NCM 107: maternal and child nursing MAGA, MEDIONA, OPONDA, SALUD

MATERNAL AND CHILD NURSING

MIDTERMS

CONTENTS:

 LESSON 5: Contraception (continuation)

 Lesson 6: Elective termination of
pregnancy

LESSON 5: CONTRACEPTION (continuation)

LESSON 6: ELECTIVE TERMINATION OF

PREGNANCY
SURGICAL METHOD OF CONTRACEPTION
 Patient chose to abort the baby
TAHBSO – Total Abdomen Hysterectomy  Termination should be done before 20
Bilateral Salpingo oophorectomy weeks
Tubal Ligation

 CS with BTL (bilateral)

 NSD with BTL
o Cut
o Cautery
o Tie
 UTL (unilateral) – there’s still a
chance of pregnancy but it’s too
little.  Use to terminate before the age of
viability (20 AOG – age of gestation)
Vasectomy
MIFEPRISTONE
 Removal of vas deferens
 Inhibits the function of progesterone
 Upper portion of scrotum which holds the pregnancy.
o Cut  Acts on the placenta to stop the
o Cautery production of progesterone.
o Tie
MISOPROSTOL OR CYTOTEC
 Sperms are viable for 6 months after
surgery  Gastrointestinal drug specifically
 It would take 30-40 ejaculation to gastrointestinal ulcers but has abortive
make sure that there is no sperm effects
cells  Promotes excessive bleeding

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NCM 107: maternal and child nursing MAGA, MEDIONA, OPONDA, SALUD

pill. The bleeding should be

similar to or heavier than your
normal menstruation. it means
abortion is taking place.

2. Dilation and Curretage (D&C)

 Currete – pangkayod ng uterus
 Cytotec is being insert for
ripening of the cervix the the
currete will insert inside.
i. Nobain or Midazolam -
sedative
 Most of the time patient is
awake
 Umbilical cord – for oxygen and
ROUTES FOR MISOPROSTOL AND
nutrient supply
MIFEPRISTONE:
 Blighted ovum – when an
1. Per Orem embryo never develops or stop
 Take 1 dose of Mifepristone developing
(200mg) with water
 Place 4 pills Mifoprostol under 3. Dilation and Evacuation
tongue hold for 30 mins,  Give cytotec to ripened the
without drinking. After 30 mins cervix
you can rinse your mouth with  The body parts are grasped at
water or drink something random with a long toothed
i. If you vomit during the clamp.
30 minutes when  More than 20 AOG
Misoprostol pills are  Make sure walang maiiwan sa
under your tongue, it is loob
likely they will note
work. It is necessary to
immediately repeat the
step.
ii. If you are 9-11 weeks
pregnant or had little or
no bleeding after 3
hours, repeat the
previous step.
 Wait 24 hours to 40 hours.
While waiting you can act
normally as you would in your
everyday life.
 You should begin bleeding
within 3 hours after using the 4
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 NCM 107: maternal and child nursing MAGA, MEDIONA, OPONDA, SALUD

4. Saline induction
 Will use Hypertonic saline
solution that will inject to the
amniotic fluid that will cause
dehydration

5. Hysterotomy
 Making an incision to the uterus
to remove the fetus
 Peri-mortem hysterotomy –
take the dead baby out
PLATEAU
 The baby is getting out then the
cord will be clamped but not to  Labia minora increases in size, color and
be cut out that would cause bright red because of vascularity
lack of oxygen to the baby and  Secretion of batholin’s glands because
sooner will be the cause of of lubrication
death of the baby.  Clitories retracted
HUMA SEXUAL RESPONSE  Orgasmic platform: vaginal entrance
contracts producing grasping effect
 There are 4 stages  Expansion of vaginal barrel
 EPOR – Excitement, Plateau or pre  Uterus fully elevated
orgasm, Orgasm, Resolution or post
orgasm

Excitement

 Physical and psychological stimulation

resulted to para-sympathetical
stimulation.
 There is changes in pulse rate,
respiration rate, and blood pressure
o Uterus pulls up and away from
the vagina
o Clitoris increase in diameter ORGASM
o Cervix pulls up from vagina
o Labia increase in size  Seminal pool location
o Vagina begins to lubricate after  Shortest period of the human response
10-20 seconds of stimulation o Uterus contracts similar to labor
o Rectus sphincter contacts in
rhythm with uterus
o Strong vaginal contractions of
orgasmic platform

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NCM 107: maternal and child nursing MAGA, MEDIONA, OPONDA, SALUD

RESOLUTION

 Uterus drops back to normal position

 Cervix drops into seminal pool
 Orgasmic platform resolves

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