Beruflich Dokumente
Kultur Dokumente
CARE STUDY
ON
SUBMITTED TO:
In Partial Fullfilment
Of The Requirements In The Subject:
NCM 501201-A
SUBMITTED BY:
RICHARD B. TANUCO
Student
BSN Level III Section N
T A B L E O F C O N T E N T S
I. INTRODUCTION..............................................................................1
C. ENVIRONMENTAL HISTORY...................................................4
D. HEREDO-FAMIAL HISTORY......................................................4
C.SYMPTOMATOLOGY.............................................9
.
VII. MEDICAL MANAGEMENT........................................10
B. MEDICATIONS.....................................................10
C.DIET.......................................................................10
D. EVALUATION.................................................11
E. PATIENTS TEACHING..............................11
IX. A. CONCLUSION...............................................12
.
B. RECOMENDATION...........................................12
A. NURSING EDUCATION.............................12
B. NURSING PRACTICE....................................12
.
C. NURSING RESEARCH .........................................12.
APPENDICES:
BIBLIOGRAPHY
I. INTRODUCTION:
Postpartum complications
The postpartum period is the time immediately after a woman delivers her baby. It is the time when the
mother's body is changing back to the non-pregnant state. It lasts approximately 6 weeks or until the
reproductive organs return to normal size. During the postpartum period, a woman can expect a variety
of symptoms ranging from physical discomfort to emotional upsets.
Feeling overwhelmed with the responsibility of caring for an infant is a normal postpartum symptom.
Other emotions may include sadness, feeling helpless, and a "let down" feeling. Discomfort in the
perineum (area between the rectum and vagina) is expected and may cause difficulty with sitting or
walking. It is common for the breasts to be swollen and painful. The new mother may feel tired,
experience hot flashes and sweating, and may be constipated. A woman may also have a reduced
interest in sex for up to 6 months after childbirth. All these symptoms are normal, a temporary reaction
to childbirth.
There are symptoms that are not normal and may be considered postpartum complications. Contact
your healthcare provider immediately if one of more of these symptoms develop:
• temperature of 100.4 degrees Fahrenheit (38 degrees Centigrade) or greater
• chills
• nausea or vomiting
• moderate to strong abdominal or back pain that is more than just an ache
• increased pain, swelling, redness, or drainage from the episiotomy or C-section incision
• bleeding through more than one pad per hour
• blood clots the size of a plum
• a foul smelling vaginal discharge
• chest pains
• increasing tenderness in the lower abdomen
• red, warm to the touch, painful breasts
• burning when urinating or blood in the urine
• a severe headache in the forehead and behind the eyes, accompanied by extreme pain while
sitting or standing
• feeling depressed or blue for more than 3 days
• severe weakness
• extreme paleness or
• a rapid, racing pulse
Treatment for complications varies depending on the source of the problem. Infection usually responds
to antibiotic treatment. Other special medications and procedures are available for treating postpartum
problems.
A new mother who experiences one or more of these symptoms should contact her provider
immediately.
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II. GENERAL DATA
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V. NURSING REVIEW OF SYSTEM
ENDOCRINE SYSTEM
Client does'nt had any complains . Hence, se does'nt had enlargement on her lymph nodes and does not
had graveyards disease.
GASTROINTESTINAL SYSTEM
The client experienced thirst and hungry after giving birth to his baby. She felt stomace ache if she
doesnt take her meals. She does not deficate after she give birth.
MUSCULOSKELETAL SYSTEM
Client just felt fatigue and pain felt at the lower extremities after a several minutes at lithotomy
position while the delivery is n going. She was taking mefenamic acid to minimized the pan she felt.
GENITO-URINARY SYSTEM
Client had not urinating for an hour after she delivered. She started menstrating when she get 13 yrs.
Old. And menstrate regularly without any dysmenorhea felt.
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ENVIRONMENTAL HISTORY
Client house is located at Riles Basak, Mandaue City. The place is near the Fatima Parish. As the table
shown above, she had 4 children. Their family lie in a semi-concrete house and not fully furnished,
located near the highwa and about 3minutes walk going to the church. Regularly, they dispose their
waste in the garbage can and collected by the bargy. Workers every week.
HEREDO-FAMILIAL HISTORY
Their common family illness is asthma. Her father had asthma until now.
VII.ANATOMY AND HYSIOLOGY OF THE SYSTEM INVOVLED:
FEMALE REPRODUCTIVE SYSTEM
The female reproductive system is designed to carry out several functions. It produces the female egg
cells necessary for reproduction, called the ova or oocytes. The system is designed to transport the ova
to the site of fertilization. Conception, the fertilization of an egg by a sperm, normally occurs in the
fallopian tubes. The next step for the fertilized egg is to implant into the walls of the uterus, beginning
the intitial stages of pregnancy. If fertilization and/or implantation does not take place, the system is
designed to menstruate (the monthly shedding of the uterine lining). In addition, the female
reproductive system produces female sex hormones that maintain the reproductive cycle.
During menopause the female reproductive system gradually stops making the female hormones
necessary for the reproductive cycle to work. When the body no longer produces these hormones a
woman is considered to be menopausal.
What Parts Make-up the Female Anatomy?
The female reproductive anatomy includes internal and external structures.
The function of the external female reproductive structures (the genital) is twofold: To enable sperm to
enter the body and to protect the internal genital organs from infectious organisms. The main external
structures of the female reproductive system include:
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• Labia majora: The labia majora enclose and protect the other external reproductive organs.
Literally translated as "large lips," the labia majora are relatively large and fleshy, and are
comparable to the scrotum in males. The labia majora contain sweat and oil-secreting glands.
After puberty, the labia majora are covered with hair.
• Labia minora: Literally translated as "small lips," the labia minora can be very small or up to 2
inches wide. They lie just inside the labia majora, and surround the openings to the vagina (the
canal that joins the lower part of the uterus to the outside of the body) and urethra (the tube that
carries urine from the bladder to the outside of the body).
• Bartholin's glands: These glands are located next to the vaginal opening and produce a fluid
(mucus) secretion.
• Clitoris: The two labia minora meet at the clitoris, a small, sensitive protrusion that is
comparable to the penis in males. The clitoris is covered by a fold of skin, called the prepuce,
which is similar to the foreskin at the end of the penis. Like the penis, the clitoris is very
sensitive to stimulation and can become erect.
• Vagina: The vagina is a canal that joins the cervix (the lower part of uterus) to the outside of the
body. It also is known as the birth canal.
• Uterus (womb): The uterus is a hollow, pear-shaped organ that is the home to a developing
fetus. The uterus is divided into two parts: the cervix, which is the lower part that opens into the
vagina, and the main body of the uterus, called the corpus. The corpus can easily expand to hold
a developing baby. A channel through the cervix allows sperm to enter and menstrual blood to
exit.
• Ovaries: The ovaries are small, oval-shaped glands that are located on either side of the uterus.
The ovaries produce eggs and hormones.
• Fallopian tubes: These are narrow tubes that are attached to the upper part of the uterus and
serve as tunnels for the ova (egg cells) to travel from the ovaries to the uterus. Conception, the
fertilization of an egg by a sperm, normally occurs in the fallopian tubes. The fertilized egg then
moves to the uterus, where it implants to the uterine wall.
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Mammary Glands:
Mammary glands, which are part of the breasts, are very high modified suderiferous (sweat)
glands, which appear in mostly all vertebrates, but are developed in their own ways. The glands are
also somewhat different from species to different animals. Each mammal may secrete milk in different
ways when they produce it.
All of these organs are major and critical parts of the female reproductive system. They are housed
internally within the body. These organs work together to help the ovaries release the egg follicle which
is then either implanted in the uterus or is sloughed out. Humans are the only mammal to have enlarged
breasts when they are not lactating. This is due to the large content of fat (adipose tissue) contained in a
breast surrounding the mammary gland.
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IX.SYMPTOMATOLOGY
THIRD STAGE OF LABOR
Stage three begins with the birth of the baby and ends at the delivery of the placenta. A time frame of 5
to 20 minutes is considered as normal for both primi and multiparas. Signs that indicate that the
placenta is separiting from the uterine wall consist of:
GUSH OF BLOOD
LENGTHENING OF THE UMBILICAL CORD
GLOBULAR SHAPE OF THE FUNDUS
The placenta is delivered spontenously of the two mechanisms. Expulsion by shultzes mechanism,
indicates that the fetal or the shiny part delivered first. Delivery by duncan mechanism, specifies that
the maternal or the roughy side delivered first.
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X. MEDICAL MANAGEMENT
PERINEAL CARE
Perineal care is done during the labor starts. Its the method that cleanse the perineum after the
various obstetric and gynecologic procedures. It is practiced to removed secretion or dried blood and
prevent contamination of urethral and vaginal areas.
We performed his procedures before doing internal examinaton and when there is gush of blood
came out or even if theres feces also.
DIET
During the labor the client is instructed not totake anything by mouth (NPO- nothing per orem). This is
so that the patient will not defecate as the labor goes on.
Right after the delivery, the client is allowed to eat so she can regain her energy.
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XI.NURSING MANAGEMENT
EVALUATION
Client x is very thankfull to thestaff and to the student nurses that help her in managing herself and the
baby in the hospital. She also appreciate the effort of the staff in providing her anything she wanted and
giving her right medications. She learned a lot and willing to apply it outside the premises of the
hospital.
PATIENT TEACHING
Client was able to learned proper breastfeeding technique. She was also tought on the pros and cons of
the latter. She was also reminded on proper hygiene to her and to the child so that she can assure to be
healthy for as long as she implemented what we taught to her. I also include to have regular
consultation to the nearest health center to monitor the recovery and the come back of her normal vital
signs.
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CONCLUSION
In this study, it really proof that knowledge is a power for it really help individual to make appropriate
actions and interventions that can be applied to each specific objectives with a specific rationale so that
people whom gonna read this work will be able to comprehend and understand what im talking about
especially caring this kind of client so that others will be guided on what to do and what would be the
priority action to be done. May this work of mine can help us health care providers on what is the
proper and exact ways on ealing our clients problem so that it is easy for us to make specific action for
them.
RECOMMENDATION
The care study is a requirement for us nursing student to be able to proceed to the next level. I tell you
this work is not easy to make and need enough time . We must put in our mind that we need to have
this work be the best and give all of us in makingit. My recomendation is just, we must give enough
time to make this and must have time management so that we can pass this work with confidence and
to get high grades.
NURSING PRACTICE
As a nurse in the future, this study that we conducted really a great tool for us to build more
knowledge, skills and positive attitude towards our work.
NURSING RESEARCH
This study I made , i consudered it as a research becouse it show what are the common experienced
pregnant mother had.
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APPENDIX
PERMIT LETTER
August 10,2009
In connection to the completion of the requirement of the subject, NCM 501201-A Related Learning
Experience, may I ask permission from your good office to take the case of MANATAD, ESTRELLA,
female, 34 years old, a resident of RILES BASAK, MANDAUE CITY, and is diagnosed of pregnancy
uterine full-term delivered baby girl through normal spontaneous vaginal delivery, as a subject of
nu MCN Care Study.
Very respectfully,
Noted By:
Approved By: