Although the skull appears to be 1 large bone, there are actually several major bones that are connected together. The major bones that compose the skull of a newborn include the following: 2 frontal bones 2 parietal bones 1 occipital bone These bony plates cover the brain and are held together by fibrous material called sutures. Sutures allow the bones to move during the birth process. They act like an expansion joint. This allows the bone to enlarge evenly as the brain grows and the skull expands. The result is a symmetrically shaped head. Some sutures extend to the forehead, while others extend to the sides and back of the skull. One suture in the middle of the skull extends from the front of the head to the back.

External genitalia (vulva) Consists of: Labia majora Labia minora Clitoris Vaginal orifice Vestibule Hymen Vestibular glands

A newborn baby's first examination is a physical assessment that evaluates the baby's health and looks for any congenital abnormalities or disease. The exam is performed by a doctor or specialist midwife within the first 72 hours of birth

Ethics: The word ethics is derived from a Greek term `ethos’ which means customs, convention or the spirit of a community. The word can be used interchangeably with the term morals a Latin word, both of which refer to social customs regarding Nursing Ethics. Bioethics: This is the application of general ethical principles to healthcare. Bioethics and Nursing Ethics both deal with ethical issues in Clinical practice, Research, Allocation of resources and Policy formulation and implementation. Nursing Ethics This is a system of principles governing the conduct of a nurse. It deals with the relationship of the nurse to the patient, the patient’s family, associates and fellow nurses and society at large. Nursing Ethics is derived/ expressed through: the law, institutional policies/ practices, and policies of professional organizations and professional standards of care.

Safe nursing practice requires understanding the legal framework of health care. Understanding the legal implications of nursing practice demands critical reasoning skills to protect the patient’s rights and the nurse from liability. Society expects safe health care delivery, especially from nurses who are typically perceived as the most trusted profession. As patient care practice innovations and new health care technologies emerge, the principles of negligence and malpractice liability are being applied to challenging new situations. Nurses should not fear the law but instead practice nursing armed with the judgment skills that are the outcomes of informed critical thinking.

Respiratory muscles are stimulated to contract by the respiratory center in the medulla. • The medulla receives input from chemoreceptors to increase the rate and/or depth of respiration to maintain homeostasis in the body. • Drugs that affect the respiratory system work to keep the airways open and gases moving efficiently

The nervous system controls the body, analyzes external stimuli, and integrates internal and external responses to stimuli. • The neuron, comprising a cell body, dendrites and an axon, is the functional unit of the nervous system. • Dendrites route information to the nerve, and axons take the information away.

Hypertension is a sustained state of higher-than normal BP that can lead to blood vessel damage and damage to small vessels in the organs. A decrease in blood flow to the kidneys triggers the renin–angiotensin–aldosterone system, by which the blood vessels constrict and water is retained. This activity increases blood pressure and restores blood flow to the kidney

Errors are an integral part of human life. According to the National Coordinating Council for Medication Error Reporting and Prevention, a medication error is defined as "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer,”. Such events may be related to professional practice, healthcare products, procedures, and systems, including prescribing; order communication; product labeling, packaging and catalogue; compounding; dispensing; distribution; administration; education; monitoring; and use

Factors that influence urine production include Glomerular filtration Tubular reabsorption Tubular secretion. Many substances increase urine production by the normal kidney including dietary components such as water, osmotically active salts and sugars and xanthines

Non-steroidal anti-inflammatory drugs (NSAIDs) are administered to patients suffering from rheumatoid arthritis(RA) mainly to offer symptomatic relief (reduce inflammation and pain) hence preserve function

It’s the examination of the inside of the bladder. Ureters renoscopy ( URS)is examination of the upper urinary tract(ureter and renal pelvis and calyes. A cystoscope is a long thin optical instrument with eye piece at one end a rigid or flexible tube in the middle and the tiny lens and the light at the other end of the tube the cystoscope is inserted into patient’s urethra and the small lens magnify the inner lining of the urethra and bladder allowing to see the hollow bladder .

Facts about the heart; The heart weighs 200 to 425 grams and is a little larger than the size of your fist. Each day, the average heart beats 100,000 times, pumping about 7,571 liters of blood.

Pharmacology is the study of the biological effects of chemicals. • Pharmacognosy- is the study of medicines or crude drugs produced from natural sources such as plants, microbes, and animals • After a drug is administered, it is called a medication. • Drugs- A drug is a chemical agent capable of producing biologic responses within the body.

• A nurse who wishes to be an effective caregiver must first learn how to communicate effectively. • Good communication skills enable nurses to get to know their patients, take history, diagnose, plan and meet their needs for nursing care. • To adequately document the patient’s health history, communication techniques are important. • Communication skills are therefore the building blocks of professional relationships between nurse and client, and the nurse and co- workers. • Good skills help in exchange of ideas to facilitate problem solving.

A mother should be ready in all aspects: physically, mentally, socially, economically. Genetic testing and counselling Proper nutrition Treatment of existing diseases and conditions Prevention of unwanted pregnancies Consideration for extreme ages

If the coronary blood supply is not sufficient to meet the needs of the heart, the result may be ischemia, injury or an infarction (necrosis) of the heart muscle itself. • tHe left main coronary artery branches into; •left circumflex coronary artery •left anterior descending (LAD) coronary artery. • The right coronary artery (RCA) supplies nutrients and oxygen to the right atrium, the right ventricle and the inferior wall of the left ve

Penicillins • Penicillin was the first antibiotic introduced for clinical use. • Sir Alexander Fleming used Penicillium molds to produce the original penicillin in the 1920s • Penicillins include: penicillinase-resistant penicillins:-Oxacillin, dicloxacillin, and nafcillin which are naturally resistant to certain beta-lactamases.

The health care industry, in the world, Kenya included has experienced profound changes during the past several decades. Nursing, as a health care profession and a major component of the health care delivery system, is significantly affected by shifts in the health care industry. In addition, nursing has been and will continue to be an important force in shaping the future of the health care system.

Antithyroid drugs are drugs used to lower the functional capacity of hyperactive thyroid glands, they are hormone antagonists actions upon thyroid hormones.