 1. An elephant is a ____________________________ mammal with a trunk and large ears. A. microscopic B. enormous C. vigorous D. small 2. The radius of a circle is one-half the ___________________________________. A. circumference B. chord C. diameter D. arc 3. A dog chased a cat down the alley. Luckily, the cat was able to escape by climbing over a fence. The word alley refers to a ___________________________________? A. sidewalk running through a neighborhood B. narrow road that between buildings C. open field in a park D. long hallway connecting two parts of a building 4. ______________________________ was the twenty-seventh president of the United States of America and later became the only former president who also became a Supreme Court justice? A. George H. W. Bush B. Theodore Roosevelt C. Martin Van Buren D. William Howard Taft 5. The phrase time is money is an example of a ________________________________. A. Metaphor B. Simile C. Alliteration D. Onomatopoeia