Jawaban Tutor Mala.docx

1. Ny. Vanessa, seorang wanita berusia 30 tahun, mengklaim bahwa dia dalam kondisi awal kehamilan, datang ke UGD RSMP pada tanggal 12 Maret 2019 dengan seorang kepala mengeluh darah menetes dari alat kelaminnya sejak 2 hari yang lalu. Ny. Vanessa mengklaim bahwa darah itu dalam bentuk bercak merah gelap. Nyonya vanessa juga mengeluh kram perut. 2. Mrs. vanessa belum melakukan pemeriksaan kehamilan. riwayat trauma dan pijat di daerah perut menurun, tetapi dia mengklaim bahwa dia memiliki riwayat keputihan yang sering. 3. Ny. Vanessa mengalami menstruasi pertamanya pada usia dua belas tahun, periode haidnya teratur (28 hari), nyeri saat menstruasi menurun. hari pertamanya dari periode menstruasi terakhir adalah pada 25 Desember 2018. 4. Sekarang dia hamil anak keempat, anak pertamanya yang sekarang berusia 5 tahun, dan dilahirkan dengan bantuan bidan melalui proses persalinan normal. dia melakukan aborsi pada awal kehamilan kedua dan ketiga.

1b. What is the meaning Mrs. vanessa chief complained of blood dripping from her genital since 2 days ago? Answer: the meaning of bleeding can be considered as an endanger of the mother and child, causing death. Ovum implantation, cervical carcinoma, abortion, hydatidiform mole, ectopic pregnancy, menstruation, normal pregnancy, local vaginal/cervical abnormalities such as varicose veins, injury, erosion and polyps.

For the past 2 days, the phase of the disease is acute.

1e. What is the meaning Mrs. vanessa also complaining an abdominal cramps? Answer: The meaning abdominal cramps can be caused by infection after childbirth, miscarriage, or abortion

Abortion Pain is usually preceded by vaginal bleeding Pain over the symphysis and intermittent Disturbed ectopic pregnancy Abdominal pain may occur before any vaginal bleeding Bleeding is usually dark brown, not fresh blood, small amounts (Krisnadi, 2016: 660).

2c. what is the kind of pregnancy examination? Answer: Pregnancy Examination (Antenatal Care = ANC) is the examination of pregnant women who are both physical and mental mother and child in the assessment, childbirth and postpartum period that can support childbirth, when parturition, breastfeeding and return associated with health problems (Wiknjosastro, 2005). ; Manuaba, 2008). Weight Check

the womb or even a midwife during pregnancy, the first time it is done is by checking this weight (weigh). The purpose of the pregnancy checkup is to determine the increase in body weight of pregnant women in each month. If her body weight rises normally and there is no increase in excessive body weight, it is one indication of a healthy pregnancy as well.

Stomach examination This pregnancy checkup is always done every time you control and check the pregnant woman. The purpose of the stomach examination in pregnancy is to see the position of the uterus, measure fetal growth, and know the position of the fetus. Because the position of the fetus also changes according to the age of pregnancy.

Fetal Heart Rate Check This examination is done by an obstetrician or midwife in a way called a doopler technique. Or it could also be a pregnancy ultrasound. Knowing the fetal heart rate also functions and is useful to find out whether the fetus is in a healthy condition or not. Then when this pregnancy examination is carried out and carried out. Pregnancy examinations can be carried out by competent health personnel, for example through an obstetrician or midwife with a minimum of 3 examinations during pregnancy, namely in the first trimester, second trimester and third trimester of pregnancy, even if the pregnancy is normal. But it's good to have a pregnancy examination once a month until the age of 6 months, twice a month at 7-8 months and once a week when the womb reaches 9 months.

This pregnancy examination is also if in rural communities known as ANC (Ante Natal Care) The definition of antenatal care is a visit of pregnant women with health workers to get ANC services according to the standards set. The term visit here does not only mean that pregnant women who visit a service facility, but that every contact of health workers, both diposyandu, village maternity halls, home visits with pregnant women not providing ANC

services in accordance with the standards can be considered a visit of pregnant women.

2f. What are the impact of frequent vaginal discharge? Answer: Leucorrhoea is a symptom of discharge from the vagina other than blood menstruation. A. Normal (physiological) vaginal discharge Physiological vaginal discharge usually occurs and occurs during menstruation, getting sexual stimulation, overcoming severe stress, being pregnant or struggling.

b. Abnormal vaginal discharge (pathological) Pathological

leucorrhoea

is

called

leucorrhoea

with

distinctive

characteristics, warns it of white like stale milk, yellow or greenish, recovering with an itchy and painful taste, trying to break rotten or fishy. Leucorrhoea is one of the signs or symptoms of abnormalities in the female reproductive organs. These disorders can include infections, cervical polyps, malignancies (tumors and cancer), and the presence of foreign objects. However, not all infections in the reproductive tract provide symptoms of vaginal discharge.

4d. What are the impact of abortion? The terrible impact of illegal abortion according to Adi Utarini is: 1. If done using nonstandard and sharp tools such as sticks, babbling trees, or others, then the risk of uterine rupture or a huge wound. 2. The uterus that is more than 3 times in the tumor is at risk, infection, or even growth conversion 3. Illegal abortions carried out by people who are not experts, can cause the curettage process to be unclean until it becomes heavy bleeding.

4. Equipment that cannot be sterile will stop infection in the female reproductive organs, even to the intestine. 5. For anxiety, a sense of guilt that arises from abortion can cause them to suffer from depression, change in personality to be introverted, and often cannot enjoy sexy relationships if they are married 6. If you support abortion, returning to the desired pregnancy, then an assessment of pregnancy will challenge, or overcome problems in the brain, brain or digestive devices (Adi Utarini. 2005). (Adi Utarini. 2005. Kesehatan Wanita Sebuah Perspektif Global. Yogyakarta: Universitas Gajah Mada.)

Prognose Imminens : Ibu (bonam), Bayi (dubia ad bonam) Inspiens : Ibu (bonam), Bayi (malam)

1g. How the pathophysiology in this case? Answer : Infection of the genitals → microorganisms enter the vaginal canal → servical canal → multiply in the uterus → damaged attachments → necrotic changes in the implantation area → infiltration of acute inflammatory cells → vaginal bleeding.

5b. How is the abnormal mechanism in this case? Answer: Infection of the genitals → vaginal canal microorganisms → cervical duct → proliferate in the uterus → damaged attachment → necrotic changes in the area of implantation → damage to the decidua basalis which causes tissue necrosis above it → vaginal bleeding.

BHAY