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B. PHYSICAL EXAMINATION

Vital Signs: Temperature: 36.5 oC Respiratory Rate: 21 cpm

Pulse Rate: 88 bpm. Blood Pressure: 150/90 mmHg.

General Observations: Received patient lying in bed, conscious, coherent and mentally-oriented to time, people and place. Patient has fair skin with stitches on the incision site of the lower abdomen. Overall, patient is in a normal appearance.
Skin: Patient has fair, moist warm and smooth skin. Its turgor is within 1 to 2 seconds. Hair: Patient has long, black hair. It is distributed evenly. It is smooth and silky. Scalp: The scalp is free from lesions. Tenderness and masses are not noted. Nails: Nails of patient are pinkish in color. It is a bit square. It is smooth. Capillary refill is 2 to 3 seconds. No lesions found. Skull: Patient has a normocephalic head, symmetrical and no masses were found. Face: The face is able to do any impressions or expressions. It is oblong-shaped, symmetrical and free from edema and/or masses.

Eyes: Eyes are functioning properly. No inflammation on the eyelids, lacrimal glands and other surrounding the eyes. The eyes are wet and moist. Sclera on both sides is dirty white. Conjuctiva has small blood vessels.

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Ears: Ears are symmetrical, fair, and no noted discharge and swelling. The ears can hear perfectly. Nose and Sinuses: Nose is symmetrical with no inflammation and discharges noted. Airway patency is present. Sinuses are palpable and resonant when percussed. Mouth and Pharynx: Patient has good breathe. Lips are pinkish and smooth with moist. Buccal mucosa, gums and tongue are pinkish in color, teeth are dirty white, and the hard and soft palate are pinkish in color as well. Neck: The neck is symmetrical. Lymph nodes are palpable. Bruit sounds are heard on the trachea. It is felt and palpable. Thyroid gland is palpable. No inflammation or lesions noted. Posterior Chest: The posterior chest is symmetrical with the anteroposterior diameter at a ratio of 2:1. Tenderness and masses are not found. Thoracic expansion is 2 to 3 cm. vibrations were felt during tactile fremitus. Resonance upon percussion, and no wheezing or crackling sounds upon auscultation. Anterior Chest: Pulsations are felt. No wheezing or crackle sounds are heard upon auscultation. Heart: Heart is positioned right and correctly with the cardiac landmarks. Heartbeats are heard during auscultation. Vascular System: Carotid arteries are present with pulsations felt. It is palpable and no lumps are felt. Blood pressure is within normal range.

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Lymphatic system: Epitochlear nodes are palpable, as well as, the superficial inguinal nodes. No tenderness noted. Breast: The breasts are big due to lactation. There are no dimplings, nipple discharges, tenderness nor lumps noted. Patient is aware of breast selfexamination and learned it. Abdomen: Abdomen is round. The umbilicus is inverted. Respiration and surface motion are present. Pulsations on the abdomen are felt. The abdomen is palpable. Female External Genitalia and Anus: Patient has stitches on her perineum. Musculoskeletal System: Patient has grip strength. Temporomandibular joint is felt. The neck, shoulder, hip, spine, knees, feet, ankles, hands, elbow and wrists can do the different ranges of motion easily. Deep Tendon Reflexes: Biceps, triceps, Brachioradialis, patellar, Achilles and plantar reflexes are present. Neurologic Screening Assessment: Patient is conscious, coherent and alert. She has good memory and is mentally-oriented with people, place and time. She has goos speech patterns and walks properly.

2011).19 Cranial Nerves Assessment Cranial Nerve I Olfactory Function Smell reception and interpretation Method Ask client to close eyes and identify different mild aromas such alcohol. 2011). The Client blinks whenever sclera is lightly touched. 2011). cornea. The Client is able to read newsprint and determine far objects The Client is able to exhibit normal EOM and normal reaction of pupils to light and accommodation III IV Oculomotor Extraocular eye movements. to test sensation. scalp. able to discriminate blunt and sharp stimuli The Client is able to sense and distinguish different stimuli The Client is able to clench teeth The Client is able to move eyeballs laterall VI Abducens Lateral eye movement Ask client to move eyeball laterally ( Weber & Kelley. Chewing movements of the jaw Assess ocular movements and pupil reaction (Weber & Kelley. powder and vinegar. . V Elicit blink reflex by lightly touching lateral sclera. Client’s Responses The Client is able to distinguish different smells II Optic Visual acuity and fields Ask client to read newsprint and determine objects about 20 ft. (Weber & Kelley. able to feel the wisp of cotton over the area touched. papillary constrictions lens shape Trochlear Downward and inward eye movement Trigeminal Sensation of face. Ask client to move eyeballs The Client is able to obliquely move eyeballs obliquely (Weber & Kelley. 2011). away (Weber & Kelley. 2011). 2011). wipe a wisp of cotton over client’s forehead for light sensation and use alternating blunt and sharp ends of safety pin to test deep sensation Assess skin sensation as of ophthalmic branch above Ask client to clench teeth (Weber & Kelley. and oral and nasal mucous membranes. lid elevation.

2011 . able to move tongue from side to side and up and down. eye closure. IX Glossophar yngeal Taste on posterior 1/3 of tongue. salt and coffee (Weber & Kelley.20 Facial VII Taste on anterior 2/3 of the tongue Facial movement. swallow without assess client’s speech for hoarseness (Weber &Kelley. ask client to identify various tastes placed on the tip and sides of the mouth: sugar. pharyngeal gag reflex. salty and bitter taste. salty and bitter taste Client is able to hear loud and soft spoken words. frowning and raising of eyebrows. able to swallow without difficulty. 2011). Swallowing and phonation muscles of the pharynx X Vagus Sensation from pharynx. frowning and raising of eyebrows. do the watch tick test (Weber & Kelley. viscera. able to hear ticking of watch on both ears Client is able to identify different tastes such as sweet. The Client is able to do different facial expressions such as smiling. 2011). sensation from the eardrum and ear canal. XI Spinal accessory The Client is able to shrug shoulders and turn head from side to side against resistance from nurse’s hands The Client is able to protrude tongue at midline and move it side to side XII Hypoglossal Tongue movement for speech. ask client to move tongue from side to side and up and down. 2011). able to identify different tastes such as sweet. 2011). 2011). Ask client to protrude tongue at midline. labial speech Ask client to do different facial expressions such as smiling. Apply taste on posterior tongue for identification (sugar. carotid body and carotid sinus Trapezius and sternocledomastoid muscle movement The Client is able to Ask client to swallow. ask client to swallow and elicit gag reflex through sticking a clean tongue depressor into client’s mouth (Weber & Kelley. difficulty. sound articulation and swallowing Janet Weber & Jane Kelley. salt and coffee). with (+) gag reflex VIII Acoustic Hearing and balance Assess client’s ability to hear loud and soft spoken words. has absence of hoarseness in speech Ask client to shrug shoulders and turn head from side to side against resistance from nurse’s hands (Weber & Kelley. then move it side to side (Weber & Kelley. 2011).

(Marieb. urinary meatus and vaginal orifice. 2011). External Structures: 1. 2. Mons Veneris/Pubis – Pad of fat which lies over the symphysis pubis where dark and curly hair grow in triangular shape that begins 1-2 years before the onset of menstruation. Labia Majora – Two (2) lengthwise fatty folds of skin extending from mons veneris to the perineum that protect the labia minora. (Marieb. It protects the surrounding delicate tissues from trauma. 2011). ANATOMY AND PHYSIOLOGY A.21 IV. .

6. 8. Very sensitive because of rich nerve supply Space between the labia is called the Vestibule (Marieb. Vestibule – the flattened smooth surface inside the labia. Bartholin’s Gland/Vulvovaginal Glands – located lateral to the vaginal opening on both sides. (Marieb. Glands in the labia minora lubricates the vulva 4. 2011). Clitoris – small. 2011). (Marieb. (Marieb. It lubricates the external vulva during coitus and the alkaline pH of their secretion helps to improve sperm survival in the vagina. Skene’s Glands/Paraurethral Glands – located just lateral to the urinary meatus on both sides. . 2011). Labia Minora – 2 thinner. 2011). 2011). 7. It is very sensitive to temperature and touch. It is comparable to the penis in it’s being extremely sensitive (Marieb. erectile structure at the anterior junction of the labia minora that contains more nerve endings. Secretion helps lubricate the external genital during coitus. 5.22 3. lenghtwise folds of hairless skin extending from clitoris to fourchette  (Marieb. and secretes a fatty substance called Smegma. It encloses the openings of the urethra and vagina. 2011).

It contains the openings of the Skene’s glands which are often involved in the infections of the external genitalia. Fourchette – thin fold of tissue formed by the merging of the labia majora and labia minora below the vaginal orifice. (Marieb. It is easily stretched during childbirth to allow enlargement of vagina and passage of the fetal head. thin membrane called Hymen. Perineum – muscular. skin-covered space between the vaginal opening and the anus. 2011). 2011). It contains the muscles (pubococcygeal and levator ani) which support the pelvic organs. Urethral meatus – external opening of the urethra.23 9. covered by a (Marieb. 11. (Marieb. 12. the arteries that supply blood and the pudendal nerves which are important during delivery under anesthesia. 2011). . 10. Vaginal Orifice/Introitus – external opening of the vagina. 2011). (Marieb.

Fallopian tube/Oviduct – 4 inches long from each side of the uterus (fundus). It transports the mature ova form the ovaries to the uterus and provide a place for fertilization of the ova by the sperm in it’s outer 3rd or outer half. Parts: (Marieb. 2011). . Internal Structures: 1.24 B.

(Marieb.5 cm thick. Layers: 1. almond sized. posterior to the bladder and anterior to the rectum.rim of the funnel covered by fimbriated cells (hair covered fingerlike projections) that help to guide the ova into the fallopian tube. 3 inches long. . Perimetrium – outermost layer of the uterus comprised of connective tissue. weighing 50-60 grams held in place by broad and round ligaments. maturation and discharge of ova and secretion of estrogen and progesterone. and abundant blood supply from the uterine and ovarian arteries. 2011). 2011). 2011). 2. 3. (Marieb. Ovaries – Oval. it offers added strenght and support to the structure. pear-shaped muscular organ. longest portion that spreads into fingerlike projections/fimbriae and it is where fertilization usually occurs. site of implantation and provide nourishment to the products of conception. dull white sex glands on either side of the uterus that measures 4 by 2 cm in diameter and 1. (Marieb. Ampulla – widest. Uterus – hollow. 2011).  Infundibulum . (Marieb.25    Interstitial – lies within the uterine wall Isthmus – portion that is cut or sealed in a tubal ligation. 2 inches wide. It is responsible for the production. It is located in the lower pelvis. Organ of menstruation.

Fundus – upper rounded. half of it extends to the vagina. comprised of smooth muscles running in 3 directions. expels fetus during birth process then contracts around blood vessels to prevent hemorrhage. The portion that is cut when a fetus is delivered by a caesarian section. (Marieb. 2011). . 4. Corpus – body of the uterus. 2011). 2011). Isthmus – area between corpus and cervix which forms part of the lower uterine segment. Endometrium – Inner layer which is visibly vascular and is shed during menstruation and following delivery. 3. 3. (Marieb. Myometrium – middle layer. It acts as a organ of intercourse/copulation and passageway for menstrual discharges and fetus. (Marieb. (Marieb.Vagina – a 3-4 inch long dilatable canal located between the bladder and the rectum. 2011). 2. Half of it lies above the vagina. Divisions of the Uterus: 1. (Marieb. dome-shaped portion that can be palpated to determine uterine growth during pregnancy and the force of contractions and for the assessment that the uterus is returning to it’s non-pregnant state following child birth. 2011). Cervix – lower cylindrical portion that represents 1/3 of the total uterus. 2011). (Marieb. 2011). It enlarges greatly to aid in accommodating the fetus. 5. it contains rugnae which permit considerable stretching without tearing. (Marieb.26 2.

27 V. CONCEPTUAL FRAMEWORK OF THE PATHOPHYSIOLOGY OF PREGNANCY Sexual intercourse MALE FEMALE Release of FSH by the anterior Pituitary Gland Development of the graafian follicle Production of estrogen (thickening of the endometrium) Release of the Luteinizing Hormone Ovulation (release of mature ovum from the graafian follicle) Ovum travels into the graafa tube Fertilization (union of the ovum and sperm in the ampulla) Zygote travels from the fallopian tube to the uterus .

usually before the due date of delivery) Show (After the discharge of the mucous plug that has filled the cervical canal during pregnancy. or during.28 Implantation Development of the fetus/ embryo and placental structure until full term Preliminary signs of labor Lightening (descent of the fetal wherein head into the pelvis softer like Braxton Hicks Contraction (or false labour or practice contractions) Ripening of the cervix (the softened. ) Rupture of the membranes (rupture of the amniotic sac at the onset of.) Pregnant woman with blood pressure higher than 140/90 mmHg Before 20 weeks Gestation No/stable Proteinuria increase blood pressure / HEELP syndrome After 20 weeks Gestation Proteinuria No Proteinuria Preeclampsia Gestational HPN Preeclampsia Eclampsia . the pressure of the descending presenting part of the fetus causes the minute capillaries in the cervix to rupture. effaced and dilated condition of the earlobe) cervix just prior to labor) True labor Uterine contractions (at regular intervals that begin before the fetus is mature. labor.

This process of remodeling the maternal spiral arteries that branch from the uterine artery is typically completed by 18-20 weeks' gestation. Normal disease. This physiologic dilatation of the spiral arteries does not occur because the placental trophoblast cells do not invade the spiral arteries. hypertension. eclampsia. have a higher incidence of placental development involves progressive loss of the musculoelastic tissue in the spiral arteries that feed the vessels of the intervillous spaces. In severe cases. not only do the spiral arteries maintain their muscular structure. disruption of the basement membranes. such as diabetes. metabolic changes.29 VI . Women with underlying microvascular and collagen vascular disease. platelet deposition. resulting in maintenance of narrow vessels with resultant placental hypoperfusion and ischemia. acute atherosis). EXPLANATION OF THE PATHOPHYSIOLOGY OF THE DISEASE CONDITION / SYMPATHOMATOLOGY The current concepts regarding the pathophysiology of eclampsia recognize that eclampsia is a multisystem disorder characterized by vasoconstriction. Accumulation of fat-laden macrophages with fibrinoid necrosis (ie. and activation of the coagulation cascade in conjunction with an inflammatory response. . endothelial dysfunction. which results in uterine blood flow increases of nearly 25% during the first trimester. but other pathologic changes also occur.

The primary feature of clampsia. development of hypertension. The anatomical reduction in blood flow may be complicated by vasospasm of the uteroplacental bed. vasopressin). as well as to the activation of coagulation factors that increase the risk of thromboembolic formation. Associated abnormalities in clotting and platelet function contribute to vasoconstriction and platelet adhesion and aggregation. to catecholamines. Women who develop preeclampsia experience an increase in PVR and alterations in vascular sensitivity to endogenous This hormones in (eg. Uteroplacental blood flow is then reduced by 50-75%.30 mural thrombi. and proliferation of intimal and smooth muscle cells all decrease the luminal diameter. The resulting narrowed and damaged spiral arteries become thrombosed. increase . Decreased placental perfusion is thought to lead to fetoplacental ischemia. Although cardiac output increases 30-50%. manifestations of preeclampsia. even in women with chronic hypertension. the decreased peripheral vascular resistance (PVR) results in decreased BP. angiotensin vascular reactivity II. occurs when normally extreme vasodilatation does not occur. in placental infarction and necrosis. The primary defect in preeclampsia appears to originate at the maternal-fetal interface (the placenta). produce maternal circulating vascular antiangiogenic endothelium The ischemic placenta may factors that promote leading to generalized systemic dysfunction.

at least in part. through damage to vascular endothelial cells.31 pressor hormones may be mediated. leading to the relative observed in preeclampsia. Circulating blood volume is maintained by the increased vascular tone. such interstitial fluid volume is increased while the plasma volume decreased. 2011) . This is the result of diminished plasma volume. disrupting the normal prostaglandin balance. The hematocrit increases as the severity of preeclampsia increases. The normal expansion of blood volume by 50% that occurs with pregnancy is decreased by 15-20% in patients with preeclampsia. (Pillitteri. The plasma volume that is hemoconcentration abnormality involves a redistribution of extracellular fluid.

0 H RBC Count Pre-operation assessment of The patient. Decreased hemoglobin on pregnant is normal because of their increase in plasma.350-. Hematocrit Pre-operation assessment of the patient. The result indicates that a 1000 ml sample of blood contains .32 VII. The result indicates that a 1000 ml sample of blood contains 96 g of hemoglobin.80-5. 19. Decreased hematocrit on pregnant is normal because of their increasein plasma volume.5-10.23 1012/L 3. MEDICAL MANAGEMENT A. 4.1 LABORATORY AND DIAGNOSTIC EXAMINATIONS Diagnostic or Laboratory Procedure Indication or Purpose Results Normal Values Analysis and Interpretation of Results No infection or inflammation is present.5 H 108/L 109/L 3.500 L 1/1 . Hemoglobin Pre-operation assessment of the patient. To determine infection WBC Count or Inflammation Preoperation Assessment of the patient.80 Decreased RBC count on pregnant is normal because of the increase in plasma volume during pregnancy. 366 L 1/1 .29 g of hemoglobin. 133 g/L 110-165 L g/L . CLINICAL MANAGEMENT A.

0 (+) (-) Normal Normal High Low RESULT SIGNIFICANCE MICROSCOPIC       RBC WBC Epithelial cells Mucus Threads Amorphous material Bacteria 0-1 0-2 Few Few Few Few Low Low Low Low Low Low .33 URINALYSIS TEST NAME MACROSCOPIC     color pH protein glucose Yellow 6.

Intake and Output Monitoring Intake Is any measurable fluid that goes into the patient's body. 2. 2011). 2011). Water given off in the form of perspiration and water vapor (exhaled breath) is also output. blood pressure. (Pillitteri. and temperature are typically tracked while recovering. since it cannot be accurately measured.34 A. Output Is any measurable fluid that comes from the body. drainage. Pulse rate. and fruit juice) and "solids" composed primarily of liquids (such as ice cream and gelatin) that are taken by mouth (orally). Intake includes fluids (such as water. but it is not recorded on the DD Form 792. and fluids that are introduced by irrigation (through a tube) (Pillitteri. and stools (fecal discharge from the bowels). Vitals Signs Taking vital signs will be continually monitored while recovering. (Pillitteri. fluids that are introduced by IV. 2011).) The major forms of output recorded on the worksheet are urine. The Client’s Respiratory rate.2 Treatment and Procedures 1. vomitus (matter vomited). . soup. (An adult usually looses about 500 milliliters (ml) a day through perspiration and moisture exhaled in breathing.

the incision was closed with stitches. 2011). Perineal Care Cleaning of perineum and the materials it uses is inb accordance to the policy of the institution. the baby was delivered through it. (Pillitteri. In SVGH. and the placenta was removed. the perineum is clean with lukewarm water and an antiseptic agent like betadine solution before birth.to 8-inch incision in the abdomen directly over the uterus. (Pillitteri. After the incision was made.35 3. The baby was then delivered through this opening. When the cesarean section was started. the perineal area of the mother is washed with tap water as vaginal canal is clean manually. The incision was horizontal. Delivery Before the cesarean section procedure. The doctor then made horizontal incision in the abdomen and uterus. the patient was given anesthesia to numb the pain. Following delivery of the placenta. the doctor made a 6. 2011). After the cesarean section procedure. . 4. which was side to side.

Patient cannot have anything that would go in the mouth including food. Some patients can be placed on a NPO diet for just a short time while others may have to stay on it for a much longer time.3 Medications See Appendix E A. NPO After the surgery the doctor ordered the NPO diet. A NPO diet is most often seen in a hospital setting. beverages and oftentimes medications. medical procedure or test. She cannot have anything to eat or drink prior to surgery to honoring the NPO status is very important. . and the baby was handed to the healthcare provider. The doctor then closed the incision on the uterus. and the incisions in the skin were closed with stitches that would dissolve on their own. a drug that causes the uterus to contract and helps prevent serious bleeding. After the baby had been delivered. New born Care The umbilical cord was cut.36 5. the patient received oxytocin. the placenta was carefully removed from the uterus.4 DIET 1. Patient can be made NPO for a variety of reasons including an upcoming surgery. A. Then the baby was cleaned and dried and eventually checked by the pediatrician. NPO is a type of diet people are placed on by their medical professionals. who took him to a small. (Pillitteri. At that time. 2011). warmly lit plastic crib called a warmer.

BREAKFAST LUNCH DINNER 4. chili. and pain from newly adjusted dental braces. 1 fish. procedures or surgeries that require no food in the stomach or intestines. 1 serving of chicken soup. this statement is most effectively in regard to the diet after abdominal or gastrointestinal surgery. BREAKFAST LUNCH DINNER 3. or curries. 1 banana & 1 glass of water 1 cup of rice. I serving of vegetable soup with 1 ripe of mango & 1 glass of water ½ cup of oatmeal & 1 glass of milk ½ cup of corn soup & 1 glass of water ½ cup of chicken soup & 1 glass of juice .37 2. combined with sauce or gravy. The doctor may prescribe a clear liquid diet before certain medical procedures or have certain digestive problems. Clear Liquid/ General Liquid Patient is on a clear liquid diet consists of clear liquids. Diet is tolerated is a term that indicates that the gastrointestinal tracts is tolerating food and is ready for achievement to the next stage. signifying the patient’s wellness of her diet. pureed. that are easily digested and leave no undigested residue in your intestinal tract. 1 slice of meat. Full Diet After the soft diet. such as water and plain gelatin. Soft Diet After the clear liquid the doctor ordered a soft diet. & glass of juice ½ cup of rice. 1 hotdog & 1 cup of milk ½ of rice. & glass of water 1 cup of rice. A clear liquid diet is often used before tests. it shouldn’t be continued for more than a few days. the patient is ordered DAT. Because a clear liquid diet can’t provide with adequate calories and nutrients. such as before colonoscopy. A soft diet is recommended in many situations. including surgery involving the mouth or gastrointestinal tract. 1 bacon & 1 glass of milk 1 cup of rice. A soft diet can include many foods if they are mashed. Therefore. BREAKFAST LUNCH DINNER 1 cup of rice. or cooked in soups.

NURSING MANAGEMENT B. intake and output measurement were not strict operating procedure yet we were required t monitor the client’s intake and output. Bedside Care Giving optimal health both to the mother and client served as our goal as we performed some nursing interventions like promoting a conducive environment through bedmaking and adjusting the room temperature.1 Nursing Care Plan See Appendix C B. Vitals Signs Taking Monitoring of vital signs was done every shift. 2. Administration of Medication Medications were administered via oral route TID as prescribed by the physician with a full stomach to decrease GI upset. . 3.2 Discharge Plan See Appendix D ACTUAL CARE GIVEN 1.38 B. We as well assisted the client with her needs such as changing of position and guiding her as she walked.

For 2 days of nursing care. I wasn’t able to do it on time for the client never had her lunch yet. Health Teaching As a health care provider. She was still waiting for her SO to arrived whom brought her meals. . She was a bit shy and aloof at first but as the establishing rapport progresses she was able to manage the timidity and shared her predicaments of pregnancy and delivery. I discussed the concept of Family Planning to the client and gave her information on the proper newborn care & the importance of proper nutrition and exercise to promote health and prevention of disease See Appendix F PROBLEMS ENCOUNTERED DURING THE CARE The patient was very cooperative as I deal with her. there were no aberration present. nursing care was done spontaneously. When I was about to give the medications due for 6pm.39 4. hence.

. Close monitoring in pregnant women and health teaching as much as possible about pregnancy could definitely reduce life threatening complications. These were more complicated and rare. These goals speak directly to both fetus and the mother because pregnancy is a high risk factor for them. Pre-eclampsia are seen most commonly in pregnant women experiencing labor. CONCLUSION AND RECOMMENDATION Conclusion Nurses can help the nation achieve National Health Goals. Studies show that there is no certain facts that will give us the idea where Eclampsia arise. proper exercise. And if the complication is already present.40 IX. The baby exhibited non-recessing fetal heart tone as uterine contractions occur. But there so many factors that could prevent this complication such as diet modifications. Further run through of the study showed that there are many other complications that would pose a risk to pregnant women. Unlike those. proper compliance with the health care providers. The operation was done to resolve the risk of pregnancy and eventually save the baby’s life. proper monitoring. The major reason why the patient underwent a surgical procedure called LSTCS was due to Eclampsia. proper diet and drug compliance should be ruled in. The main purpose of the study was successfully met.

41 Recommendation As a nursing student. the student nurses would like recommend and share some pointers on how to deal with different diseases with pregnancy specifically Eclampsia. Breastfeeding maybe difficult due to the limited mobility of the mother after the operation. medical history and also check the baby inside if he/she is doing well or in the proper position. For caesarean section. A pregnant woman must be well cared by a nurse with her personal attending obstetrician. it is very complicated operation which can have some risks like death for the mother. There is a possibility that a caesarean delivery might be planned advance if a medical reason is needed or it might be unplanned and take place during the labor if some problems occur. The mother must be given the proper knowledge regarding a vaginal or caesarean delivery right from her first pregnancy. sometimes have some initial trouble breathing for the newborn babies and will make them drowsy from the pain medication administered to the mother. Thus. The most important one is the mother’s health. The mother should be given the proper care for herself and for the baby. With this study. it is a responsibility to give a pregnant patient the proper recommendation so she can make herself ready if any problem will arise. . the student nurses were able to gain more knowledge and wider view and perspective of the complication of pregnancy which is Eclampsia. She should be monitored frequently—her blood pressure.

they should righteously implementing basic and ideal procedures regardless of the health care facilities where they belong. X. This broad information would really enhance the previously learned concepts of the nurse so as to help him/her in becoming a competent nurse. The best thing about this study is that there is a comprehensive explanation of the relationship between the surgery performed and the cause of this high-risk pregnancy. Nursing Education This study helps in enriching the knowledge base of the nurses regarding the concepts of this kind of complication.42 To the health care team. This would greatly help in determining the risk factors that would possibly be prevented from occurring once there is an application of this study. . IMPLICATIONS OF THE STUDY TO A. They must observe and always remember to keep in line with their duties towards both the mother and the child during the pregnancy. This can cater all the questions regarding how and why this certain kind of operation is performed. The cause is highly fatal if not given attention so this gave motivation to performing CS.

This study gives relevant contribution to modern studies at it is of a high-technologically based study. there is a good complementation since the patient is at high risk. That is why this study is equipped with numerous appropriate and effective interventions that would somehow guide and develop the nurse in his/her nursing practice. each individual has a unique adaptive mechanism. Having competency in performing the procedures is the most effective way of responding the needs of the client. Moreover. As we all know. It typically shows how an individual was able to cope up with this kind of complication. Nursing Practice This study helps in giving care to a woman experiencing high-risk pregnancy. . Appropriate measures and interventions can be taken which are very useful in promoting the health status of the client. this study greatly helps in the development of nursing profession. The nurse’s skills are further guided as to how he/she manages the implementation of nursing procedures in order to meet the varying needs of his/her patient. This study will further be a basis of improving the nursing approach to high-risk pregnancies. monitoring and as well as the operation.43 B. It shows the beneficial relationship of our technological advances to science nowadays. C. This study alarms the nurses when to act immediately in cases of unexpected or unusual situations which might pose a risk to the mother or the baby or maybe both. Nursing Research As it is a comprehensive compilation. Modern facilities are used in the performance of care to the patient.

Processes. McGraw-Hill Companies. A. Inc.com/eclampsia/pregnancy/ Retrieved (March 20. Philadelphia. Nurse’s Pocket Guide.44 BIBLIOGRAPHY Book Sources: Doenges. Addison – Wesley Publishing Co. Pillitteri.nursingcrib. Inc.wikipedia..com/nursing-notes-reviewer/ectopicpregnancy/ Retrieved (March19. Kozier et al Fundamentals of Nursing: Concepts. 7th edition. 2012) . Davis Company. Maternal and Child Health Nursing: Care of the Childbearing and Childrearing Family. 6th ed. 2009 Internet Sources: www. Lippincott Williams and Wilkins.. 2009. et al Seeley’s Principles of Anatomy & Physiology. 2012) www. and Practice. Marilyn E.A. P. 5th ed. et al.. 2008 Tate. F.

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