Weight and Height Measurement

8/6/2019 Weight and Height Measurement

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WEIGHT AND HEIGHTWEIGHT AND HEIGHT

MEASUREMENTMEASUREMENT


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WEIGHING AN INDIVIDUALWEIGHING AN INDIVIDUAL

DEFINITION

:

A process whereby the individual is place over the weighing scaleto determine the weight.

Equipments:

Balanced weighing scale, paper towel

DEFINITION

:

A process whereby the individual is place over the weighing scaleto determine the weight.

Equipments:

Balanced weighing scale, paper towel


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Objective:Objective:

1. For diagnostic aid or as an aid in the

assessment of therapeutic effectiveness.

2. Provide a basis for future evaluation.

3. To determine patient's weight and

progress.


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MEASURING WEIGHTMEASURING WEIGHT


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Procedure: Rationale

1. Prepare the patient to be weighed - to get the consent ofthe patient

2. Place a paper towel on the scale -for aseptic purposes

3. Remove slippers/ shoes or heavy -to determine the

objects/accessories found in the accuracy in the patients

pocket weight.

4. Instruct patient to mount over the flat -unnecessary movement

form of the weighing scale, stand and improper posture

erect and avoid unnecessary move- will result to inaccuracy

ments. In reading the scale.

5. Get the reading. - to determine the actual

weight of the patient.

6. Record the reading -data for evaluation.

Procedure: Rationale

1. Prepare the patient to be weighed - to get the consent ofthe patient

2. Place a paper towel on the scale -for aseptic purposes

3. Remove slippers/ shoes or heavy -to determine the

objects/accessories found in the accuracy in the patients

pocket weight.

4. Instruct patient to mount over the flat -unnecessary movement

form of the weighing scale, stand and improper posture

erect and avoid unnecessary move- will result to inaccuracy

ments. In reading the scale.

5. Get the reading. - to determine the actual

weight of the patient.

6. Record the reading -data for evaluation.


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MEASURING HEIGHTMEASURING HEIGHT

Measuring tape should be cut at bottom

so that 0 measure is at the floor.

Measuring tape should be cut at seven

feet on top.

Place the tape straight up and down

securely on the wall or door.

Measuring tape should be cut at bottom

so that 0 measure is at the floor.

Measuring tape should be cut at seven

feet on top.

Place the tape straight up and down

securely on the wall or door.


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Procedure:

1. Have patient remove shoes, heavy outer clothing, hats,and barrettes.

2. Have patient undo a hairstyle that interferes withmeasurements. If the patient is unwilling or unable toundo hairstyle, locate crown of the head to the best ofyour ability.

3. Have patient stand with his/her back and feet against thewall on a flat floor directly in front of the measuring tape.You may wish to mark the floor with masking tape to

indicate where the patient should stand. The tape shouldrun directly down the center of his/her back.

4. Patient should stand with the back as straight as possible.Weight should be evenly distributed on both feet.


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Position the patient withheels close together, legsstraight, arms at sides, andshoulders relaxed.Buttocks and shouldersshould touch the wall.

Have patient inhale deeplyand stand fully erectwithout altering heelposition or allowing heels

to rise off the floor.

Have patient look straightahead with head erect.


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Place the square flat againstthe wall. Lower it until it

firmly touches the crown ofthe head with sufficientpressure to compress thehair.

Hold the square steady andhave the patient move outfrom under the square.

Read the measurement at eyelevel where the lower edge ofthe square intersects themeasuring tape.


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Charting:

Accurate recording of weight is

Essential.

Patient Name Date/Time

Remarks

Nicole 01/22/09 110LBS9:00 AM


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Estimating Gestational AgeEstimating Gestational AgeIf everyone had normal, regular

periods, every 28 days, and could

remember exactly when their last periodwas, and ovulation always occurred onday #14 of the menstrual cycle, thengestational age determination would beeasy. These assumptions, however, arenot always the case. In real life,determining gestational age can bechallenging.


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Naegeles

Rule

Naegeles

Rule

An alternative method of

determining the due date is to add 7days to the LMP, subtract three

months, and add one year. These

calculations are made easier with the

use of a pregnancy wheel or

Gestational Age Calculator.


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For example:

If a women says her last normal menstrual

period occurred May 7, 2008 her EDD or

EDC would be February 14, 2009.

May 7 2008

- 3 months + 7days + 1 year

= February =14, = 2009


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MacDona

ld'sRu

le.Ma

cDona

ld'sRu

le.One way to approximate a pregnancy's

current gestational age is to use a tape

measure to determine the distance fromthe pubic bone up over the top of theuterus to the very top. That distance,measured in centimeters, is approximatelyequal to the weeks of gestation, from

about mid-pregnancy until nearly the endof pregnancy. This is known asMacDonald's Rule.

One way to approximate a pregnancy'scurrent gestational age is to use a tape

measure to determine the distance fromthe pubic bone up over the top of theuterus to the very top. That distance,measured in centimeters, is approximatelyequal to the weeks of gestation, from

about mid-pregnancy until nearly the endof pregnancy. This is known asMacDonald's Rule.


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If a tape measure is

unavailable, these rough

guidelines can be used:

At 12 weeks, the uterus isjust barely palpable

above the pubic bone,

using only an abdominal

hand.

At 16 weeks, the top of the

uterus is 1/2 way

between the pubic bone

and the umbilicus.

At 20-22 weeks, the top of

the uterus is right at the

umbilicus.At full term, the top of the

uterus is at the level of

the ribs. (xyphoid

process).

If a tape measure is

unavailable, these rough

guidelines can be used:

At 12 weeks, the uterus isjust barely palpable

above the pubic bone,

using only an abdominal

hand.

At 16 weeks, the top of the

uterus is 1/2 way

between the pubic bone

and the umbilicus.

At 20-22 weeks, the top of

the uterus is right at the

umbilicus.At full term, the top of the

uterus is at the level of

the ribs. (xyphoid

process).


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Fund

al

heig

ht

Fund

al

heig

ht

Distancein CentimeterX 8

-----------------------------

7

= total weeks ofgestation

Ex: 20cm X 8/7 = 22 weeks


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GRAVIDA and

PARAGRAVIDA and

PARA

Gravida is the number of times thewoman has been pregnant

Para is the number of infantsdelivered after 20 weeks gestation,

born dead or alive; multiple birthscount as one delivery regardless ofthe number of infants delivered.

Gravida is the number of times thewoman has been pregnant

Para is the number of infantsdelivered after 20 weeks gestation,

born dead or alive; multiple birthscount as one delivery regardless ofthe number of infants delivered.


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TPALis

m

ore

descripti

on of ParaTPAL

ism

ore

descripti

on of ParaTPAL

ism

ore

descripti

on of ParaTPAL

ism

ore

descripti

on of Para

T is the number of infants born after 37

weeks.

P is the number of infants born between 20and 37 weeks.

A- is the number of pregnancies that end in

spontaneous or therapeutic abortion prior

to 20 weeks.

L- is the number of children currently alive.

T is the number of infants born after 37

weeks.

P is the number of infants born between 20and 37 weeks.

A- is the number of pregnancies that end in

spontaneous or therapeutic abortion prior

to 20 weeks.

L- is the number of children currently alive.


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For Example :

Mrs. Marie reports that she has a 3

years old child at home who was

born at term, had a miscarriage at10 weeks gestation, and delivered a

set of twins at 37weeks gestation

that dies within 24hrs. In the

prenatal Record, the nurse should

record:


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Answer!

Answer!

GRAVIDA- 3

PARA- 2

T- 3

P- 2

A- 1

L- 1


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THANK YOUTHANK YOU


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Biophysical Profile

A biophysical profile (BPP) testmeasures the health of yourbaby (fetus) during pregnancy. ABPP test may include anonstress test with electronicfetal heart monitoring and afetal ultrasound.

Components:

1

. Fetal movement 2. Fetal tone

3. Fetal breathing

4. Amniotic fluid volume

5. Fetal Heart Rate

Normal variables areassigned a score of 2 each.

A score of 8-10 means

Normal; 6 meansequivocal; & 4 or less

means abnormal.


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Nonstress test

Assess FHRacceleration inresponse to fetalactivity in fetus inhealthy condition

Maternal indications:post maturity, Rhsensitization, > 35years old, chronicrenal problem, sickle

cell, collagen disease,DM, PROM, trauma,bleeding during 2nd &3rd trimester.

Result Interpretation Significance

Reactive 2 or more

acceleration of 15

beats/min lasting 15

sec or more in 20 min

period.

High- risk

pregnancy

allowed to

continue if twice

weekly NSTs arereactive.

Non Reactive No FHR acceleration

or less than 15 beats/

min or lasting less

than 15 sec thru fetalmovement.

Need to attempt

to clarify FHR

pattern;

implement CST &continue external

monitoring

Unsatisfactory FHR pattern not able

to be interpreted.

Repeat NST or do

CST


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Contraction stress test

A test used to establish thefetal ability to withstandstress of contraction when

labor comes.

Usually performed if womenhas a nonreactive NST orequivocal VST.

Contraindications: 3rd

trimester bleeding, previousclassical CS, hx of pretermlabor, PROM, hydramios,incompetent cervix, placentaprevia.

Result Interpretation Significance

Negative 3 contractions, 40-

60 sec long, within10 min period, no

late deceleration

Fetus should

tolerate labor if itoccurs within 1

week.

Positive Persistent/

consistent late

decelerations with

more than contractions

Fetus at

increased risk.

May need

additionaltesting, may try

induction orCesarean birth

Suspicious Late decelerations

in less than contraction

Repeat CST in 24

hrs., or otherfetal assessment

tests.

Unsatisfactory Inadequate pattern

or poor tracing

Same as for

suspicions


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FETAL CIRCULATION

Weight and Height Measurement

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