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Monitors versus nurse auscultation in diagnosis of fetal distress
Journal Linda Baxter, C.N.M., MS. RHO-GM
AFTER
AMNIOCENTESIS?
Henry, G.; Wexler, P.; and Robinson, A.: “Rh-immune globulin after amniocenteSiS for genetic diagnosis.” Obstet.
Gynecol. 40: 55?-559,1976.
ed “gestations) hypertension” (defined 3s MtW2c90, MAP4z 105, without Qgnificsnt proteinuria) was seen to have 10 effect on tha total perinatal mortality at8. The authors suggest that pfegiancy can be a stress factor producing ate gestational hypertension in subects who may be prone to develop nypertension later in life. This KOUM be similar to the abnormal carbohydrate metabolism produced in diabetes prone ndividuals. This lack of effects for “gestational hypertensives” holds ‘1~8 for 30th black and white patie@ despite the fact that all other ca&gories of lypertension bode worse for the btack croup. Also concluded by the authors is that th8 initial MAP-2 level is far more significant than the absolut8 rise in ?lood pressure, which has heretofore been used as the main diagnostic factor n pre-echmpsia.
nursing end medic& and the fee that BT8 importent in achieving an mal outcome rather than the use electronic monitoring per se.”
of
WORTHWHILE OVER TIE COUNTER UPPER RESPMATORY
DRUGS FOR SYMPTOMS
Brown, M.; collsr. M.: “w-ths-canter drugs for upper res@atofy symg tams. The Nurse PrscUtfoner 2:3 (1819,34-42) Jan/Feb. 1977. Abaeicpr~encompsssingfar cate(pries of over-Be-counw dnqsI 8tlalgesics, decongestants, aRw3isl8min8s, at:d mftussivetl. Many lngmdlents 11 each c&gory sre expf&ed in terrnsofactLion,sideeffecteandcaWa-
self-lrrdicationorforpcescription. AUSfXLTATN)N
OF m
-
Mechner, F.; Brown, G.: “Patient assessment: Auscuttation of the heart, Part II.” AJN 77: 275-298. F8b. 1977. A therough wgtam. fdudhg basic anatomy and heart sounds and progre+ sing to abncima&es. Effects of phases of the respiratory cycle. tfming, md loudne3s 8re dlscws8d with mtarence to each sound. Mnorm&es of S, incbJd8wid8spllttlRg(csRyoudis b8hveenawideiysplitS,snd~ S,?). exc8sstv8ly loud or soft Sound andvariabktloudn8es.Thiiprogmm tea& eean understandfngoftheactions of thtrvslvesandofthechofthe heartsothatcauaeeoftheseehnormalitiea can be understood. Many r8sscmsfofspliWng wlthHl8mGYlsof from each ott1%- = “~hysidogic’ sprtting. Ena;& -4 e tiiinpressur8fmmtheaofta.puintonarywt8v.andrlgtttv8nekl88re8xplSiRSdWlthr8W8RC8lO diseaeestateewhichcc&d Fine& auecukation Drocedues revfewedind8taif.
JOURNAL OF NURSE~MIDWFERY e Vol. XXII, No. 1. Spring 1977
are
AFTER
AMNIOCENTESIS?
Henry, G.; Wexler, P.; and Robinson, A.: “Rh-immune globulin after amniocenteSiS for genetic diagnosis.” Obstet.
Gynecol. 40: 55?-559,1976.
ed “gestations) hypertension” (defined 3s MtW2c90, MAP4z 105, without Qgnificsnt proteinuria) was seen to have 10 effect on tha total perinatal mortality at8. The authors suggest that pfegiancy can be a stress factor producing ate gestational hypertension in subects who may be prone to develop nypertension later in life. This KOUM be similar to the abnormal carbohydrate metabolism produced in diabetes prone ndividuals. This lack of effects for “gestational hypertensives” holds ‘1~8 for 30th black and white patie@ despite the fact that all other ca&gories of lypertension bode worse for the btack croup. Also concluded by the authors is that th8 initial MAP-2 level is far more significant than the absolut8 rise in ?lood pressure, which has heretofore been used as the main diagnostic factor n pre-echmpsia.
nursing end medic& and the fee that BT8 importent in achieving an mal outcome rather than the use electronic monitoring per se.”
of
WORTHWHILE OVER TIE COUNTER UPPER RESPMATORY
DRUGS FOR SYMPTOMS
Brown, M.; collsr. M.: “w-ths-canter drugs for upper res@atofy symg tams. The Nurse PrscUtfoner 2:3 (1819,34-42) Jan/Feb. 1977. Abaeicpr~encompsssingfar cate(pries of over-Be-counw dnqsI 8tlalgesics, decongestants, aRw3isl8min8s, at:d mftussivetl. Many lngmdlents 11 each c&gory sre expf&ed in terrnsofactLion,sideeffecteandcaWa-
self-lrrdicationorforpcescription. AUSfXLTATN)N
OF m
-
Mechner, F.; Brown, G.: “Patient assessment: Auscuttation of the heart, Part II.” AJN 77: 275-298. F8b. 1977. A therough wgtam. fdudhg basic anatomy and heart sounds and progre+ sing to abncima&es. Effects of phases of the respiratory cycle. tfming, md loudne3s 8re dlscws8d with mtarence to each sound. Mnorm&es of S, incbJd8wid8spllttlRg(csRyoudis b8hveenawideiysplitS,snd~ S,?). exc8sstv8ly loud or soft Sound andvariabktloudn8es.Thiiprogmm tea& eean understandfngoftheactions of thtrvslvesandofthechofthe heartsothatcauaeeoftheseehnormalitiea can be understood. Many r8sscmsfofspliWng wlthHl8mGYlsof from each ott1%- = “~hysidogic’ sprtting. Ena;& -4 e tiiinpressur8fmmtheaofta.puintonarywt8v.andrlgtttv8nekl88re8xplSiRSdWlthr8W8RC8lO diseaeestateewhichcc&d Fine& auecukation Drocedues revfewedind8taif.
JOURNAL OF NURSE~MIDWFERY e Vol. XXII, No. 1. Spring 1977
are