The answer is Uterine atony. Fundal massage is performed for uterine atony, which is a failure of the uterus to contract and retract after birth. The nurse would place the gloved dominant hand on the fundus and the gloved nondominant hand on the area just above the symphysis pubis. In a circular motion, the nurse rubs the fundus with the dominant hand. Then the nurse checks for firmness and, if firm, they apply gentle downward pressure to express clots that may have mount up. Finally, the nurse help the woman with perineal care and applying a new perineal pad.
I think its A im not sure
D it takes time to develop to them
Young adults (late teens, early 20s) have the lowest rate of sleep disturbances of any age group with the possible exception of babies. They are past the common childhood disorders (night terrors, sleepwalking) but do not yet suffer the insomnia of middle age or the fragmented sleep of old age. This is a generalization, of course, but we can say that young adulthood is the golden age of sleep.
Answer:
Many factors influence health and well-being in a community, and many entities and individuals in the community have a role to play in responding to community health needs. The committee sees a requirement for a framework within which a community can take a comprehensive approach to maintaining and improving health: assessing its health needs, determining its resources and assets for promoting health, developing and implementing a strategy for action, and establishing where responsibility should lie for specific results. This chapter describes a community health improvement process that provides such a framework. Critical to this process are performance monitoring activities to ensure that appropriate steps are being taken by responsible parties and that those actions are having the intended impact on health in the community. The chapter also includes a discussion of the capacities needed to support performance monitoring and health improvement activities.
In developing a health improvement program, every community will have to consider its own particular circumstances, including factors such as health concerns, resources and capacities, social and political perspectives, and competing needs. The committee cannot prescribe what actions a community should take to address its health concerns or who should be responsible for what, but it does believe that communities need to address these issues and that a systematic approach to health improve-
