By Lois White
FOUNDATIONS OF MATERNAL & PEDIATRIC NURSING third variation is a basic source that covers prenatal care, problems of being pregnant, start, postpartum care, and infant care. Childrearing from start via 18 years of age is additionally coated. every one bankruptcy encompasses a case research designed to help the reader during the nursing strategy and to advance a personalised plan of deal with the buyer within the state of affairs. considerable targeted positive factors like, NCLEX kind questions and the loaded new StudyWARE CD-ROM make this an enticing, effortless source.
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Additional info for Foundations of Maternal & Pediatric Nursing
May not be copied, scanned, or duplicated, in whole or in part. indd 10 1/16/10 12:56:34 AM CHAPTER 1 Prenatal Care 11 causing a mild respiratory alkalosis, which is compensated by increased renal secretion of bicarbonate (Littleton & Engebretson, 2002). The enlarging uterus presses upward on the diaphragm. The rib cage flares and the chest circumference expands to keep the intrathoracic volume the same as when not pregnant. Estrogen causes edema and vascular congestion of the nasal mucosa. dark-haired women.
After 11 weeks of pregnancy, the placenta takes over the production of progesterone from the corpus luteum. Progesterone, a smooth muscle relaxant, prevents uterine contractions by decreasing its contractility. It also maintains the endometrium. Relaxin causes changes in collagen. The connective tissue of the symphysis pubis and sacroiliac joints are softened and become slightly flexible. Metabolic The placenta produces fatty acids, glycogen, and cholesterol for fetal use and hormone production.
Genitourinary System Kidneys begin forming at about 3 weeks and pass through several changes. Around 12 weeks, they begin to produce a hypotonic urine. The placenta and the maternal kidneys are still responsible for fetal waste removal. All the nephrons are in the kidneys at birth. The reproductive system develops at the same time as the urinary system. Testes can be seen in the abdomen by 7 weeks and begin descending to the scrotum about 30 weeks. The ovaries develop in the abdomen and stay in the pelvic cavity.