Partograph is a graphic form on which labor observations are recorded. Partograph provides overview of the progress of labor and records information about maternal and fetal condition during labor which is an early warning system” for identifying complications during childbirth. Partograph is important tools used to monitor labor and prevent prolonged and obstructed labor (Plotkin et al., 2011) The purpose of the partograph is to help health care providers to record, interpret, analyze and use data to make decisions of clinical management while labor is in progress. The provider must use critical thinking skills to interpret this information and make appropriate clinical decisions based on evidence and established protocols (Care, 2012) . Monitoring
Again, I had difficulty selecting which piece to use for my second piece. Ultimately I selected Temptation, 1880 William-Adolphe Bouguereau. The dimensions are 39x52 inches and is oil on canvas.
During World War II, after the Japanese bombing of Pearl Harbor, Japanese Americans in the western United States were forced into internment camps because the government felt as though the Japanese were dangerous if they were not relocated. These camps were usually in poor condition and in deserted areas of the nation. The Japanese were forced to make the best of their situation and thus the adults farmed the land and tried to maximize leisure while children attempted to enjoy childhood. The picture of the internee majorettes, taken by internee and photographer Toyo Miyatake, shows sixteen girls standing on bleachers while posing in front of the majestic Sierra Nevada mountain range and desolate Manzanar background. Their faces show mixed expressions of happiness, sadness and indifference, and their attire is elegant and American in style. With the image of these smiling girls in front of the desolate background, Miyatake captures an optimistic mood in times of despair. Though this photograph is a representation of the Manzanar internment camp and, as with most representations, leaves much unsaid, the majorette outfits and smiling faces give a great deal of insight on the cooperative attitudes of Japanese Americans and their youth's desire to be Americanized in this time.
The first stage of labor actually has two phases itself. The first phase is called early labor. During early labor you should start to feel something like light cramps. It is also common to feel pressure in your lower back. This is the start of what is called “contractions”. Contractions help your uterus (female reproductive organ) stretch and relax, along with moving the baby's head down into the birth canal. Another thing that happens during early labor is your cervix (narrow neck like passage forming the lower end of the uterus) will start to get shorter, also known as “thinning out”. Your cervix will go from about three to five centimeters to looking as if it could be part of the uterus. You will also start to dilate (make or become wider, larger, or more open) during this phase. When your contractions get closer together, about four to five minutes apart, you should call your doctor or midwife and go in to get checked. They tell how far dilated you are in centimeters, zero to ten. The next phase to this stage is active labor. This phase will consist of you dilating more rapidly as well as your contractions getting harder and closer together. You may also begin to feel nauseous during active labor. At this point you will probably be in quite a bit of pain and want pain medication. Though it may be too late for an epidural (an injection in...
This DNP project is a quality improvement initiative that will include implementation of a newly developed interdisciplinary algorithm resource tool and unit-specific policy. This interdisciplinary group of will is composed of staff members, managers, case management, physicians, security, and nursing education. The DNP leader will provide evidence-based literature for supplemental tools The algorithm will serve as a decision-making tool to the bedside nurse with standardization to screening practices, scripting, and case management referrals. The unit-specific policy will provide structured support for labor and delivery nurses with screen patients.
At Wildcat Hospital, I performed my first newborn assessment on a baby. I walked into the postpartum room and greeted the mother and family and asked if I could (along with another student) perform and assessment on the baby for the second time. This assessment was different from the initial assessment I performed four hours previously, because the second time around I had more control of the assessment. I listened to the heart, lungs, and stomach. I assessed the newborn’s respirations, reflexes and temperature. After our assessment was over, I was able to swaddle the baby back up and hand the infant back into the arms of an excited new mother.
A labor and delviery nurse has vast knowledge of the process and methods that are required for delivery and bring a new life into the world and is educated with the responsibilities of assiting the new born babies with their medical issues. Considering all the responsibilites needed to take on this career, such as assisting women with complications within the pregnancy, delivering a newborn and managing post birth issuses, the nurse must be professional in his or her work at all times. All people wishing to pursue the career of being a Labor and Delivery Nurse must also have good analytical skills, as part of there job to montior and analyze the mother and child (CollegeAtlas.org).
Project 1: Scene Breakdown Scene Breakdown The scene I chose for this project comes from the movie Tinker Tailor Soldier Spy. The film revolves around a man named George Smiley, a retired yet distinguished MI6 official for the British government who is asked by the British Minister of Defense to come out of retirement to investigate a report of a mole infiltrated deep into the highest authority of MI6 known as the “Circus”. The mole is allegedly stealing top secret information from MI6 and passing it along to the Soviet Union.
The hospital room holds all the usual scenery: rooms lining featureless walls, carts full of foreign devices and competent looking nurses ready to help whatever the need be. The side rails of the bed smell of plastic. The room is enveloped with the smell of plastic. A large bed protrudes from the wall. It moves from one stage to the next, with the labor, so that when you come to the "bearing" down stage, the stirrups can be put in place. The side rails of the bed provide more comfort than the hand of your coach, during each contraction. The mattress of the bed is truly uncomfortable for a woman in so much pain. The eager faces of your friends and family staring at your half naked body seem to be acceptabl...
The version of childbirth that we’re used to is propagated by television and movies. A woman, huge with child, is rushed to the hospital when her water breaks. She is ushered into a delivery room and her husband hovers helplessly as nurses hook her up to IVs and monitors. The woman writhes in pain and demands relief from the painful contractions. Narcotic drugs are administered through her IV to dull the pain, or an epidural is inserted into the woman’s spine so that she cannot feel anything below her waist. When the baby is ready to be born, the doctor arrives dressed in surgical garb. The husband, nurses and doctor become a cheerleading squad, urging the woman to, “Push!” Moments later, a pink, screaming newborn is lifted up for the world to see. Variations on this theme include the cesarean section, where the woman is wheeled to the operating room where her doctors remove the baby through an incision in her abdomen.
To be able to understand perinatal health disparities, low birth weight, preterm delivery, morbidity, and mortality of infants very important to determine most common causes which is:
DEADLY VIEWS presents as a mystery thriller. The goal is clear and the stakes are high. The script does a nice job of creating a mystery about the identity of the true killer. Themes about healing and revenge are incorporated into the script. While there are certainly smart elements to the plot, it would also benefit from more development.
Between five to ten percent of all infants are born more than two weeks before their due date due to several factors that include infections, illness, poor nutrition, or complications during the pregnancy. Fetal monitors are used in the cases of C-sections because there is a much higher risk of detecting the infant’s distress and therefore can go in more quickly to remove the baby from the uterus. When the mother is under general anesthesia, which is rare in the United States, the mother is not aware of any kind of pain or even the birth of her child. When the mother has spinal anesthesia she has no feeling from the waist down. Sometimes, the best indication that the baby is in distress is the mother- an unfamiliar pain occurs or something else could be a sign of problems.
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2013). Labor and Birth Processes. In Maternal Child Nursing Care (5th ed., p. 351). Elsevier-Health Sciences Division.
Offering the unique ability to visually and audibly convey a story, films remain a cornerstone in modern society. Combined with a viewer’s desire to escape the everyday parameters of life, and the excitement of enthralling themselves deep into another world, many people enjoy what films stand to offer. With the rising popularity of films across the world, the amount of film makers increases every day. Many technological innovations mark the advancement of film making, but the essential process remains the same. Pre-production accounts for everything taken place before any shooting occurs, followed by the actual production of the film, post-production will then consist of piecing the film together, and finally the film must reach an audience. Each step of this process contributes to the final product, and does so in a unique right. The process of film making will now start chronologically, stemming from the idea of the story, producing that story into a film, editing that footage together, and finally delivering that story to its viewers.