Third trimester pregnancy fetus brain anoxia

Continue ongoing assessment of client’s updates data base for planning care and evaluates discomfo rts and her method s of dealin g with appropriateness of interventions. Problems. (refer to CP: second trimester; ND: discomfort.) assess client’s respiratory status. (refer to CP: reduced respiratory capacity as the uterus presses second trimester; ND: breathing pattern, on the diaphragm results in dyspnea, especially i n e f f e c t i v e . ) f o r t h e m u l t i g r a v i d a , w h o m a y n o t e x p e r i e n c e r e l i e f with engagement (lightening) until the onset of labor. Note reports of back strain and altered gait.

Lordosis and muscle strain are caused by the suggest use of low-heeled shoes, pelvic-rock influence of hormones (relaxin, progesterone) on exercise, maternity girdle, heat application, and pelvic articulations and a shift in the center of m a s s a g e t e c h n i q u e s t o b e u s e d b y p a r t n e r .Brain anoxia g r a v i t y a s t h e u t e r u s e n l a r g e s . M u l t i p l e i n t e r v e n t i o n s are usually more helpful to alleviate discomfort. Determine presence of leg cramps. Encourage client reduces discomfort associated with altered to extend leg and turn foot upward in dorsiflexion, calcium levels/calcium-phosphorus imbalance, or change position frequently; avoid prolonged with pressure from enlarging uterus compressing standing/sitting; and reduce milk intake nerves supplying the lower extremities. Appropriately. Assess for presence/frequ ency of braxton hicks these contraction s may create discomfort for the contractions. Provide information regarding multigravida in both second and third trimesters.Brain anoxia p h y s i o l o g y o f u t e r i n e a c t i v i t y . T h e p r i m i g r a v i d a u s u a l l y d o e s n o t e x p e r i e n c e t h i s discomfort until the last trimester, when progesterone’s protective effect on uterine activity is decreasing and oxytocin levels are increasing. Note paresthesia of toes and fingers. Suggest reduces effects of extreme lordotic posture (which client remove constrictive jewelry, maintain strains brachial nerves and compresses nerve roots adequate intake of prenatal vitamins (take and femoral veins), edema, pressure on carpal vitamin B 6 supplement with orange juice or tunnel nerves/ligaments, and vitamin B 6 banana), use correct posture, exercise limbs deficiency.Brain anoxia note: some sources report controversy regularly throughout the day, and avoid extremes over the effectiveness of vitamin B 6 . Of temperatures.

Review reports of urinary frequenc y and third trimester uterine enlargement reduces bladder pressure. (refer to ND: urinary bladder capacity, resulting in urinary frequency. Elimination, altered.) A s s e s s f o r c o n s t i p a t i o n a n d h e m o r r h o i d s . I n c r e a s i n g d i s p l a c e m e n t o f t h e b o w e l c o n t r i b u t e s t o problems of elimination. Discuss dangers of using cathartics during the ninth the use of catharti cs may stimulat e the onset of month, and suggest other means of resolving early labor. Some cultures, such as hispanic, constipation, such as a high-fiber diet.Brain anoxia note cultural believe that use of cathartics ensures good delivery practices that might influence behaviors. (refer to of a healt hy boy. CP: first trimester; nds: [discomfort]; constipation, risk for.) assess for pyrosis (heartburn). Review dietary problem often occurs in second trimester and may l i m i t a t i o n s . C o n t i n u e a s g a s t r i c e m p t y i n g t i m e i s p r o l o n g e d , e s p e c i a l l y w h e n d i e t is not modified. Note presence of leukorrhea and pruritus. As estrogen levels increase, secretions of the encourage client to bathe frequently, use cotton cervica l glands create an acid medium that underwear, wear loose clothing, and to avoid encourages proliferation of organisms.Brain anoxia long periods of sitting. Assess for problems related to diaphoresis ; suggest increased metabolism and body temperature use of lightweight clothing, frequent bathing, and caused by progesterone activity and excess weight c o o l e n v i r o n m e n t . G a i n m a y c r e a t e a c o n s t a n t f e e l i n g o f b e i n g overheated and may increase diaphoresis.

C o n t i n u e / i n s t i t u t e l e a r n i n g p r o g r a m a s o u t l i n e d B u i l d s o n p r e v i o u s l e a r n i n g a n d / o r p r o v i d e s n e w i n C P : F i r s t T r i m e s t e r . I n f o r m a t i o n . O f g r e a t e s t c o n c e r n f o r t h e c o u p l e i n t h i s trimester is how to prepare physiologically and psychologically for the event of labor/delivery and issues surrounding infant care.Brain anoxia note: for various reasons (e.G., financial, cultural) clients may delay seeking care until pregnancy is well advanced or delivery is imminent, creating a challenge for healthcare providers to provide meaningful education in a timely fashion. P r o v i d e i n f o r m a t i o n a b o u t n o r m a l p h y s i c a l / U n d e r s t a n d i n g t h e n o r m a l c y o f s u c h c h a n g e s c a n ph ys io lo gi ca l ch an ge s a ss oc ia te d wi th th ir d tr im es te r. Re du ce an xi et y an d fo st er ad op ti on of se lf -c ar e ( R e f e r t o N D : S e l f E s t e e m , r i s k f o r s i t u a t i o n a l l o w . ) a c t i v i t i e s . Review oral/written information about signs of helps client to recognize onset of labor, to ensure labor onset; distinguish between false and true labor.Brain anoxia timely arrival, and to cope with labor/delivery D i s c u s s w h e n t o n o t i f y h e a l t h c a r e p r o v i d e r a n d w h e n p r o c e s s . To leave for hospital/ birth center. Discuss stages of labor/delivery. Discuss birth plan written by client/partner and helps client to make informed choices that are provide additional information as needed. Note amenable to the specific care setting and reflect c u l t u r a l e x p e c t a t i o n s / r e f e r e n c e s . I n d i v i d u a l n e e d s . N o t e : S o m e c u l t u r e s o r p e r s o n a l values may limit male involvement in the delivery process, necessitating the identification of other support person(s). Provide oral/written information about infant care, helps prepare for new caretaking role, acquiring development, and feeding; offer appropriate necessary items of furniture, clothing, and r e f e r e n c e s .Brain anoxia E l i c i t c u l t u r a l b e l i e f s . S u p p l i e s ; h e l p s p r e p a r e f o r b r e a s t f e e d i n g a n d / o r bottle feeding. Lack of preparation may be culturally linked, indicating belief that preparation may be associated with increased risk of infant’s death because they are “defying god’s will.” determine plan for discharge after delivery and early planning can facilitate discharge and help h o m e c a r e s u p p o r t / n e e d s . E n s u r e t h a t c l i e n t / i n f a n t n e e d s w i l l b e m e t . Encourage enrollment in childbirth classes (if not reduces anxiety associated with the unknown; a l r e a d y a t t e n d i n g ) a n d t o u r h o s p i t a l / b i r t h c e n t e r .Brain anoxia e n h a n c e s c o p i n g m e c h a n i s m s f o r l a b o r / d e l i v e r y .