OBSTETRIC NURSING CALENDAR METHOD OF CONTRACEPTION:

INHOUSE – UNIVERSITY OF PANGASINAN 2022

Prof. Kenneth Arzadon, RN, UKRN Prerequisite:
Formula:
ANATOMY and PHYSIOLOGY

MENSTRUAL CYCLE
Onset of Menarche: _________________________
Interval of Menses: __________________________
Duration of Bleeding: ________________________
Amount: ___________________________________
Odor: _____________________________________

PHYSIOLOGY OF MENSES

FOR PRACTICE TEST

PHASES OF THE MESTRUAL CYCLE

1st Phase:
2nd Phase:
3rd Phase:
4th Phase:

OVULATION - ______________________________
Most Fertile time: ___________________________

Signs and Symptoms of Ovulation:

- Increased body temperature
- Mittelschmerz
- (+) Spinbarkeit
- (+) Ferning
- Cervical Mucus
 STAGES OF FETAL DEVELOPMENT
OVUM

ZYGOTE

EMBRYO

FETUS

EMBYONIC FETAL STRUCTURES FETAL HEART CIRCULATION:

Placenta Ductus Venosus

Ductus Arteriosus
Umbilical Cord
Foramen Ovale
Amniotic Fluid

GRAVITY AND PARITY

Gravity:
Normal Amount: Parity:
Oligohydramnios:
Principle in identifying parity:
Polyhydramnios: 1
2
FETAL GROWTH AND DEVELOPMENT 3

4 weeks Examples:
1. Patient A is pregnant for the first time and
8 weeks carries a twin
2. Patient B delivered to an alive monozygotic
12 weeks twin
3. Patient C is now pregnant. Her pregnancy
16 weeks three years ago ended in abortion
4. Patient D has delivered an alive baby girl.
20 weeks Her pregnancy three yeas ago ended in
abortion
24 weeks 5. Patient E pregnancy three years ago ended
in abortion. She aborts for the second time;
28 weeks
GTPALM Scoring
32 weeks G-
T-
36 weeks P-
A-
40 weeks L-
M-
OBSTETRICAL FORMULA AND COMPUTATIONS: Breast Tenderness
NAEGELE’S RULE
To estimate: ____________ Leg Varicosities
Pre-requisite:
& Pedal Edema
Hemorrhoids
Example:
LEUKORRHEA

BARTHOLOMEW’S METHOD Leg Cramps

Urinary Frequency

SUPINE HYPOTENSIVE SYNDROME

ROUND LIGAMENT PAIN

SIGNS AND SYMPTOMS OF PREGNANCY

NUTRITION IN PREGNANCY
PRESUMPTIVE Fats:
Proteins:
Carbohydrate (1st trimester)
Carbohydrate (2nd trimester)

PROBABLE Normal Weight Gain in Pregnancy;

1st trimester
2nd Trimester
3rd trimester

POSITIVE Normal BMI:

COMMON DISCOMFORTS DURING PREGNANCY PSYCHOLOGICAL CHANGES IN PREGNANCY

Nausea and Vomiting
1st Trimester
Heartburn (Pyrosis)

Constipation 2nd Trimester

Backache
Lordosis 3rd Trimester
Waddling Gait
OBSTETRICAL PROCEDURES NORMAL Fetal Heart Rate:
LEOPOLD’S MANEUVER NON - STRESS Test
Client instruction:
Client Position:
Nursing Considerations:
STRESS test

Position of the nurse: FINDINGS AND INTERPRETATIONS

(FHT monitoring)
First Maneuver
Hard and Round EARLY DECELERATIONS
Soft and Glandular

Second Maneuver LATE DECELERATIONS

Hard and Smooth
Irregular and Bony

Third Maneuver
Movable
Not movable VARIABLE DECELERATION

Fourth Maneuver
Degree of Flexion

THE LABOR PROCESS

ULTRASONOGRAPHY
Categories: PREMONITORY / PRODROMAL SIGNS OF LABOR
Level I LIGHTHENING
Level II
Increased BRAXTON HICKS CONTRACTIONS
Types of ultrasound:
Transabdominal Increased MATERNAL ENERGY
Transvaginal
Bloody Show
Ripening of the cervix
FETAL MOVEMENT COUNT
SANDOVSKY METHOD:
 ________________ TRUE LABOR Contractions
 ________________ D
 POSITION: ____________________ R
 Same time each day I
 2 attempts P

NORMAL fetal movement count: __________ Pain Characteristics:

FTAL HEART TONE MONITORING

PRINCIPLES/Equipment used:
POWER Fetal Lie
UTERINE CONTRACTIONS

Fetal Position

CERVICAL DILATATION
CERVICAL EFFACEMENT

MOST effective position to dilate the cervix:

____________________________________

PASSAGE
PASSENGER MATERNAL PELVIS
Fetal Presentation
PELVIS STATIONS 2ND STAGE OF LABOR
PRIMI:
MULTI:

CARDINAL MOVEMENTS of LABOR

E
D
F
IR
E
ER
E
POSITION
Best Position for Delivery:

PSYCHE
Prepared Childbirth Methods
PSYCHOSEXUAL
DICK-READ
3RD STAGE OF LABOR
BRADLEY PARTNER-COACHED
Duration:
LA MAZE
SIGNS OF PLACENTAL SEPARATION
LE BOYER Method

6 MAJOR CONCEPTS OF NATURAL BIRTH

-
Placental Separation
-
-
Maternal Side
-
-
Fetal Side
-

POST-PARTUM CARE
STAGES OF LABOR INVOLUTION
1ST STAGE OF LABOR Promotion:
PRIMI:
MULTI:
After fetal delivery:
After placental delivery:
One hour after delivery:

NOTE:

FERGUSON’s REFLEX
LOCHIA
Lochia Rubra
Lochia Serosa
Lochia Alba

EVALUATION:
Normal amount:

POST – PARTUM PSYCHOLOGICAL ADAPTATION

Taking in

Taking hold

Letting Go

RETURN OF MENSTRUAL FLOW:

Breastfeeding mother:
Non-breastfeeding mother:

***END OF LECTURE FOR INHOUSE REVIEW

THANK YOU. – Sir Ken