Intramuscular (or IM) injection is the injection of a

substance directly into a muscle. In medicine, it is one of several alternative methods for the administration of medications. It is used for particular forms of medication that are administered in small amounts. Depending on the chemical properties of the drug, the medication may either be absorbed fairly quickly or more gradually. Intramuscular injections are often given in the deltoid, vastus lateralis, ventrogluteal and dorsogluteal muscles.

Intradermal (ID) injection

is frequently done as a diagnostic measure, such as for tuberculin testing (screening test for tuberculosis referred to as a tine test) and allergy testing (placing very small amounts of the suspected antigen or allergen in a solution under the skin). The intradermal injection is made in skin areas of the body that are soft and yielding, is the injection of a small amount of fluid into the dermal layer of the skin.

Internal examination Umbilical catheterizationA physical examination in which Emergency room ,is a hospital or primary care department that
provides initial treatment to the patients with a broad spectrum of illnesses a procedure in which a radiopaque catheter ishealth care professional will passed through an umbilical and injuries, some of which may be life-threatening and require feel for to obtain blood samples, artery to provide a newborn with parenteral fluid, lumps or changes in the immediate attention shape of the vagina, cervix, uterus, or both, or through the umbilical vein for an exchange transfusion or the emergency administration of drugs, fluids,fallopian tubes, ovaries, and or volume expanders. rectum. The health care professional will also use a speculum to open the vagina to look at the cervix and take samples for a Pap test. Also called pelvic examination.

Wound care,
a nursing intervention from the Nursing Interventions Classification (NIC) defined as prevention of wound complications and promotion of wound healing

Endorsement
a statement of recognition of the license of a health practitioner in one state by another state. An endorsement relieves the health practitioner of the necessity of

The

Fetal heart rate is faster that the normal heart rate of an adult.

The younger the fetus the faster the rate. In middle and late pregnancy the fetal heart beat can be heard almost anywhere over the uterus depending on the position of the fetus. In the first trimester of pregnancy the fetal heart may be detected with an ultrasound machine. The sound is asynchronous and different from the maternal pulse that may be detected and heard in the nearby arteries (uterine arteries), called uterine souffle. The normal fetal heart rate ranges from 120 to 160 beats per minute.

Umbilical Cord Care
The umbilical cord is the baby's lifeline to the mother during pregnancy. However, it is no longer needed once the baby is born. Within a few minutes after birth, the cord is clamped and cut close to the navel. The clamp helps stop bleeding from the three blood vessels in the umbilical cord - two arteries and one vein. A medication is applied to the cord as part of a baby's first care. This may be a purple dye or another type of antiseptic. By the time the baby goes home from the hospital, the any health care procedure in which added precautions, such as use of sterile gloves and instruments, are used to prevent contamination of a person, object, or area by microorganisms.

Aseptic technique,

Steps in Priming the IV
1.

Remove IV administration set and fluid from packaging 2. Close infusion rate clamp. If your set has two spikes for insertion into the fluid bag/bottle select the appropriate spike and clamp the tubing leading to the other spike. Use vented spikes for non-collapsible bottles and non-vented spikes for collapsible bags. 3. Remove the cover from the selected spike and the cover from the bottle/bag of fluid. 4. Insert the spike into the bottle or bag aseptically. 5. Hang up the bag/bottle and invert the pump chamber of the administration set. Open the infusion rate clamp and let the pump chamber fill with fluid. When it is at least partially full turn it the right way up and let fluid fill the distal tubing. 6. When fluid drips out of the end of the distal tubing turn off the infusion rate clamp. 7. Squeeze and release the upper drip chamber until the fluid level reaches the top of the filter. The set is now ready for use.

Acknowledgement Finishing this documentation is noteworthy! The insight
embarked on this didactic endeavor arises from the unending support and encouragement of the following authorities by which the contributors want to recognize: First and foremost to our Father Almighty for giving us the strength needed towards the pursuit of the said activity. To the staffs of Western Pangasinan District Hospital for welcoming us and giving us inspiration and encouragement to have our clinical duty for the month of February. To our beloved mentors particularly Mr. Joseph Cornelio, RN , whose indulgent attitude and expertise on the subject matter helped the researchers come up with ideas vital to the process.

And finally, to ours peers and families who had always been inspiring us to aim at all times and strive for our goals and objectives in life.