OK so there is no such thing as perfect life. you know, perfect family, parents and even a perfect house.
I am a kid who was raised with a single parent who have a wide influence on my life. I am surrounded by people who can mold me to be who I am today or in the future.
I am a teenager who is quite sensitive and dynamic especially on this current stage in life.
And I am aware of who I wanted to be. PERIOD!
Apparently, I am in the midst of challenge. But as things becoming clearer, guess I shouldn't have open this up in the first place.
Frankly speaking, I am living in a polluted envirnoment, polluted minds, thoughts, and actions. And to sum it all I am struggling around a huge smoke!
BUt as I was starting to write this very blog, I realized that I am completely putting this up all wrong. Agin I find myself living in a wordly way of thinking. And I was about to forget that God is still there. And I remember that GOd never gives up on anyone, to HIm we can become what we want to be because nothing really nothing is impossible to GOd.
Luke 1:37 says 'For nothing is impossible to God.
Sunday, July 25, 2010
Friday, July 23, 2010
methods of measuring Uterine contractions
The uterine contraction pattern should be evaluated every time the FHR is assessed. The contraction pattern can be evaluated using external or internal methods.
External Methods
If intermittent assessment techniques are used, the pattern is evaluated by palpation. If electronic fetal monitoring (EFM) is used, a tocodynamometer (toco) is used to measure contraction frequency and duration.
External monitoring is not as reliable as internal monitoring, because a change in maternal or fetal position can interfere with the quality of tracing.
Internal Method
Infrequently, an intrauterine pressure catheter is used. The physician places the catheter tip above the presenting part in a pocket of amniotic fluid, and then the catheter is connected to the fetal monitor. In addition to recording the frequency and duration of contractions, the internal catheter accurately measures the intensity of uterine activity.
External Methods
If intermittent assessment techniques are used, the pattern is evaluated by palpation. If electronic fetal monitoring (EFM) is used, a tocodynamometer (toco) is used to measure contraction frequency and duration.
External monitoring is not as reliable as internal monitoring, because a change in maternal or fetal position can interfere with the quality of tracing.
Internal Method
Infrequently, an intrauterine pressure catheter is used. The physician places the catheter tip above the presenting part in a pocket of amniotic fluid, and then the catheter is connected to the fetal monitor. In addition to recording the frequency and duration of contractions, the internal catheter accurately measures the intensity of uterine activity.
Nursing Responsibilities in monitoring uterine contraction
The uterine contraction pattern should be evaluated every time the FHR is assessed. The contraction pattern can be evaluated using external or internal methods.
Nursing Procedure (Palpation of Uterine Contractions)
Equipment: Warm, clean hands
Procedure:
1. Explain procedure to the woman and her partner.
2. Wash hands thoroughly.
3. Locate and place one hand on the uterine fundus.
4. Use the tips of your fingers to feel changes in the uterus as it contracts.
5. At the beginning of the contraction you will feel the muscle begin to tighten.
6. Note the time the contraction begins.
7. Use your fingertips to evaluate how strong the contraction gets before the muscle begins to relax. Intensity is measured at the strongest point (the acme) of the contraction.
8. Note the time the contraction ends to determine duration.
9. Continue with your hand on the fundus through the next three contractions. Note if the uterus completely relaxes by becoming soft between contractions.
10. Note the time from the beginning of one contraction to the beginning of the following contraction to determine frequency. Frequency is documented as a range when appropriate (e.g., every 3-5 minutes, or every 2-3 minutes), unless they are occurring regularly (e.g., every 2 minutes, every 5 minutes)
11. Wash hands.
12. Chart the contraction pattern (Frequency, duration, and intensity) in the labor record. Document whether or not the uterus is fully relaxing between contractions.
Note: It is best to time several contractions consecutively before charting frequency because it is rare for contractions to be exactly "x" minutes apart. It is more common that the contraction pattern occurs every "x" to "y" minutes apart (e.g., every 3 to 5 minutes). Palpation is a method that takes place. It is best to learn to palpate contractions in conjunction with the use of EFM. In this way, you can see the contraction begin and concentrate on perceiving the tightening of the uterus with your fingertips. You can also see the acme, which lets you know when to evaluate intensity.
Nursing Procedure (Palpation of Uterine Contractions)
Equipment: Warm, clean hands
Procedure:
1. Explain procedure to the woman and her partner.
2. Wash hands thoroughly.
3. Locate and place one hand on the uterine fundus.
4. Use the tips of your fingers to feel changes in the uterus as it contracts.
5. At the beginning of the contraction you will feel the muscle begin to tighten.
6. Note the time the contraction begins.
7. Use your fingertips to evaluate how strong the contraction gets before the muscle begins to relax. Intensity is measured at the strongest point (the acme) of the contraction.
8. Note the time the contraction ends to determine duration.
9. Continue with your hand on the fundus through the next three contractions. Note if the uterus completely relaxes by becoming soft between contractions.
10. Note the time from the beginning of one contraction to the beginning of the following contraction to determine frequency. Frequency is documented as a range when appropriate (e.g., every 3-5 minutes, or every 2-3 minutes), unless they are occurring regularly (e.g., every 2 minutes, every 5 minutes)
11. Wash hands.
12. Chart the contraction pattern (Frequency, duration, and intensity) in the labor record. Document whether or not the uterus is fully relaxing between contractions.
Note: It is best to time several contractions consecutively before charting frequency because it is rare for contractions to be exactly "x" minutes apart. It is more common that the contraction pattern occurs every "x" to "y" minutes apart (e.g., every 3 to 5 minutes). Palpation is a method that takes place. It is best to learn to palpate contractions in conjunction with the use of EFM. In this way, you can see the contraction begin and concentrate on perceiving the tightening of the uterus with your fingertips. You can also see the acme, which lets you know when to evaluate intensity.
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