US Army medical course - Obstetrics and Pediatrics (2006) MD0584 WW, Bio Med 26

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U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL
FORT SAM HOUSTON, TEXAS 78234-6100
OBSTETRICS/PEDIATRICS
SUBCOURSE MD0584 EDITION 100
DEVELOPMENT
This subcourse is approved for resident and correspondence course instruction. It
reflects the current thought of the Academy of Health Sciences and conforms to printed
Department of the Army doctrine as closely as currently possible. Development and
progress render such doctrine continuously subject to change.
ADMINISTRATION
Students who desire credit hours for this correspondence subcourse must meet
eligibility requirements and must enroll in the subcourse. Application for enrollment
course catalog in the upper right corner. Enter School Code 555 for medical
correspondence courses. Copy down the course number and title. To apply for
enrollment, return to the main ATRRS screen and scroll down the right side for ATRRS
Channels. Click on SELF DEVELOPMENT to open the application and then follow the
on screen instructions.
For comments or questions regarding enrollment, student records, or examination
shipments, contact the Nonresident Instruction Branch at DSN 471-5877, commercial
(210) 221-5877, toll-free 1-800-344-2380; fax: 210-221-4012 or DSN 471-4012, e-mail
accp@amedd.army.mil, or write to:
NONRESIDENT INSTRUCTION BRANCH
AMEDDC&S
ATTN: MCCS-HSN
2105 11TH STREET SUITE 4191
FORT SAM HOUSTON TX 78234-5064
CLARIFICATION OF TERMINOLOGY
When used in this publication, words such as "he," "him," "his," and "men" 'are intended
to include both the masculine and feminine genders, unless specifically stated otherwise
or when obvious in context.
USE OF PROPRIETARY NAMES
The initial letters of the names of some products may be capitalized in this subcourse. Such
names are proprietary names, that is, brand names or trademarks. Proprietary names have
been used in this subcourse only to make it a more effective learning aid. The use of any name,
proprietary or otherwise, should not be interpreted as endorsement, deprecation, or criticism of
a product; nor should such use be considered to interpret the validity of proprietary rights in a
name, whether it is registered or not.
TABLE OF CONTENTS
Lesson
Paragraphs
INTRODUCTION
1 THE REPRODUCTIVE SYSTEMS
Section I. The Female Reproductive System ...............................1-1--1-5
Section II. The Male Reproductive System ...................................1-6--1-9
Section III. Events of Pregnancy ....................................................1-10--1-15
Exercises
2 NORMAL AND EMERGENCY CHILDBIRTH
Section I. General Information .....................................................2-1--2-4
Section II. Complications of Pregnancy ........................................2-5--2-9
Section III. Management of Mother and Newborn During
Normal Delivery in an Emergency Setting....................2-10--2-16
Section IV. Abnormal Deliveries .....................................................2-17--2-21
Section V. Complications of Labor and Delivery............................2-22--2-25
Exercises
3 PEDIATRIC EMERGENCIES
Section I. Differences Between a Child's Body and an
Adult's Body .................................................................3-1--3-2
Section II. Patient Assessment .....................................................3-3--3-4
Section III. Special Considerations of the Ill or Injured Child..........3-5--3-7
Section IV. Pediatric Emergencies .................................................3-8--3-18
Section V. Trauma in Children.......................................................3-19--3-22
Exercises
4 CHILD ABUSE ................................................................................4-1--4-11
Exercises
MD0584
i
CORRESPONDENCE COURSE OF
THE U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL
SUBCOURSE MD0584
OBSTETRICS/PEDIATRICS
INTRODUCTION
The birth of a child is usually a wonderful and exciting event. Despite the
occasional magazine or newspaper article extolling the virtues of having a child at home
with an experienced midwife in attendance, we are still generally conditioned to having
the baby in a hospital complete with attending physician. Sometimes, however, the
baby decides to be born before the mother can get to the hospital. In such a case, you
may be called upon to assist in the birth. Birth is a natural process with the mother
doing the delivering and someone else, perhaps you, assisting in the delivery. Also, as
much as children are wanted, there are times when some adults lose control and abuse
a child. You need to know something about child abuse in case you find yourself
examining a child you suspect has been abused.
This subcourse deals with childbirth outside a medical treatment facility, pediatric
emergencies, and child abuse. A lesson on the female and male reproductive systems
is included to allow you to review these systems. Your attention to learning the material
given in this subcourse will prepare you to deal with situations involving childbirth and
children.
Subcourse Components
:
The subcourse instructional material consists of four lessons as follows:
Lesson 2, Normal and Emergency Childbirth.
Lesson 3, Pediatric Emergencies.
Lesson 4, Child Abuse.
Here are some suggestions that may be helpful to you in completing this
subcourse:
--Read and study each lesson carefully.
--Complete the subcourse lesson by lesson. After completing each lesson, work
the exercises at the end of the lesson, marking your answers in this booklet.
--After completing each set of lesson exercises, compare your answers with those
on the solution sheet that follows the exercises. If you have answered an exercise
incorrectly, check the reference cited after the answer on the solution sheet to
determine why your response was not the correct one.
MD0584
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Lesson 1, The Reproductive Systems.
Credit Awarded
:
Upon successful completion of the examination for this subcourse, you will be
awarded 5 credit hours.
To receive credit hours, you must be officially enrolled and complete an
examination furnished by the Nonresident Instruction Branch at Fort Sam Houston,
Texas.
You can enroll by going to the web site
and enrolling under
"Self Development" (School Code 555).
A listing of correspondence courses and subcourses available through the
Nonresident Instruction Section is found in Chapter 4 of DA Pamphlet 350-59, Army
Correspondence Course Program Catalog. The DA PAM is available at the following
MD0584
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