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Nursing I
Paul Jhon A. Vergara, RN
FEMALE REPRODUCTIVE SYSTEM
PHYSIOLOGY OF HYPOTHALAMUS
MENSTRUATION
GnRH
FSH & LH
OVARIES
ESTROGEN &
PROGESTERONE
UTERUS
CONTRACEPTIVES
ABSTINENCE
RHYTHM (KNAUS-OGINO) METHOD
October 28
November 28
December 29
January 28 PIPCDC
February27
March 28
27 - 18 = 9
29 - 11 = 18
STANDARD DAYS METHOD
26 to 32 day cycle
Day 1 to Day 7 –
INFERTILE
Day 8 to Day 19 –
FERTILE
Day 20 onwards -
INFERTILE
BASAL BODY TEMPERATURE
After waking in AM
Spinnbarkeit
LACTATION AMENORRHEA METHOD
EXCLUSIVE
Breastfeeding
6 months
COITUS INTERRUPTUS
BULAGA!!!
ORAL CONTRACEPTIVES
Side Effects
• Nausea
• Weight gain
• Mild hypertension
• Headache
• Breakthrough bleeding
Contraindications
Combined Oral
• History of
Contraceptive Pill THROMBOEMBOLISM,
STROKE, HEART ATTACK
Progestin Only Pill
ORAL CONTRACEPTIVES
Missed Doses
• 1 pill – take it as
soon as you
remember
• 2 pills – 2 pills as
soon as you
remember and
2 pills again the
following day
• 3 pills – discard;
start a new pack
VAGINAL RINGS
SUBCUTANEOUS IMPLANTS
6 implants
LEVONORGESTREL
5 years
INJECTABLE CONTRACEPTIVES
medroxyprogesterone
(Depo-Provera)
Lunelle
Calcium
Weight-bearing
exercise
INTRAUTERINE DEVICES
ParaGard
(copper) 8 years
Mirena (hormone)
5 years
BARRIER METHODS
TUBAL LIGATION
VASECTOMY
2 negative sperm
reports
10-20 ejaculations
FETAL DEVELOPMENT
& STRUCTURES
FERTILIZATION & IMPLANTATION
Fertilization: AMPULLA
Day 3: MORULA
Day 4: BLASTOCYST
O2, Nutrients
Umbilical CO2, Wastes
Vein
NO blood exchange
hCG
Umbilical Arteries
Estrogen
FROM THE
TO THE
FETUS
FETUS
Progesterone
hPL
AMNIOTIC FLUID
800 – 1,200 mL
Hydramnios:
>2,000 mL
Oligohydramnios:
<300 mL
pH 7.0 – 7.25
4 weeks –
8 weeks – ORGANOGENESIS
12th week –
16th week –
20 weeks –
24 weeks – SURFACTANT
OBSTETRICAL
ASSESSMENT
ESTIMATED DATE OF DELIVERY
Nägele’s
Rule:
• Count backward 3
calendar months
from the first day
of the last
menstrual period
• Then, add 7 days
and 1 year
ESTIMATED DATE OF DELIVERY
Exercise:
4 - 3=1 January
1+7=8 8
2010 + 1 = 2011 2011
McDONALD’S RULE
Exercise:
• Fundic height is 20 cm
• What is the AOG? 17 weeks
and 3-4 days
_____
20 x 7 = 140
___ = 17.5
8 8
NONSTRESS TESTING
Early Decelerations
• Head compression
Late Decelerations
• Uteroplacental insufficiency
Full bladder
Normal Value:
• Spina bifida
• Anencephaly
EMPTY bladder
RhoGAM
AMNIOCENTESIS
Color
Bilirubin Level
Lecithin/Sphingomeyelin
(LS) Ratio
Phosphatidylglycerol (PG)
Test
Chromosome Analysis
Alpha-fetoprotein
PERCUTANEOUS UMBILICAL
BLOOD SAMPLING
LEOPOLD’S MANEUVERS
First Maneuver: Second Maneuver:
Fundal Grip Umbilical Grip
PRESENTATION POSITION
ENGAGEMENT ATTITUDE