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31. Describe Leopolds maneuver. What is its purpose? 32. Explain the concept ofgravida and para. 33. List the indications for a C-section. What are the nursing considerations/ interventions for a C-section? 34. What is an epidural? Why is it done? List the nursing considerations. List the patient teaching.
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Leopold's Maneuver:

In obstertics Leopold's maneuver is a common systemic way to determine positions of the inside the uterus.

Purpose:

1. it helped to determine fetal positions, lie, attitude, degree of descend position, fetal back and fetal heart rate.  

Gravida:

Gravida represents the number of pregnancy.

Para:

It indicates number of delivery.

Indication of c- section:

1. Fetal distress

2. Failure of maternal efforts.

3. Mam presentation and mal positions

4. Meconium aspirations of fetus.

Nursing intervention:

1. Monitor vitals.

2. Assess status and changes.

3. Assess pain control with epidural

4. Foley's catherisation.

5. Follow hospital pretty check up.

Epidural:

1. Anesthesia administer through this route.

why it's done:

Its regional anesthesia helps to block pain in particular region

Nursing consideration:

1. Proper positioning of the patient.

2. Follow aseptic techniques.

3. Ongoing epidural infusion bag.

Patient teaching:

1. Maintain c shape position

2. Importance of adequate hydration

3. Supine positions in post procedure period.  

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