Maternal Child Nursing
A group of two or more persons who lives together in the same household, perform certain interrelated social tasks and share an emotional bond
Husband, wife, children
Provide support and feel affection to family members
Heterosexual couple living together But NOT married
Short or long term
Extended or Multigenerational family
Nuclear family + other family members
May experience financial problems since the family’s income must be stretched to accommodate other people d.
Single Parent Family
50-60% of the population
Financial issues are a concern
Lack of family support for childcare
Two separate families joined as one as a result of marriage ii.
Jealousy, friction between members may occur
Children may adapt more to the new situation
Group of people who have chosen to live together who are not necessarily related by blood or marriage. ii.
Related by social or religious values
Gay or Lesbian Family
Anatomy and Physiology
There are seven openings in the female external genitalia
Bartholin’s Duct (2)
Skene’s Duct (2)
Begins at 10 years of age in Girls / 12 years of age in boys
II. Internal Organs
Female organ for copulation
Divided into 3 parts: upper, middle, lower
pH from infancy to prepubertal and menopause pH is 7.5 v.
Normal bacterial flora cells lactobacilli - Doderlein bacillus and the vaginal epithelial environment vi.
Cells contain glycogen
Rugae - permits stretching without tearing
Hollow muscular organ
non pregnant - pear shaped
pregnant - ovoid
non pregnant – 50 -60 g
pregnant – 1,000g
Pregnant/ Involution of uterus:
4th stage of labor
2 weeks after delivery
3 weeks after delivery
- 300 g
5-6 weeks after delivery
- 50 – 60g
Ligaments of the uterus
Upper portion - broad and round ligaments
Middle portion – cardinal pubocervical and uterosacral ligaments 3.
Lower portion – pelvic muscle floor
Narrow neck of the uterus
It is lined with columnar epithelium
Highly elastic due to its high fibrous and collagenous content
Otherwise known as the Oviducts or uterine tubes
Parts of the FT (from inside to out) –
narrow and straight, site of sterilization
central portion, site of fertilization
Infundibulum or the fimbriae
fingerlike projection to the ovaries, longest of which is the fimbriae ovarica, site of Ectopic pregnancy iii.
Provide transport for the ovum
Provide site for fertilization
Nourishes the zygote
3 to 4 cm long, 2 to 3 cm wide and 1 to 3 cm thick
From pubertal dull white to pitted gray organ
Held in place by infundibulopelvic ligaments
No peritoneal covering – easy spread of malignant cells vi.
Source of primary hormones – estrogen and progesterone
Support and protect the pelvic contents
Made up of 4 bone
Lined with fibro cartilages and held together by ligaments
Muscular floor of the bony pelvis
Provides stability and support for surrounding structures b.
Levator ani muscle makes up most of the major portion of the floor and comprises by: i.
Normal female pelvis. Transversely rounded or blunt, most favorable for vaginal birth b.
Oval shape. Adequate outlet,...
References: 1. Adelle Pilliteri, Maternal & Child Health, care of the Childbearing and ChildRearing Family, 5th Ed, Lippincott, Williams & Wilkins, Vol 1 & 2
2. Cunningham et al, Williams Obstetrics, 21st Edition, Lippincott, Williams & Wilkins 2004
3. Ladewig,London, Davidson, A Look At Contemporary Maternal-Newborn Nursing Care, 6th Edition, Pearson Education South Asia PTE Ltd
4. Baja-Panlilio et al, Textbook of Obstettrics (Physiologic & Pathologic) 2nd Edition, APMC Philippines
5. Aurilio, L, Chatham C, et al Maternal-Neonatal Nursing Made Easy, Lippincott, Williams & Wilkins, 2003
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