Bath Wrap are best for Christmas Gifts

Hello friends. How's everybody. I hope everybody is fine. Christmas is fast approaching, we women are starting to save and think what's the best gifts for our daughters, friends and other relatives. I want to give a gift which is very useful. I want to give them bath wrap because when i browsed my computer, i found beautiful and quality bath wrap at PosyLane.com. They are inspiring me to be generous this Christmas because they look so cute and lovely towels specially the terry towel wrap. Who can't appreciate this kind of gift? they are superb of quality. It is 100% cotton. It is the one which looking for everybody.We can't deny that! because we are using towel everyday all throughout our life, so we can identify very well which is the best towel wrap if we compare to other towels we used previously. Terry is the best. Try it for everyday use and highly recommendable for gifts this Christmas.
Posy Lane is also offering personalized ink stamp. All the designs are great and selections are there to choose from. Search their website for further information and details if you want your logo put on ink stamp

Elegant bath robe

I always like the bathrobe which is made out of 100% cotton. Like the terry bath robe had become the best buys by robe buyers. Why? They are very thick and makes you warm after bathing. Greatly designed and the sleeves perfectly just at mid calf length and with two pockets. It is design and colors is suitable for men and women and looks so elegant. You have choicest too if you don't agree on thick robes because lighter in weight is available like the waffle bath robe. This is only 60% cotton and 40% polyester. Nice for travel because it is lighter and handy and easily dry when wet.
You better match your robe with towel wrap to dry your body and hair before putting on your robe, Well, towel wrap is always very important after bathing than anything else. Mint bath towel wrap are softer than terry cloth and nice colors are there to choose from. Buy from Posy Lane.com they also accept personalized towel if you want to. Perfect gift for your friends , parents or children specially if their name is already printed on the towel wrap. They will surely love it because very useful and very attractive

Polycystic Ovaries

Patient X came to consult the gynecologist with a chief complaint of irregular menstrual cycle. She is now 19 years old. She started irregular menstreation since the age of 14- 15 years old. The last time she missed mentruation was again 3 months so she is already willing to see a doctor. The doctor ordered to undergo rectal ultrasound and complete blood count. Blood count was normal result but the ultrasound result got a bad impression.
Normal sized anteverted uterus
Slightly thickened endometrium
Polycystic Ovaries Bilateral.
Meaning there was no myometrial lesion but both ovaries contain multiple small subscapsular follicles.
The doctor ordered Duphaston 10 mg tablet. To take one tablet 2 times a day for five days. Advised to come for check up after days . The doctor said that she mut have to expect menstruation period within the 10 days after consuming 20 tablets for five days. Tomorrow is the 10th day but there was no mentruation yet. The mother is already worried and she prayed so much for her daughter. Tommorrow is the next check up.

The best Laundry bags, backpacks, quilted backpack

Christmas is fast approaching, Guess what's best gifts for students. Of course an adults prefer a gift for a students which a very useful one. A thing which is so simple but cute and needs it everyday. I myself as a mother of two who are still student I rather buy laundry bag as my gift for them on Christmas. They also need it when they will go for camping I saw cute laundry bag in the internet from posylane.com I am sure they will learned to fixed their dirty clothes in the laundry bag without a mess anymore because drawstring is fixed to prevent lugging around when full. This is created with Mints signature fabric and colorful designs .


It would be better if match with personalized kids backpack so that a child could easily distinguished his laundry bag and backpack when mixes with bag's classmate . A child is inspired to use and take care of her bag if name is imprinted. Different colors are there to choose from like those
Stephen Joseph quilted backpack which are great for toddlers for kindergarten or preschool children. It is made from 100% cotton, and what is good for this bag for children is machine washable.So no problem if bags become dirty or if ever stained
Buy now! more colors and designs are there to choose from . Cheap and affordable.

Zenni Optical

Hi friends Zenni Optical is back again to inform you over and over about the $8 Rx eyeglasses. As usual very cheap, affordable but stylish eyeglasses. There is no doubts because Greg Karp, author of 'Living Rich by Spending Smart " was interviewed by CBN channel
how you can start spending smart show This man smartly spends money wisely. One he set an example is the $8 eyeglasses with prescription and free shiftment he ordered from Zenni Optical. He really adored the eyeglasses for 8 dollars from Zenni and compare to 300 dollars from other site.
There are more huge styles of eyeglasses from Zenni Optical to choose from. It is one of
my favorite high fashion eyeglasses.

Menstrual period

A woman who has a menstrual problem must seek gynecologist . There are times that females especially teenagers who have an abnormal period. They do not care or aware that missing monthly menstrual flow, profuse menstrual bleeding, abdominal pain during menstruation are signs of abnormality of the female reproductive organ.
I'd rather advise those friends to eat balance diet and seek medical check up. Don't delay.

Kids need to have a new eyeglasses

Hi friends! our kids are going back to school again. I think the best thing is to bring them first to optical clinic for check up of their eyeglasses. Kids do not understand and sometimes they don't know that the lenses of their eyeglasses is not anymore fits to their visual defect. Zenni offers $8 Rx eyeglasses only. So cheap and huge selections are there to choose from . It is the only optical that offers cheap eyeglasses with quality. Watch Zenni Optical on TV, proves their popularity than you can ever imagine. One blogger also rated High Five to Zenni Optical because of his great experienced to have Zenni eyegalsses.

Medical Assistant School

yes friends, Here in the Philippines, millions of students are interested to study any medical courses. Usually they wanted this course, as their steppingstones to work abroad like in USA, Europe , United Kingdom, Middle East and other countries around the world. It is actually proven that those employed in medical job related had proven their excellent capabilities in so many countries especially those nurses, doctors, physical therapist, dentist and many more .
Have you ever heard about Medical Assistant course? Yes friends this course is now existing.
Their role is very important in the health care team. Medical assistants are the one who performs administrative works in the offices of the specialist doctors like neurologist , surgeons, paediatrists and other health specialist to run the office in order. They assist the patients for their diagnostic procedures, treatments and follow up check ups ordered by the physicians. To tell you honestly, i could say that imposssible or it is a very hard for the specialist doctor to work alone without medical assistants specially if a physician has so many patient, he/she always need a medical assistant professional to assist him to complete the total health care service for evry patient. That is the reason now that aside from other health care professional ,the Medical Assistant is in demand job specially in the next five years because each year keep on widening the education program.
Good thing is, St Augustine School of Medical Assistants offers online medical assistant program designed to provide them the best education and training to function effectively when they perform their duties and responsibilities if they are already professionals. It is easy, this school is completely facilitated and enroll online and attend the school online at your own convenience and time. Search medassistant.org for further information and details. Enroll now. Time is gold !

Married Women

Do you love dating married women? Why? Maybe, they are smarter than those unmarried woman. Well, that is life.. It is really natural if a man finds himself successfully satisfied when he date married women. That's the reason why most men looking for married women. I have seen one talk shows on TV about dating a married women. The guest in the show says he prefers married woman because they are very vocal and of course well experienced while unmarried are shy ladies which made him feels bored. He said- dating an unmarried woman is just only spoiling the date which suppose to be a pleasant date. He said that the performance of a married women is the best for him and if married women dating him keeps him always active and young . So if your looking for married women search this website marriedwantingsex.com

Lonely wives

Yes friends this is something like uncomfortable to hear but if you take it without malice we cannot really deny that it is natural nowadays that there are cheating house wives around. There are some factors why there are real cheating wives because of many reason. They may not happy with their husband anymore and now they enjoy dating another guys. I used to hear that sayings from those who loves making affair with someone "Anything prohibited is delicious". Maybe their husband are always away from home or incapable to make the wife happy. That's the reason why lonely cheating wives are apt to demand for something can't provide by the husband. So, if you are looking for lonely guys? Why not search Realwivescheating.com now? They are here waiting for you.

Feels Great to be pregnant

When you get pregnant, it is the happiest moment in your life. It makes you feels that you are on top of the world. Usually woman says "To be pregnant means completes your life being a woman. The happiness and excitement is really unexplainable. So everything you do it for the wellness of your pregnancy. Starts to be careful in every moves to prevent accidents causing injuries and abortions. Eat nutritious foods and follow prenatal schedules and obtetrician's advices to ensure healthy pregnancy. You will always then in a hurry to wear maternity dresses. These maternity dress are usually loss or plus size which are innovative maternity designs. During the older times only the high class uses maternity dress and seldom to lower class and may be never to the poor woman. Since at these time , maternity dresses are casually used during pregnancy to everywoman which matched with flat shoes or slippers.
Happy healthy pregnancy to those pregnant woman.

Nutrasystem Diet

Yes friends , i heard so many problems of ladies who tried to lessen their weights. Despite of their effort to reduce weight but the more they gain weight. Know why? they eat more after exerting much effort from the gym. Some also are getting sick because they don't eat balance diet. They tend to miss meals to reduce their weight and eat very little so, most of them become acidic that progresses to peptic ulcer disease. Their idea is totally wrong , they must have to be educated how to reduce weight in healthy way. You don't need to starve yourself just to loss your weight. To remind you , our body needs food everyday. I am so glad to know about this Nutrasysytem Diet to loss weight. I myself believe the idea of losing weight without depriving yourself to eat nutritious and attractive food. Nutrasystem diet is 1oo% effective and medically advisable than any other way of losing weight. You will surely reduce the excess weights and fats to makes your body slim and healthier as well. The nutrasystem planned over 70 meals to choose from so you can order the meals consist of your favorite foods in affordable prices. Orders are delivered promptly at your doorstep. Take note for those diabetic patient with excess weight, diebetic meal is also available for them. So what your waiting for? I am sure you have seen already on TV. For more information and details search tvoverstocks.com/nutrasystem.htmltvo

Medical Alarm

My mother before he died 2 years ago, she was in the senile stage that she does not know what she was doing . She is just only at home we don't allow him to go out anymore because there was a time that she went out without my sister's knowledge and one of our neighbor who saw her walking in the street alone. Since that time, we confine her at home or in her bedroom and installed an emergency light connected to my sister's store and instructed to just push the button in case she need something.

Every morning gave her the morning care and prepare everything at her bedside. Until one day when three hours wonder my sister why no calls at all as she used to do. My sister visited her in her room and found out that she is already on the floor with the cord of the calling light around her feet and can't reach the button anymore.

This is usually happen now adays to aged individuals especially children have already a family and busy with their own kids and job. I am so glad to know that there are Medical Alarm invented for in the home and has a FALL ALERT detector that alerts the members of the family that they have fallen and cant even push a button.And also when an aged individuals who used to walks all the way like those suffering of Alzheimer's disease . This new gadget appropriate for them the GPS Tracking Bracelet with 2-way speakerphone so they can use it like a cell phone and call for help, or the wearer can be found in cases of wandering. I am sure this is exactly what those aged needed. Only medical alarm alert provider offers this gadgets. Search brickhoudealert.com/ for more informtion

Women Infertility

Yes friends. not only men who have problem of infertility but also woman.Now adays due to gynecologic disorders there are some factors that cause women infertility . The following are
displacement and tumors of the uterus, genital infantilism and inflammation. To have a successful fertilization the vagina cervix and uterus are patent enough with mucosal secretions receptive to the sperm of partner.
There are also some test like
Rubin Test, to determine the patency of fallopian tube
Sapingogram but now adays is Untrasound to determine the site of the tubal obstruction if there is any.
Huhner Test

Treatment is depend on the factors that cause infertiliy . The treatment is directed toward correcting the deficiency incountered by the patient. The social and psychological factors must have also to consider

Semen enhancement supplements

Male fertility is very important that male should have to be aware that being childless is due to their semen condition. Like my sister who married for 17 years but still childless. They can't able to reproduce on their honeymoon stage until when two years of their marriage and still childless, my sister already start to move and convincing his husband to get medical attention. Her husband refused to go for check up and refused any sperm count test. Since my sister was in a hurry to have a baby she went alone in a gynecologist and underwent all the examination ordered by the gynecologist. She spend too much money for the doctors fee and all the diagnostic procedures done to her . Expecting that after all the examinations and treatment given to her , in a year or years more to wait , she may be alright and capable to have a baby while his husband was confidently that he had no infertility problem . After years my sister again went to herbalist and reflexologist that diagnosed her uterus might not be at the right position and needs to turn in place the uterus by external manipulation. I pity my sister because she is doing everything every people's advice just to have a baby before she will reach her menopausal stage but unfortunately she did not get pregnant. She forced her husband to undergo on test like semen count test and the result was LOW SPERM COUNT . Most of his sperm cell are inactive and there is no other treatment than semen enhancement supplements. But my sister is already about to 40 years old and her age has no more chance to get pregnant. If only his husband was conscious of his Male Fertility and went for sperm count earlier and took drugs to enhanced his sperm , they might have already a child now. Men out there! don't be afraid if you are the one who is infertile there is a solution now for male infertility ! there are products which are very effective and safe to enhance the volume of your sperm. It is just a pill to take everyday and no surgery needed. So many have tried and testified that they reproduced as much as they can after taking the medicine. Read semen pills review for more information about all the products and search malefertilitysupplements.com for further details. Buy now before it' s too late.

Pospartum Exercises

Immediate Postpartum Exercises

Toe Stretch (Tightens Call Muscles)
stay lying on your back and keep your legs straight and point your toes away from you,
then full your legs toward you and poit your toes toward your chest. Repeat 10 times

Pelvic Floor Exercise( Tightens Perineal Muscles)
Contract your buttocks for a count of 5 and relax.
Contract your buttocks and press thighs together for a count of 7 and relax.
Contract buttocks
Press thighs together and draw in anus for a count of 10 and relax

Precipitate Labor

Presipitate Labor

• occurs when labor last less than 3 hours
• often seen in multigravida woman with large pelvis and small baby and small cervical os or perineal resistance

Nursing Cares: to reduce anxiety by :

• Encourage patient to relax and with support od husband or close relative
• explain any procedure to be performed to the patient
• keep the atmosphere calm
  

Lifelock

Oww!! I don't really expect that in time of accident, your identities is possible to be stolen. Identity thieves are really intelligent. They make all the ways to be able to stole identities of others. Well it is not anymore a new news because there are already 1. 5 million of Americans are already reported victims of identity theives and so many dollars have already stolen without refunding back because most of them are not yet enrolled in lifelock. Thieves freely open an account under the victims name and withdraw a huge amount. I could not imagine how those thieves even stole medical histories and including medical management, treatment and physician's names. Friends i suggest to read lifelock reviews, you will know more about lifelock and learned from the actual stories who are victims of thieves. Thieves have gone so far already and they can do it easily to any body that is why Lifelock is really very very important because it is the only trusted lifelock to protect our identities. Prevention is better than become a victim if damage is done. It is even useless to run after them because you are not enrolled in Lifelocks to protects your account before someone tries to open a new account under your name.

You know? This is a highly recommendable lifelock to protects your identities. You will only pay their services in very cheap and very affordable amount and most of all you are guaranteed 100% protected. Your payments to liftlock is nothing in your pocket from the huge amount you loss if ever your not enrolled in lifelock and it happen that you are one of the victim of identity thieves. Search lifelock.com for information and details. You will never regret if you sign-up in their lifelock company because you will surely protected and can sleep peacefully wherever you are.

Dystocia

Dystocia is a difficulty of labor

Cause:

• ineffective contraction or ineffective bearing down( pushing during the 2nd stage of labor

• abnormalities in the pregnancy

• abnomalities in the passageway

• abnormal fetal presentation, position, size or developmental result in a a problem with the fetus

• factor such as fear or anxiety

Nursing Care:

• alleviate patient to reduce anxiety

• encourage deep breathing exercises

• provide back rub and sacral pressure if needed

• psychological reassurance and encouragement from family or staffs

• ice chips for dry mouth if necessary

Mobile Marketing

Hi friends! Good News for you if you are planning to start a business. I know so many companies closed due to recession and so many are now jobless for no other companies manage to accommodate those unemployed and especially those millions of newly graduate students. So while no job, it is better if you start your business now. Don't waste your time. If you think it needs a lot of capital and not easy to start a business. Well absolutely wrong. You can start a business at your home and no need to get a place in the commercial area with very high rental and promote to media.Advertising your business in media needs a huge money and usually this is for big companies who have big capital. Not all business in the commercial area are successfully productive. There are so many ways to make your business successful. It is just only a matter of marketing strategy. Do you heard about mobile marketing? This is now the most popular and the latest technology to market your business. Well for you to know i introduced to you the best brand which is Cellite Mobile Marketing the provider of mobile marketing solutions for all types of business whether it is large or small. Their mobile phone with the use of shortcodes to help you reach out customers wherever your business situated even if it is at the last corner in your community. This mobile short codes have been increasingly popular as a new channel to communicate with the mobile consumer. They also let us know the importance of 5 digit phone numbers for text message promotion to inform costumers. This is very effective and effortless, less money and no time wasted . With your own small business, you could manage alone or one or two helper only plus the mobile phone which is resposible for reaching customers automatically by text messages .Unlike using emails or the old fashion way of going house to house which needs another big expenses to reach out consumer one by one which makes a slow growth of your business. These new mobile phone tools are easier and faster and more accurate than any human. Through the sister web sites, Cellit Studio and House4Cell, these make it easy for smaller clients to manage their own mobile marketing campaigns and monitor their results.
This is the great tool to make your business profitable. So simple. Search their website cellitemarketing.com now! you will learn so many things of how your business gains so many consumers. Consumers are the most important in a business.

Growth and Development of the Embryo

Growth and Development of the Embryo/Fetus
1. Pre-embryonic stage (zygote)-it is period when fertilized egg implants ito the uterus throug the fallopian tube. It occurs for 12-14 days fertilization

2. Embryonic stage-begins at the 3rd week after conception and ends at the end of eight week of gestation. It occurs in this stage the formation of organs and looks distictly human

3. Fetal stage- this begins in the ninth week and ends in the 38th week of gestation or at the time of delivery.

Business Loans

My friend is resigning because she's getting a very low salary. Their company is making cost cutting. They only works 3 times a week now. Unexpectedly the company affected by global economy crises .Now she is planning to put up her own business. Actually she is intelligent person and i am happy for her plans because she is a good manager. I really believe of her capabilities . I am very sure she will be a good businesswoma. But at the moment, she don't have capital to start her business . Somebody recommend to her BusinessCreditMagic.com a website which offer business credit to those who plans to start a business. So easy to apply , just signed up and processed straight away and avail the money you need like a magic. This is financially always ready for coming in clients. There is no doubts because it is a already established loan company with ezunsecured.com that offers personal loans for any purpose. No collateral or supporting documents needed and allow you for whatever purpose like home improvements, vacation expenses or unexpected expenses . Also offers business loans and willing to finance any kind of business like export/ import company. This is their expertise and they will make it easy for you and you can start your company soon as possible. Many clients financed by ezunsecured.com had proven and now their company is booming. They now enjoying their life as big boss of an export/import company. Friends out there! be wise also.Make loan and start your business now!

Growth and Development for 12 weeks (3 months) infant

12 WEEKS ( 3 MONTHS)

MOTOR DEVELOPMENT

• sits back rounded , knees flex when supported in sitting position
  
• indicates preference for prone or supine position
• holds head erect and steady
  
• holds objects in hands and brings to his mouth
• hands open and close loosely
  

SOCIALIZATION AND VOCALIZATION

• stop crying when familiar person approaches
  
• stay awake longer without crying
• enjoys playing during feeding
• babbles and coos
• smiles more readily

COGNITIVE AND EMOTIONAL DEVELOPMENT

• shows active interest in environment
• recognizes and smiles in response to familiar faces
  
• focuses and follows objects
• aware of strange situations
• derives pleasure from sucking-purposely gets hand to mouth

**************************************************************************************

Male Enhancement Pills

There are cases like when i was on duty in mental hospital, there are patient manifesting depression due to result of sexual problem when they experienced dissatisfaction on sexual activity. In many cases , if both husband and wife will not get a sexual satisfaction usually may result to divorce and broken marriages. And if they have children is again an another problem. Their children are left by and usually results to abandoned children , drug addiction, out of school children or youth. So many circumstances will happened just because of sexual dissatisfaction. Good to know, that there are now male enhancement pills available for those who wants more to enhance sexual arousal as well as penis enlargement pills is also available. Larger penis provides a greater pleasure of sexual intercourse. Sex is beautiful for husband and wife . It is a God's gift to everyone So you have the right to make sex at the right place, right time, and right person and should be in physically and emotionally prepared to be able to reach the highest peak of climax. Good sex makes them bind together , love each other , happy and inseparable husband and wife and produce a happy family life .

But what about if there is an abnormal curvature of the penis? Of course it is really a big big problem of a man who have this disease called peyronie's disease. This abnormality cannot able to participate in sexual intercourse because it causes pain to both partner so it is impossible to have a lifetime partner. Usually male having this disease cause depression because this is untreatable but only a nutritional suppliments to improve penis health.

Growth and Development for 16 weeks

16 WEEKS ( 4 MONTHS)

MOTOR DEVELOPMENT

• listen- turns head to familiar sound
• hand comes to meet rattle
• lifts head and shoulders at 90 degree angle when on abdomen and looks around
  
• becomes more interested in environment
• holds head up ( when being pulled to sitting position)
• eyes focus on small objects; he may picks a dangling ring
• grasp objects with both hands
  
• intentional rolling over, back to side
• sits with minimal support

SOCIALIZATION AND VOCALIZATION

• Laugh aloud
• vocalizes socially, coos and spoken to
  
• recognizes mother
• demands social attention by fussing
• begins to response to"no, no"
• enjoy to being propped in sitting position

COGNITIVE AND EMOTIONAL DEVELOPMENT

• sleeps through night, has defined nap time
• indicates increasing trust and security
• more interested in mother
• shows eagerness when feeding bottle appear
  
• enjoys attention becomes bored when alone for a period of time
• actively interested in environment

Looks younger by my eyeglasses

We were on duty on the hospital when one of my co -nurse start teasing and laughing of my eyeglass. He said that it is already an obsolete styles that i must have to change for a new one. But i got this eyeglass recently only and so expensive so getting another stylist might be more expensive and i can't afford to buy anymore. But my friend did not stop by just only teasing. She let me read an article aboutZenni Optical in the New York Times for her concern to my looks with the old style eyeglass. Well. good to read this article stated that zennioptical.com offers large varieties of frames and very low prices. There are huge selections and all are stylist . Thank you my friend! I am sure i can afford to buy one new stylist eyeglass fit to me as a professional nurse because prescription eyeglasses for only $8 here and now i am seeing straight without breaking bank. Once i bought this on payday, I will surely looks younger and fashionable.

Growth and Development for one month old Infant

Birth - 4 weeks(1 month) -

MOTOR DEVELOPMENT

• eyes follow bright moving objects
• lies awake on back with head averted
• immediately drops object placed on hands
• responds to sounds of bell and other similar noises
• keep hands fisted
• head sags forward when held in sitting position
  

SOCIALIZATION AND VOCALIZATION

• shows interest in human face
• smiles briefly
  
• begins to coo
  

COGNITIVE AND EMOTIONAL DEVELOPMENT

• satisfied when feeds and being held, rocked, fondled, and cuddled
  
• quiets when pick up
• has an intense need for sucking pleasure
• responses are generally limited to tension states or discomfort
• establishes eye contact
• shows regard to human faces

Life lock .com

Due to massive identity theft now adays, many are reluctant to reveal their identity information especially when they sign up for credit card, loans or insurances or keeping their documents and assets. I myself is getting scared of reveling my identity because i heard from the tv news lately that again there is a new theft who stole an identity and applied for credit card successfully. Huge amount was withdrawn. Thieves are really intelligent and they are always at the corner around the world . But we can be confident now because Lifelock is now available to secure our identity safe and protect from wrong doings of all identity thieve . I think this is really what we need now to avoid problems in the future . Don't just be confident without lifelock protection , one day when you get up, you are already in deep with credits or forges documents.
How sure life lock protects you? Well life lock can't guarantee that thieve cant' stole your identity but they have a new programs that they can detect if someone is trying to open an account using your name and identity. Anytime Lifelock is working 24 hours a day like your personal security guards guarding your identities and tip of to you and credit reporting company and law enforcement. Thieves will be caught in the acts before they accomplished their evilness

Visit this website Lifelock .com now! There are promotion codes available like when you signed up now, you will get $11 discount plus one month fee. This lifelock company is the one you can trust and count on. why? because since 1995 started and now the biggest in this line of industry. Very much established , that the reason why several of sports amateurs had sponsored by Lifelock like the world racing championship and also those teams from other companies.

Growth And Development for 2 months old (8 weeks) Infant

8 WEEKS ( 2 months)

MOTOR DEVELOPMENT

• turns from side to back
• holds head erect when held upright
  
• shows eye coordination to light and objects
• if bell is sounded near him, he will stop activity and listen
• begins to lift head momentarily from prone position
• eyes follows better, both vertically and horizontally. Focuses well.
• holds rattle briefly when placed in the hand
  

SOCIALIZATION AND VOCALIZATION

• begins vocalization- coos, especially to a voice
• eyes follow person or object more intently
• smiles back in response to another smile
  
• may squeal with delight when stimulated by touching, talking, or singing
• turns head to side where sound came from
  
• cries to seek attention
  

COGNITIVE AND EMOTIONAL DEVELOPMENT

• recognizes familiar face
• enjoys sucking- puts hand in mouth
• anticipate being feed when in feeding position
• becomes more aware and interested in environment
• eye to eye contact

Ultrasound device for fetal assesstment

Ultrasound is a medical device or equipment utilizes reflected soundwaves as they travel in tissue to produce a picture . For pregnancy as early as 5-8 weeks gestation the sac can be measured by the ultrasound device and fetus can be seen in the sac when it is already 8 weeks gestation. Cardiac rate and fetal activity can be seen on the 10th weeks of gestation. Ultrasound is really very useful throughout the pregnancy from fifth weeks pregnancy. Used to detect abnormalities , hydatidiform mole, multiple pregnancies, fetal death, fetal presentation, placental position and fetal weight. It measures to determined gestational age and growth . Usually the portable ultrasounds used to visualized breathing movements, cardiac activity , swallowing anfd fetal movements.

Zeolite

Yes. Antioxidants is exactly what we need now adays. Our foods we are taking in usually are processed with some preservatives. Hogs and poultries not 100% safe because they receives also some antibiotics and vaccinations and some steroids to obtain a heavier weight . These are all harmful to our body. Organic pure Zeolite powder is an antioxidant that get rid all the harmful toxins in our body . It is proven by so many users that they gain a perfect body wellness free from cancer and cardiovascular diseases because. The Zeolite provides perfect wellness. This harmful toxins must be eradicate and needs a powerful anti oxidants like ZeoCleanse tm because Low levels of antioxidants, or inhibition of the antioxidant enzymes, causes oxidative stress and may damage or kills the cells of the body .

• ZeoCleanse improves the immune system-- increased your resistance in any kind of diseases
• Helps balance the bodies' pH (acidity levels) -to prevent acidosis or any acid imbalance
• Removes heavy metals and toxins (mercury, lead, arsenic, pesticides, viruses, etc. - ZeoCleanse helps our body has the ability to excrete heavy metals and toxins, leads or viruses because these are very dangerous factors and pathogens of a disease
• Provides a sense of mental clarity, improvement in general sense of well being- ZeoCleanse prevents fast aging and looks always young with clear mind and person works mentally efficient.
• This is 100% natural so there is no side effects but very effective. It is also prepared as an antioxidant for dietary supplements to have a complete nutritional need of the body and detoxification to cleanse out all toxins in your body.
  

Amniocentesis

Amniocentesis is a procedure to remove amniotic fluids from the uterine cavity by aspirating with needle inserted through the abdominal and uterine wall to the amniotic sac. This is to determine fetal maturity and fetal well being. First the nurse or gynecologist must have to explain to the patient about the procedure and little knowledge and the purpose and to assured the patient that everything will be fine to reduce anxiety of the patient. Placed the patient comfortably to lie on her back and pillow under her head . This position may reduces pain and discomfort while performing the procedure to her. . If 20 weeks gestation, make sure that the mother empty her bladder to reduce the possibility of injury to the mother's bladder. but if less the 20 weeks gestation should be full bladder to hold the uterus steady and far from pelvis. Monitor vital signs and fetal heart beat as basis of any complication if there is any. After the procedure , observe for any bleeding or premature labor. And also instruct the woman if she feels discomfort , bleeding , pain or cramping after the procedure must have to complain and the nurse report to the gynecologist.

Defective Medical Device

Cardiovascular disease is a heart disease in particular and one health problems of so many. Usually due to their high level of cholesterol that may lead to hypertension, heart attact and cardiac arrest .Cardiac Arrest is a sudden and unexpected cessation of respiration and effective circulation . It is very important that the personnel must have the skills and techniques of resuscitation from cardiopulmonary arrest. Useful brain function can be preserved if ventilation and circulation is re-established within 2-3 minutes. First check the carotid or groin femoral pulse if these are absent and if pupils dilated. If pulse absent and dilated pupils requires artificial ventilation and external cardiac compression.Within seconds a skilled nurse or doctor must call for help and provide initial effective ventilation and circulation. During the older times nurses and doctors do it manually but now adays used defibrillator machines . Yes there are defibrillator machines on the market and Medtronic Sprint Fedilis Defebrillation manufactured by Medtronic Inc which was used in the Hospital but unfortunately was defective and so many patients was fractured. The Defective defibrillator leads is the cause of fractures and a main factor of death of so many patients . And now , there is an advised drom Medtronic Inc. for Medtronic Defibrillator Recall that all their leads unused are should be returned back to them.
Because the company itself alarmed of growing death of patient due to the use of
Sprint Fidelis Defibrillator Lead. This is a big damaged in your part and it is your right to file Defibrillator lead Lawsuit against the Manufacturer. There are medical device attorneys to consult from. Call or fill out online , they have expert lawyer are available to review the case.

Conjunctivitis occur in Children

Conjunctivitis is an inflammation of the conjunctiva of the eye. The eye appeared red eye, watery, itchyness and eye lids binds together after long period of sleep. Usually washing with water to open eyelids. .
Conjunctivitis usually follows respiratory tract infection or maybe allergic reaction or have acquired the disease from infected person. It is easily spread to other members of the family if not careful of the secretion which leads to cross contamination. There must be a good and proper handwashing. Towels, handkerchief and clothings must be separated from other members of the family. Used tissues must be disposed properly .
Consult the doctor for proper management , treatment and advices.


Proper way of administering eye drop solutions:
For an eyedrop solution - drop at the inner canthus of the eye or in the eye by pulling down the lower eyelid then closed or open for several times to spread the solutions in other parts of the eyes

Start up Small business

Long time back i resigned from my work after i gave birth of my first child. I thought that my savings is already enough to start up for my own business because i planned not to work anymore as an employee. I really envy of my friends who resigned and put up their small business and became a bigger business. They were also advising me that i should have to resign also like them and put up small business. I think this case of mine, need to loan and i must try to scout in the internet because there are online companies offers cash money to start up business. The best loan company in the internet is ulservicesonline.com offers start up business loans nationwide. You can obtain the unsecured start up business you need very quick and easy to keep your business operational as soon as possible you want.
Personal, Business , Home, Student, Auto and other kinds of Loans and Credit is also offers by the ULservice Online either secured and unsecured to meet all every needs of the client . This services is available in 50 states with quick processing and application approved within a second . So fast is it? What are you waiting for? apply now any of the unsecured personal loan, unsecured business loan or lines of credit you need. No collateral needed or pronouncing of any income documents and you don't need to pay anything for application and annual fee .

Nutritional Deficiencies with Severe Chronic LIver Disease

Nutritional Deficiencies- common complication of patient with severe chronic liver disease of all types because liver cells no longer capable to make vitamins for the body as like the following:

• Vitamin A deficiency
• Vitamin B- beriberi
• Thiamine- polyneuritis, wernicke -Korsakoff psychosis
• reboflavin deficiency- skin and mucous membrane characterized by lession on the skin
• pyridoxine deficiency- "rum fit"
• Vitamin K deficiency- hypoprothrombinemia- characterized by spontaneous bleeding -ecchymoses
• Vitamin C deficiency- scurvy
• Folic acid deficiency- macrotic anemia

Reflexes of the Newborn

Landau's sign- when baby is suspended horizontally with head depressed against trunk and neck flexed, legs will flex and be drawn up to trunk
Crossed extensor reflex- when one leg is extended and the knee is held straight, while the sole of foot is stimulated, the opposite leg will flex.
Side turning-placing baby prone with head in mid-line will elicit the baby's turning his head to the side
Parachute reflex - while the infant is held prone and lowered quickly toward a surface, he will extend arms and legs
Stepping reflex- when infant is held upright with dorsum of foot gently touching edge of table, he will bend his hips and knees and put foot on table. This will elicit stepping response in the opposite foot. Series of alternating stepping actions will result when infant is moved forward so that 1 foot at a time touches the firm surface
Auditory blink reflex- eyes quickly close if examiner loudly claps her hands about 30 cm.(11.5 inches) from infant's head
Recoil of arm- when both arms are extended simultaneously by pulling outward and grasping wrists, both arms will flex at elbow when released.
Withdrawal reflex-pricking sole of foot will result in the baby's leg being flexed at hip, knee, and ankle

Curtains makes your house cool

Decorating a house is exiting especially if it is new house. A house without curtain looks empty that reflects also to the personality of a person. It is inspiring to put curtains to make the house gorgeous and elegant. Putting curtains it is necessary to use Double wrought iron curtain are great for the decorative side panels or full drapes up front with light filtering sheers on the back curtain rod and it is safer to use. It is a decoration that you fell so warmth and cool and inspiring to live in a beautiful house. We can get the best product of curtains in the internet because it is easy to find that kind. We can buy elegant wrought iron double curtain rod at wroughtironhaven.com at very low price and affordable

Wow! year 1790 curtain rod is already introduced by Gunsmith and blacksmith Clarence and wife conducting demonstration or war style curtain rods for the museum. I don't expect that a curtain rod is historical during the older times.They create curtain rods for the museum as their complete way to preserved their history. They had demonstrate the art of forge welding curtains rods by the hands of a blacksmith. That is how they value the importance of curtain rods in a museum how it accurately made with perfect art. That is why there are still various antique style curtain rods available now a days because the beauty is still glamorizing.

I am sure you have also some ideas of your own for window treatments shop at their hardware for curtains, blinds and window shades with coordinating home decor collections. Ready-made draperies with custom curtain rods and many more. They have various designs to choose from that suits to your style .

ACQUIRED IMMUNODEFICIENCY SYNDROME

AIDS- ACQUIRED IMMUNODEFICIENCY SYNDROME - caused by retrovirus that attacks helper T macrophages which the cells that protect us from disease.

STAGES OF AIDS INFECTION:
FIRST STAGE:

• positive antibodies in the blood stream
• swollen lymph nodes

SECOND STAGE

• related complex syndrome
• weight loss
  
• night sweats
• fatigue
• fever
• diarrhea

THIRD STAGE

• full blown AIDS
• develop pneumonia
• skin cancer
  
• neuromuscular disease
• psychological disturbances
• die after several years
  

MODE OF TRANSMISSION:

• transmitted by blood- through blood transfusion when the blood is infected with AIDS virus
• transmitted through semen or vaginal fluid - when making sex with multiple partners or a single infected partner
• transmitted through needle-using addicts
• AIDS virus can cross the placenta- infant can acquired the infection through intrauterine exposure

EFFECT ON PREGNANCY

• premature rupture of the membrane
• preterm delivery

EFFECT ON THE FETUS:

• infant acquire the disease
  

PREVENTION:

• use of condoms decrease the risk of acquiring the disease
• monogamy with sexual partner who is not infected

my nursing notes

No scam!

This site entitled :About new rich /Contact me " is site by someone who is not endorsed or approved by Nouveau Riche University. He created a form for the readers to write who wants to participate in his intention is to know the honest reaction, opinion whether negative , positive or no comment about Nouveau University . Well this is nice site , to help readers may know the real thing about NRU as the best university with aims and goal to help students become the best and richest in the world through real estate investing . Nouveau Riche University Scam? Of course! It is not a scam.

There is a question to those who have heard about the success of students and proffessionals came from Nouveau Riche University. It is normal to disbelief at once if they don't have backgound on real estate investing and they will say that it is Nouveau University Scam. Since Nouveau Riche is totally committed to education and wealth creation, never stop providing all the trends lawfully in this business. Conducted again a meeting with the best expert individuals to shares all the knowledge and strategies under the law without illegal matters.

Nouveau Riche University has a private website for the members of the community to publish all their all their real estate investment deals with supposed positive cash flow. Every deals publish in the investor Concierge website with all the pictures , numbers, breackdowns and all the figures how it aarived the net income.This website to ensure and prove to every readers who doubts and saying Nouveau Riche University Scam.

The Future of the World!!

Nouveau Riche University Blog published the meeting (CHAIRMAN'S CALL) which was held before the Christmas and new Year . It was the announcement of the top five achiever or who are called by the chairman as the Nouveau Riche Five Star Winner Cycle. They are the highest sales within just only three months. The top five was so happy and shares their stories how they have achieves volumes of sales in very short of time. They said that it is their determination, patience, proper management and right strategies.

Listeners in the Chairman's Call was fully feed of inspiration through the testimonies and real stories like Andre & Tami Popa who able to earned &154,500 in one month only last December. He just migrated in USA for his purpose is to just try his luck to earn money at least to live discently but unexpected when he join Nouveau Riche University earn more that what he expected. You can read their face book to learn more on their stories and testimonies.

Laura Palmer Noone, former president of the University of Phoenix, has been named chief executive officer at Nouveau University, a Scottsdale school with a small-business and entrepreneurial focus that admitted its first student last month.She is one of the best chief executive university all over the world. Not only specializing his career as leader of the universities but also focusing in managing several Charitable Institution. She is gifted with Intelligent mind and willingly shares for students and a good heart to less fortunate individuals. Laura Palmer is presently leads the Nouveau Riche University and no wonder sooner or later, students from this university will be the future of the world.

FAST EARNING!!

It is my first time to hear story of students who have a huge earnings while studying. Yes The Nouveau Riche College is one of the largest university in USA. Created blog exclusively for the students, instructor, employee or independent student advisor to publish in their blog their amazing stories how they become rich , how they have acquired huge money , and how they picked up dollars through real estate investing. Like the story of 2 students Glenn and Chelly who dream of owning properties soon. They enrolled in the Nouveau Riche University at Zero properties and learned and join the "NRU WEALTH CYCLE" this is one of the most profitable business generated by real estate investors. Glen and Chelly through their determination, they have achieved their goal of owning TEN rental properties. Glen and Chelly are not the only successful students who became successfully owns rental properties in just a short period of time while enrolled in NRU.

And this are the five individuals who achieved the highest volume of sales and become also the inspiration of the students, employees and offecers of Nouveau Riche University. It is really an amazing success ! Nouveau Riche Nationwide Community members created several face book and inviting others to join them. This is also serves to discuss and shares about their knowledge or more strategies to upgrade real estate investing and also make fun to promote.

NEWBORN-CHARACTERISTIC

CRIES

SUCKING

EXTREMELY SENSITIVE SKIN

MAKES DESCRIMINATING SOUNDS

SLEEPS FOR LONG INTERVALS

HAS LITTLE HEAD CONTROL (HEAD LAG)

Immunization

RECOMMENDED SCHEDULE FOR ACTIVE IMMUNIZATION OF INFANTS AND CHILDREN

2 months of age- DTP, OPV

• can be initiated as early as 2 weeks in ares od high epidemicity or during epidemics

4months of age- DTP, OPV

• 2 months interval desired for OPV to avoid interference from previous dose

6 months of age DTP (OPV)

• OPV is optional may b given in areas with increase risk of polio virus exposure

15 months of age Measles, Mumps Rubella (MMR)

• MMR preffered to individual vaccines, tuberculin testing may be done

18 months of age DTP, OPV

24 months of age HBPV

4-6 years DTP, OPV


14-16 years tetenus toxoid


DTP- Diphtheria and tetanus toxoid with pertussis vaccine

OPV- oral poliovirus vaccine contains attenuated poliovirus type1,2, and 3

MMR- live measles, mumps, and rubellaviruses in a conbined vaccine

Haemophilusl b polysaccharide vaccine

Td -adult tetenus toxoid ( full dose) and dephtheria toxoid (reduceed dose in combination

For all products used, consult manufacture's package insert for instructions for storage, handling and administration. Biologics prepared by different manufacturers may vary, and those of the same manufacturer may change from time to time

Personal Loan

Now a days finances is very complicated , It is very hard to manage our finances due to non-stop daily expenses. There are times that we need money unexpectedly and no other remedy.
Apply personal loans if you need a relief of unexpected expenses. But this personal loan is applicable to any purpose you want like if you wish for a vacation or buy cars , house improvement or repair and many more the decision is on you . The ULServices Online offers unsecured personal loans , which does not need any collateral anymore or bank account, no application fees needed because this loan offered are generated to meet the immediate need of every costumer for any purpose they want. Your identity information is safe and secured from identity theft because this site will never hack . So quick and easy processing and you are at the right path of choosing this company because accredited, licensed and well established that is why they can offer low and flexible interest rates and low monthly payment plan. No hassles in applying loans for they have already ensures the costumer to avail the loan as simple as possible. They can apply loan wherever they are, at home or office or anywhere just contact through phone, fax or e-mail to complete the requirement. That is convinient is it? They offer also other kind of loan and they have already assisted and lend to more than 5,000 clients successfully.

Genetal Warts

There are many diseases that are transmitted by sexual contact Almost all of them are troublesome and most of them are not yet treatable especially disease causing virus.

Genital warts are common skin benign tumor caused by virus. A small slowly growing virus belonging to the papillomavirus group as single multiple soft, fleshy papillary or painless growth around the anus, vaginal area (for female), penis (for male), urethra or perineum. It is called as "venereal wart" because it is a sexually transmitted disease which around 20 million people in the US are now carrier of papillomavirus. This is transmitted through sexual contact with the infected partner. It may be diagnosed based on the clinical presentation and Colposcopy used to diagnosed certain lesions in the cervical area. Lesions may enlarged and produces tissue distraction on the patient . Symptoms of genetal warts starts with tiny flesh- colored and cauliflower -shaped lesions in the genetals. Discomforts arises from genetal area due to dampness of vaginal fluid excretion. Lesions in the cervix are painful and bleeds if distracted during intercourse. Most of the time infected individual complained of tingling ang burning sensation over the lesion and on the papules over the shaft of the penis.

Genetal warts and pregnancy, the warts enlarged during pregnancy and extremely vascular and may obstruct the birth canal for delivery. And this is one of the problem of infected mother who are pregnant because the possibility to pass the infection like laryngeal papillomatosis when passing the baby in the infected birth canal. This is life threathining condition .well you so many more information if you search ongenitalwart-s.com this site concentrates all about genetal wart review. This is really important to all of us to be educated and aware always on sexually transmitted diseases.

No more Discomforts

Many individuals develop constipation because they delay each bowel movement as long as possible because of their neurotic habit of delaying to defecate. They did not mind the possible complication. Constipation is the decrease in the frequency in defecation and also an abnormal dryness of stools and hard to evacuate . A person who has not bowel movement for 3 or more days suffers discomfort not like those bowel movement everyday with moist stool and no difficulty.. Other factors is due to lack of exercise, faulty diet (usually oily and no fiber content) , weakness and fatigue. . Constipation may cause irritability of the colon and lower abdominal pain.

People are now interested in alternative medicine especially those person are health conscious. They prefer Colon cleanse to cure number of ailments like chronic constipation, acne, chronic fatigue, candida and almost all kinds of digestive tract problems. On top of this, it is carried out using natural methods, so it has no negative side effects and this colon cleanser proven by so many since the the ancient time of Egypt. On the 17 century cleansing enema is their fashion and they will do it for 3-4 times a day. It means that their whole system is so clean because excreted all waste products accumulated in the colon thus no chance of the digestive wall to absorbs waste products in the digestive system. No wonder that their alternative medicine can cures different ailments. Russians on the 19th century when colon irrigation was famous . They do colon irrigation to prevent the toxins from fecal to be absorbed by the lining of the digestive system. Well that's really true, toxins from fecal may poison our body if reaches into our blood stream. Colon Cleanse Reviews ,has many more information on colon cleans on this website, search on coloncleanse-r.com You will learned more!

Vaccination

Mothers are aware that breast milk is the complete source of nutrition for infants. It contains carbohydrates, protein, and fats, and provides digestive enzymes, minerals, vitamins, and hormones that all infants requires. It contains antibodies from the mother that may help the baby to increase resistance against infections but not all contagious disease. Breast feed newborn do not have protection from diseases like whooping cough, polio and Hepatitis B. and there vaccinations available.
Now a days, there are expectant mothers are now unaware that she is a carrier of Hepatitis B and unknowingly pass it on to her child through breast milk. Infants who catch hepatitis B from their mothers at birth are at greater risk of suffering from liver cancer or liver failure later in life. Infant vaccination- no exceptions, even if mother and baby appear to be in good health- is the only sure method of guaranteeing protection against the disease.

No More Worries

Now a days, you are not confident of your credit cards , so many identity thefts around the world. Millions of victims reported are not yet solved until now. I am very sure that you have credit card too and you don't want to be a victim also.Why not enroll for credit card protection from theft? Search on id-theft-security.com this will help you to wipe away your worries to loss you wealth and huge assets. Your identity is surely protected.

Lifelock promotion code offers 3o days free plus $11 off if you signed a membership for one year. It is the best life lock you could count on and trusted by so many. CNN, CNBC and Wall Street Journal even featured the LifeLOck because they trust and recognized Life lock's services as the most advanced, safe and easy to use.

Once you enrolled, you are already guaranteed protected from credit card theft and Lifelock.com is not only giving services to members but also providing missionary services to the American Red Cross. and Girls Club. Plus giving free identity thefts to the victim of hurricain Katrina. and U.S Veterance and family.

Lifelock protects your credit card when someone try to stole your identity of your credit card and if anyone of your family wants to make fraud of your documents. This assure you that you are much protected and you can go for any where for a vacation or business travels around the world you will be worry free and sleep well. LifeLock is more than an identity theft protection service; LifeLock is an identity theft prevention service. Prevents anybody who try to search for your identity . So what more you're looking for ? this is the trusted life lock ! enroll now!

Woman's breast

Female breast increase in size begins at the tenth year to sixteenth year. As puberty starts, the hormone works to develop the mammary glands and nipples start to protrudes
The breast is a glandular organ with many lobules, its secretion passes through collecting ducts to the nipple.
In some women, they experience tingling sensation an tenderness of the breast a week before the menstrual period due to hormonal disturbances. But gradually disappear on the menstrual period.
Breast enlarge for 8 weeks after child birth and the nipples become more prominent and sensitive until ready for breastfeeding.
The breast shrink , become flabby and flattened and excess fats disappear after lactation.

No more Worries on Acne

Acne is one problem of teenagers and young adults. They feel insecure and develops inferiority complex . I am glad there is an murad acne products which is branded by Murad Acne Complex . They offers clarifying cleansers, exfoliating acne. treatment gel, acne spot treatment , clarifying mask plus free items gift in one set order.Only $29.95 with 2 free gifts and $7.95 S&H for each shipment . Offers Home Delivery Program to supply the products for 30 days or 60 days for contineous treatment as soon as you order online. Three to five days, acne products at your doorstep once you have accomplished to give your credit card information to Murad Acne Complex. And you can call them anytime for cancellation if ever you have changed your mine.

Acne complex is very effective, 90 % acne on your face disappears after four weeks of using and totally clears on the eighth weeks. So many experienced and testified and guaranteed 100%. This murad acne complex formulated by world renowed dermatologist Dr. Howard Murad. He is seen in tv and featured because of his very popular anti acne products Try now ! murad acne products clears your face from acne and breakouts and relieved your worries and feeling of embarrassment when facing other people. For ordering online and further information search on acnecomplex.com/

Postpartum Assesstmant

Place the mother in bed comfortably .
Check the fundus if firm at regular intervals
Check number of perenial pads that should not saturate too much fresh blood within 8 hours
Check vital signs at regular basis as a routine responsibility in the ward unless there is abnormality
Check bowel and bladder elimination . Should at least urinate at first hour
Check breast engorgement and condition of nipples . advised breast feeding
Inspect incision if no signs of infection.

Rags to Riches

From fortune magazines enumerated all the billioners all over the world. Yes they are the kings and a families who have successful businesses scattered all over the world. Like SAM MOORE WALTON, 73 and family Bentonville ARKANSAS $21.1 39.3% of Wal-Mart. Last year, with sales of $32.6 billion, Wal-Mart outsold not just the mom and pop stores it's been putting out of
business in small towns across America, but also retailing giant Sears, at least domestically. This performance really lifted the stock, making the Waltons America's richest family. Due to successful investment of Nouveau Riche is featured and will be feature too in the Fortune Magazine and CNN like this rich people who become rich from investing business.

It is nice to know about t the Nouveau Riche' community Website for Independent Student Advisors. Unbelievable , they just only making fun but they are earning much out of it. No university like this who helps students start business at their early age especially when their parents can not afford them to go to college. You can say to them that they are students and business men at the same time. So lucky they are!

According to wikipedia Rags to riches refers to a situation in which a person rises from poverty to wealth or sometimes from obscurity to fame.

These stories give the poor hope that they can rise to fame and wealth. They are most popular in societies such as the United States where confidence in the ability to move between social classes is an important part of the national identity. Well i believe that this poor students of Nouveau Riche will soon rise to fame and wealth!

Leukoplakia and Kraurosis

Kraurosis is a disease of the vulva when skin becomes thin dry ,white and easily fissure until appeared shrunken and leathery. Patient tend to be much irritated of itchyness. The itchyness may lead to the development of cancer of the vulva.



Leukoplakia characterized by ithyness, burning senation , and grayish white patchy on the vulvar skin.

Management of Carcinoma of the Vulva

Carcinoma of the Vulva called Vulvectomy. Excision of the superficial and deep inguinal lymph nodes.
Patient prepared emotionally and physically before the operation by explaining a brief about the surgery until she understand and anxiety relieved. Consent of operation must signed by the patient or immediate relative. Skin preparation by shaving the pubic hair, perineal and at the inguinal region.Pre operation medications be given as ordered by the preparation. and sent to operating room.
From the operating room, let the patient in bed as comfortable and perineal dressing must be keep on place. report to the physician if dressing soak with fresh blood and if bleeding persist. Because serous drainage , dressing should changed frequently for the first 3 days. Proper care of drains to prevent dislodgement.Put pillows under the knee to to relieved discomfort on the incision. Turning is important and comfort to achieved with pillows. May walk on the 2nd or third day.
Cleaning of the wound daily to prevent infection with soap solution with antiseptic or warm saline
Exposed the stitches to air frequently or exposed to dry heat with heating lamp
Low residue diet to prevent defecation and possibility to contaminate the wound
Care of the catheter that should be in place that always should be in place.
Analgesics to be given for pain as prescribed
Keep patients room to a pleasant environment by proper disposal of soiled linens and immediate removal of soiled dressing and adequate ventilation.
Give proper instruction to the one who take care of the patient at home.
Encouraged to gradual resumption of physical and gradual activities