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Amniotomy is the official term for artificially breaking the bag of waters during labor. It is believed that breaking the bag of waters will help to speed up an otherwise slow labor. Amniotomy is part of the Active Management of Labor practiced in some hospitals. Amniotomy is performed by a midwife or doctor. A long, thin instrument with a hook on the end is inserted into the vagina and through the cervix so it can catch and rip the bag of waters. To perform an amniotomy, the cervix must be dilated enough to allow the instrument through the cervix, generally at least a two. Why choose Amniotomy? Unlike other medical methods of starting labor, amniotomy does not add synthetic hormones to your labor. Instead it seems to stimulate your body’s own labor process. Amniotomy allows the use of an internal electronic fetal monitor. How effective is Amniotomy? Amniotomy alone is unpredictable, it may take hours for labor to start with amniotomy. Because amniotomy increases the risk for infection, most caregivers use amniotomy in combination with synthetic oxytocin. Birth does happen faster when amniotomy is combined with synthetic oxytocin than when amniotomy is used alone. Risks of Amniotomy Risks for Mother Increases the risk for infection. This risk is increased with length of time the waters are broken and with vaginal exams. Because of the infection risk, a time limit is given by which the mother must give birth. As the time limit approaches attempts to progress labor will become more aggressive. The fore waters equalize pressure on the cervix so it will open uniformly. When they are broken, the mother increases her chances of having uneven dilation. Risks for Baby Increases the risk of umbilical cord compression. The fore waters equalize pressure on the baby’s head as it presses against the cervix. When they are broken, the pressure on the baby’s head may be uneven causing swelling in some parts.
Start in RLQ (so you don’t miss a giant spleen). Get your fingers set then ask patient to take a deep breath. Don’t dip your fingers or do anything but wait. When patient expires, take up new position. Note lowest point of spleen below costal margin, texture of splenic contour, and tenderness If spleen is not felt, repeat with pt lying on right side. Gravity may bring spleen within reach. “LET THE SPLEEN PALPATE YOUR FINGERS AND NOT THE OTHER WAY AROUND. THERE IS NO GOLD, SO DON’T DIG!”
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The head-to-toe assessment in nursing is an important physical health assessment that you'll be performing as a nursing student and nurse.
Head-to-toe assessments allow nurses to assess the health status of patients by following a checklist of criteria.
On the job, your head-to-toe nursing assessment will be performed much faster, and it may be different or more specialized to accommodate the patients' needs within your nursing specialty.
This assessment represents a general assessment checklist (or cheat sheet) that you might encounter in nursing school. (Note: Always follow your instructor's requirements or your employer's assessment protocols).
This nursing head-to-toe examination video guide will focus on the following areas/skills:
-Vital Signs (pulse rate, respiration rate, temperature, oxygen saturation, blood pressure, pain assessment)
https://www.youtube.com/watch?v=gUWJ-6nL5-8
-Cranial Nerve examination
-Head assessment (hair, cranium, eyes, nose, mouth, ears, sinuses)
-Neck assessment (jugular vein, thyroid, trachea, carotid)
-Heart sounds assessment: https://www.youtube.com/watch?v=H48WsyIjFs0&t=73s
-Lung sounds assessment: https://www.youtube.com/watch?v=KNrcG077brQ
-Abdominal assessment
-Assessing extremities (arms, hands, legs, feet)
-Back assessment
-and more
While performing your comprehensive head-to-toe assessment, you'll want to record your findings in the documentation.
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Morning erections have colloquially been termed as “morning wood” while scientifically it is called nocturnal penile tumescence. It is a normal and healthy physiological reaction and response that most men experience in their lives. Morning erections are really the ending of a series of erections that happen to men during the night. Healthy men can, on average, have anywhere between three to five erections in a full night of sleep, each of which lasts from 25-35 minutes.
The MORE subscribers we have the MORE unintentional ASMR videos we can post, so please SUBSCRIBE http://bit.ly/UASMR, hit that 🔔 and LIKE this video for more medical exam ASMR like this! So... here is the BEST medical exam ASMR on YouTube edited specifically for unintentional ASMR to become the best video to help fall asleep at night. Our medical exam ASMR playlist: http://bit.ly/MedicalASMR
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This hour long medical exam has a quiet doctor performing a routine medical exam with minimal talking. The video is 100% accidental ASMR and features a real doctor doing a head to toe assessment. This is honestly one of the best medical exam ASMR videos and on my all time favourite unintentional ASMR videos. This audio for this video has been significantly edited for maximum ASMR.
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To use the diaphragm, first cover the inside of it with spermicide. Then insert it into your vagina so that it covers your cervix. You can insert the diaphragm up to 6 hours before sex. You should leave it in for at least 6 hours after the last time you have sex.
http://penilepapules.plus101.com/ ----- White Spots On Shaft, Pearly Penile Papules Treatment Cream, Single Red Bump On Shaft, Ppp Surgery. Common Home Made Remedies for Pearly Penile Papules. When it comes to treating pearly penile papules many people find it very difficult to reach one of the medical treatments. This is mainly because they are highly expensive and not many people can afford spending large amounts of money on surgery and recovery. In addition to that, these procedures have been reported as being quite risky, which make the men suffering from pearly penile papules think twice before going for one of the available surgeries. This is why, along the time, many homemade, natural treatments have been experienced, so that a cheaper and less risky way of curing pearly penile papules would be found. Some of the methods which have been tried proved to be very less effective, while some did not have any effect at all. Yet, there have also been methods which not only proved to be effective, but they were also considered to be much better than the medical treatment. Most of those who have tried the tea tree oil treatment reported significant diminish of the number of the papules from their penises. In addition to the clearing of the skin, they have also noticed that there were no side effects and the skin remained soft after the papules were removed. As the method was quite simple to put in practice (it requires the application of tea tree oil on the affected area with a cotton swab for three or four times per day), many men decided this was indeed a great solution to their problem.
Open heart (coronary artery bypass, or CABG) surgery is performed in order to reroute, or "bypass," blood around blocked arteries, thereby improving the supply of oxygen-rich blood to the heart. Surgeons usually use an artery from the chest wall to construct the "detour" around the blocked part of the artery. Veins from the legs are also used.
MRCPCH Clinical Revision - more videos at http://mrcpch.paediatrics.co.uk
Revise for your MRCPCH Clinical exam, with videos and high quality content created by the London Paediatrics Trainees Committee.
Examiner: Jonathan Round
Candidate: Amitav Parida
Filming: Mary Chesshyre, Huey Miin Lee, Chris Kelly
Thank you to the Evelina Children's Hospital for allowing us to film during their MRCPCH Revision Course (https://www.guysandstthomaseve....nts.co.uk/mrcpch-cli
Acclaimed sexologist Hanny Lightfoot-Klein, author of several highly illuminating books on genital mutilation, discusses compromises in orgasm after male circumcision. Also commenting is cultural anthropologist James De Meo.From the groundbreaking documentary film, "Whose Body, Whose Rights?"