Maternity and Reproductive Health Tutorial for 4th-Year Nursing Students by Wondu Abera
Join this tutorial class at Harambe University conducted by Wondu Abera (MSc) to learn about maternity and reproductive health. Topics include antenatal care, pregnancy changes, terminologies, ANC components, comparison of ANC models, ANC contact schedule, and assessment during ANC.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Tutorial class for 4thyear Nursing students at Harambe University Course: Maternity and Reproductive health By Wondu Abera(MSc) Prepared by Wondu A 1
Antenatal CARE Prepared by Wondu A 2
Antenatal.. Group work Define pregnancy? What kinds of changes occur during pregnancy? Why do changes occur? How do you diagnose pregnancy? Prepared by Wondu A 3
Antenatal.. Terminologies Gravidity: the number of times that a woman has been pregnant Primigravida:-A woman who is pregnant for the 1st time Multigravida:- A woman who has > 2 pregnancies Prepared by Wondu A 4
Antenatal.. Parity: The number of times that a women has given birth Primipara:- A woman who is giving birth to her first child Nullipara:- A woman who has not born a child Multipara:- A woman who has given birth > 2 times Prepared by Wondu A 5
Antenatal.. Participate Define ANC? What are components of ANC? Which ANC model is currently being applied in Ethiopia? Prepared by Wondu A 6
Antenatal.. Compare four-visit FANC model with the new ANC eight-contact model? Eight-contact model is required: To reduce perinatal mortality To improve the pregnancy experience Prepared by Wondu A 7
Antenatal.. Table: ANC contact schedule Contacts Gestational age of contact in weeks Schedule of next appointment First trimester 1st Up to 12 After 8 weeks Second trimester 20 26 Third trimester 2nd 3rd After 6 weeks After 4 weeks 4th 5th 6th 7th 8th 30 34 36 38 40 After 4 weeks After 4 weeks After 2 weeks After 2 weeks Prepared by Wondu A 8
Antenatal.. Assessment during ANC A. History Current pregnancy Previous pregnancy Medical conditions Prepared by Wondu A 9
Antenatal.. Calculate GA & EDD GA= Visiting date LNMP Q1: If the woman s LNMP was on 05/01/2015 and comes for ANC on 07/04/2015. Calculate GA & EDD? GA = 07/04/2015- 05/01/2015 GA = 02+ 3x30 = 92 7 = 13 +1 weeks Prepared by Wondu A 10
Antenatal.. EDD = LNMP + 9 months + 10, add 5 instead of 10, if EDD pass pagume. EDD=05/01/2015 +10days/9months Therefore EDD will be on 15/10/2015 Prepared by Wondu A 11
Antenatal.. Q2: If the LMP was on 12/12/2014, and the mother comes for ANC on 04/08/2015. Calculate GA? GA = Visiting date LMP = 04/08/2015 - 12/12/2014 = 22/7 = 22 + 7x30 = 22 + 210 = 232 + 5 = 237 7 = 33+6 weeks Prepared by Wondu A 12
Antenatal.. B. Physical examination Leopold maneuvers 1. Fundal palpation-to diagnose the lie and the presentation. 2. Lateral palpation-to locate the fetal back 3. Pelvic palpation-To diagnose presentation, position and level of the presenting part whether high or engaged 4. Pawlik s grip- To judge the size, flexion and mobility of the head Prepared by Wondu A 13
Antenatal.. C. Investigations Hb, blood group, and Rh Urine analysis Tests for HIV, HBV, syphilis Early U/S(before 24 weeks of gestation) Prepared by Wondu A 14
Antenatal.. Health promotion, disease Immunization prevention & treatment Iron folate Diet Calcium Exercise Deworming Substance use Combs test Prepared by Wondu A 15
Antenatal.. Td vaccination Tetanus diphtheria vaccination schedule during pregnancy and beyond Protective effectiveness (duration of protection) Dose Timing of administration* Td-1 At the first ANC contact 0% Td-2 At least 4 weeks after Td-1 80% (1 3years) Td-3 At least 6 months after Td-2 95% (5 years) Td-4 At least 1 year after Td-3 99% (10 years) Td-5 At least 1 year after Td-4 99% (all childbearing years) Prepared by Wondu A 16
Treatment for Minor disorders during pregnancy Prepared by Wondu A 17
Treatment.. Morning Sickness Dry small frequent meal Ginger, chamomile and vitamin B6 Heart burning Modifying the diet Not eating at bedtime Elevating the bed/increasing pillows number Prepared by Wondu A 18
Treatment.. Constipation Exercise High fiber diet Glass of warm water in the morning Laxatives Prepared by Wondu A 19
Treatment.. Hemorrhoid Dietary modification to prevent constipation Avoiding prolonged sitting and vigorous straining locally applying anti-hemorrhoid agents Sitz bath Prepared by Wondu A 20
Treatment.. Varicose vein Avoid long standing Elevate feet when sitting Water immersion Mechanical compression stockings Use elastic bandages to aid circulation Prepared by Wondu A 21
Treatment.. Backache Wear comfortable shoes Sleep on firm bed Rest Regular exercise Physiotherapy Support belts Prepared by Wondu A 22
Treatment.. Fainting Turning on side Avoid not to lie flat on her back Avoid long standing Avoid being quick to sit or lie down Prepared by Wondu A 23
Questions for practice 1. A pregnant mother came to clinic with compliant of nausea and vomiting. On history taking she told you that she has two children alive, no still birth and two abortions. HCG test positive and examination reveal uterus below umbilicus. How do you record her para and gravida on the registration card? A. Para III Gravida IV B. Para II Gravida V C. Para IV Gravida III D. Para VI Gravida IV Prepared by Wondu A 24
Questions 2. On physical examination you found change on the skin of primigravida mother looks like butterfly pigmentation on the cheeks and nose, which she had not experience before. What is the specific pigmentation you observed? A. Chloasma gravidarum B. Stria gravidarum C. Linea nigra D. Chadwick s Sign Prepared by Wondu A 25
Questions.. 3. A 26 years old G1PO mother comes to ANC clinic for regular checkups. Calculated GA from LNMP was 28 weeks. While performing abdominal examination smooth, ballottable and hard part of fetus was palpated at fundal area. What type of fetal presentation could be identified in the case? A. Breech B. Brow C. Shoulder D. Face Prepared by Wondu A 26
Questions.. 4. A Nurse perform physical examination facing foot part of the woman, palpate fetal head pressing downward about 2 inches above the inguinal ligament in order to know presentation, decent and determine the degree of flexion of fetal head. Which Leopold Maneuver is this? A. Deep pelvic Palpation B. Paw lick s Grip C. Lateral Palpation D. Fundal palpation Prepared by Wondu A 27
Questions.. 5. W/ro Almaz comes to Adama hospital immunization room for TT2 injection, after she had taken the injection, she asked you when to return back for the next dose of TT3. When is her next appointment? A. After 1 month B. After 2 month C. After 6 month D. After 12 month Prepared by Wondu A 28
