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first mens, 12 y.o (9-17)
amount of flow
color
odor
menarche
30-80 ml
dark red
marigold
start of ovarian cycle
low estrogen, hypothalamus, gnrh, apg, fsh, lh
immature ovums, rich in estrogen
primordial follicle
matured primordial follicle
graafian follicle
high in progesterone, w estrogen, body na iniiwan ni ovary, yellow, thickens endo lining, relaxes uterus, waits 8-10 days for HCG
corpus luteum
estrogen low first then progesterone, no fertilization, no lutein, whitish
corpus albicans
placenta in the 1st trimester (temporary placenta)
chorion
ovarian/uterine cycle 4 phases
proliferative
secretory
ischemic
menstrual
average week and range of pregnancy and ung possible
ave: 40wks
range: 38-42 wks
5Ps labor and delivery
passageway, passenger, power, psyche, position
attitude and position of passenger
sino ung prolonged and painful position and what is the mngmt
full flexion- vertex, OA , OP, all fours position
2 pharma approach for psyche.
1, drug used & wof and mng
drug used & wof and mng
anes and analgesia
pudendal and epidural, low bp, ivf fast drip
opiods, low RR, naloxone
3 position for bearing down and 1 not accepted anymore
semi fowlers legs on abdomen, squatting, all fours position
CCMM
contractions, cervix dilation, mucus plug, membranes rupture
3 phases of first stage of labor
cm, intensity, /10min, drugs,
5-1-1 rule
LAT, 1-3;4-7,8,10,
2nd stage of labor
check first
cord clamping mins, avoid, wait, ml blood supply
check nuchal cord
1-3 min
cutting agad
wait mo mag stop pulse
for xtra 100 ml blood supply!
3rd stage of labor
mins, mnvr
5-15min pag above 30, takbo na
brandt andrew maneuver
4th stage of labor, hrs
2 prio
if more than what ml d safe for 24hrs (nvd and cs), cause
involution how many wks
CAN
lochia'!! days and color
first tri wks
behavior
task
rudimentary heart
4 weeks/ first month
spinal fusion
4 weeks/ first month
organogenesis has completed
8 weeks/ second month
heart contractions
8 weeks/ second month
doppler
12 weeks/ third month
fetoscope
16 weeks/ fourth month
gender reveal
16 weeks/ fourth month
quickening
20 weeks/ fifth month
surfactant
24 weeks/ sixth month