Billy Budd :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚   War shapes all moral trajectories in this story in many ways. War defines peace and tragedy due to the use and action of disagreement. In Billy Budd, (The movie), Billy ended up getting hung because he was accused of killing a member on the H.M.S. Indomitable. While these men were on the ship, they had certain rights that were stated under the Articles Of War. Each individual was punished under these statements.   Ã‚  Ã‚  Ã‚  Ã‚  Ratcliff states, â€Å"Go find the captain and report to him the wind’s abeam. Respectfully suggest we ought to take in topsails.† (Coxe and Chapman page 46). This quote relates to the suffering that these sailors have to deal with while they are out to sea at war. They have to respect the captain’s orders at all times otherwise they will be punished. This kind of life that they are going through is kind of ridiculous because it’s so dull and boring. I would hate to be treated like that because it makes you fell miserable.   Ã‚  Ã‚  Ã‚  Ã‚  O’Daniel states, â€Å"Ah, I do love to see two Englishmen fighting each other. It’s fonder they are of killing themselves than fighting their proper foes. (Laughs hoarsely) (Coxe and Chapman page 13) The meaning of this quote has to do with the presence of a fight. The main object of war is â€Å"fighting†. If O’Daniel was a good man than he shouldn’t even bring up this statement because he is heating up conflict. I think that he has some inner problems because he tends to be a little stubborn with others.   Ã‚  Ã‚  Ã‚  Ã‚  I think that this quote that Billy states is rather fascinating because it has a lot of meaning to it. â€Å"I’d rather be buried at sea than on the beach, when I come to die. Will you stand by the plank, Tom, So I’ll shake a friendly hand before I sink? Oh! But it’s dead I’ll be then, come to think! (All Laugh) (Coxe and Chapman page 29) Billy is telling the reader’s in this quote that he really doesn’t care if he dies or not because he knows that he did the right thing. When he killed the man, he knew in his heart that he had to do what he had to do. He would rather be buried at sea than at the beach because at least he knows that he would be dead somewhere where he feels that he did the right thing in his power.

Computer Aided Instruction (CAI) Essay

According to the documentation in Misunderstoodmind, â€Å"Math disabilities can arise at nearly any stage of a child’s scholastic development. While very little is known about the neurobiological or environmental causes of these problems, many experts attribute them to deficits in one or more of five different skill types†. These deficits can exist independently of one another or can occur in combination. All can impact a child’s ability to progress in mathematics. Many students, despite a good understanding of mathematical concepts are inconsistent at computing. They make errors because they misread signs or carry numbers incorrectly, or may not write numerals clearly enough or in the correct column. These students often struggle, especially in primary school, where basic computation and â€Å"right answers† are stressed. Often they end up in remedial classes, even though they might have a high level of potential for higher-level mathematical thinking. Electronic Learning (E-Learning) includes all forms of electronically supported learning and teaching, which are procedural in character and aim to effect of knowledge with reference to individual experience, practice, and knowledge of the learner. E-Learning is essentially the computer and network enable transfer of skills and knowledge. E-Learning applications and processes include Web-based learning, computer based learning, virtual education and digital collaboration. Content is delivered via the Internet, intranet/extranet, audio or video tape, satellite TV, and CD-ROM. It can be self-paced or instructor-led and includes media in the form of text, image, animation, streaming video and audio. Computer Aided Instruction (CAI) refers to instruction or remediation presented on a computer. Many educational computer programs are available online and from computer stores and textbook companies. They enhance teacher instruction in several ways. Computer programs are interactive and can illustrate a concept through attractive animation, sound, and demonstration. They allow students to progress at their own pace and work individually or problem solve in a group. Computers provide immediate feedback, letting students know whether their answer is correct. If the answer is not correct, the program shows students how to correctly answer the question. Presented with this development, the proponents intend to propose to develop an Electronic Learning (E-Learning) in mathematics to the interest of the students of STI College Sta. Maria and helping them to make preschool mathematics more enjoyable and interesting. 1.2 Problem Statement 1.2.1 General Problem How will the proponents develop an Electronic Learning (E-Learning) in Mathematics subject for Pre-school of Parada Elementary School that will help the Pre-school students to learn in a fun way. 1.2.2 Specific Problem * How will the proponents create a system that can provide an effective lesson by integrating graphics, animation and sounds. The use of traditional teaching method to present the Mathematics subject causes boredom for the students on learning Mathematics. Students find it hard to learn and cope up with the traditional method of teaching. * How will the proponents incorporate subject outline based on the topics in Mathematics. Contradiction of lesson may occur if the system is not based on the school curriculum for mathematics. Without incorporating curriculum based Mathematics topics, certain school violations will be encountered by the proponents such as straying from the Mathematics curriculum of the school. * How will the proponents create a webpage wherein the student will be able to cope up with the lesson even if he/she fails to attend the class. There are students who sometimes fail to attend their classes in school. However, repeating the entire lesson discussed the other day is a problem. Those students who failed to attend are having hard time how they would cope of to the lesson and lectures. There are also circumstances wherein the teacher itself fails to attend the class. * How will the proponents create a security for the back-end of system that can prevent unauthorized access to the system. A security for the back-end is needed to prevent unauthorized person from accessing the system. Unauthorized person can modify the data of the system that can cause a system breakdown. 1.2 Proposed Research Project 1.2.1 General Objectives To develop an E-Learning in Mathematics for Pre-school of Parada Elementary School that will help the Pre-school students to learn in a fun way. 1.2.2 Specific Objectives * To create module that can provide an effective lesson by integrating graphics. With the use of different software’s and applications in developing system such as Dreamweaver, Adobe Photoshop for designing, Adobe FlashCS4 for animation, Audio editing software for the sounds and effects. * To be able to incorporate subject outline based on the topics in Mathematics. With the use of lesson plan and book that serves as a reference and guidelines for the proposed system it will avoid the contradiction between subject outline to the computerized tutorial system. * To create a website wherein the student will be able to cope up with the lesson even if he/she fails to attend the class. The proponents will create a lesson page that will include the lectures and discussion. This gives the student the privilege to cope up with the lesson. This also enables them to study in advance for a specific lesson in order for them to participate in the class. * To be able to create a security for the back-end of system that can prevent unauthorized access to the system. To prevent unauthorized person from accessing the system, the proponents will create a user level that can give access to authorized person only. In this way we will prevent unauthorized person in accessing information in the system. 1.2.3 Scope and Limitation The proposed system will focus on the subject Mathematics. This system will serve as a learning tool for the preschool that will help to increase the interest of the students in learning Mathematics. The whole scope of the system focuses on the outline based of the lesson. It is important that the system will not go far from the subject because the student will be confused in studying the lesson. The system is useful for instruction or remediation because it presents the problems that the student answers. The question can be in a form of multiple choices. If the answer is correct; the student is usually rewarded with a â€Å"Great Job!† or an animated response on the computer screen. If the answer is not correct, the computer will demonstrates the correct answer on the given problem in the exercises. The system is not intended to be a subject but intended for motivating the students in increasing their interest in this subject. The proposed system will not compute the grade of the student based on their score on the exercises. The system is especially made and best suited to the methods of teaching in Mathematics for Pre-school in Parada Elementary School and there will be no other incorporated subject. Main Page This is the first page of the system when the user opens the webpage. It is also called sometimes the ‘start page’. Open Button In order to enter to the next page of the system the user must click the open button. Back Button This button will take the user back to the previous page if he/she wants. Lesson Button This brings the user to the next page where has a chapter list. And this chapter list page link to the Lesson Page. Tutorial Button This button helps the user to view the tutorial videos. Exercises Button This is a button link to the exercises page. 1.3.4 Methodology The proponents will use the Fourth Generation Technique (4GT) in developing the system. The Fourth Generation Technique is based on NPL that is the Non- Procedural Language techniques. Based upon in the specifications made, the 4GT approaches uses various tools for the automatic generation of source codes. It is the vital tool which uses the NPL for Report generation, Database query, Manipulation of data, Interaction of screen, Definition, Generation of code, Spread Sheet capabilities, High level graphical capacity etc. The Fourth Generation Techniques Requirement Gathering Phase It is gathering information by interviewing the beneficiary and research through internet or recent thesis as reference. This is the first phase where used to gather information to complete the Electronic Learning for Parada Elementary School. This requires complete information to know ahead the purpose of making CAI and to know the entire possible problem that the proponents may face. In gathering data, the proponents went to Parada Elementary School to give the letter of recommendation straight to their principal and after the letter was given, the proponents explained the benefits that they can get from the proposed system to their school, to the student and teachers who are teaching mathematics in preschool. The proponents also made an interview with Mr. Narciso L. Dià ±o the School principal and Ms. Edlyn Gumafelix. The school gave information regarding the history of their school, total number of students and the proponents also asked for references that may help to build the system. Research was also done at the library of STI College Sta. Maria regarding the use of E-Learning for mathematics. Design / Strategy Phase Compiled information gathered from the interview and references. In this phase were able to plan, analyze and create a design for the proposed system. Through this by the use of the data gathered to plan and create a system. This is where the proponents create and explores to meet the requirements of the proposed system. The developers used PHP as the programming language, Adobe Photoshop for the design, images and environment of the system and Adobe Flash for the animation. Implementation using 4GL Start encoding of gathered data for the lessons tutorials and other content all gathered data to the system for the system to function and make sure that the specific objectives are met before testing phase begins. Implementation of all gathered information is needed to develop the proposed system. The proponents used the Dreamweaver/PHP to create a code and module for the system. Testing Once the software is implemented in machine executable form it will be tested to know some error or defects in function. In this phase, the proponents test the system if all the specified objectives are met. After the implementation the proponents test every function of the system to find out the flaws and problems in the system, also looked for things that could improve the system until not all the objectives are met and system problems are not resolve the proponents continue the testing and improvement of the proposed system. 3.0 Data Gathering Procedures and Output Data gathering is one of the most critical stages that must be performed. This is because the analysis of the current system will be based on the kind of the information gathered. In order to gather all the data necessary in the study, the proponents used several ways on collecting data. This helps the proponents to gather all the information needed in developing the system. Library research The proponents conducted group study to learn more about the proposed system. They found materials in the library that may help them. They used thesis documentation of the previews student for data comparison. Using the information they have gathered the proponents will increase their knowledge to build the proposed system. As a result, the proponents will now generate some ideas on how their own the system will be developed. Also they will use this information to create their own documentation. Internet research The proponents also conducted research in the World Wide Web. They used internet to do this kind of research that may help them in terms, methods and new technologies to build the proposed system. Also they research some tutorials that may improve their skills that will help them to finish the system. As a result the proponents use some information that is reliable and useful. They now have some tutorials to study from the web to create on animation for the proposed system. Interview The proponents also conducted interview to particular person of the school that helped them gain some information to finish the proposed system. As a result, the proponents now know what will be the flow of the system. Through this knowledge the proponents started developing the system. System development The proponents use the gathered information to create the proposed system. Although the development stage starts the proponents will continue gathering information that may contribute to the development of the system. The output of this development will satisfy the needs of the beneficiary. The proponents will create and effective system. 4.0 Documentation of the Current System Formal education started in 1902 with the Kartilya and the chapel as classroom. With a pioneer teacher were average pupils who had to be fetched into their homes. As time go by the people realized the need and importance of education. New ideas then generated and substantiated and the dream of a one room school house. Later on they took over greater strides in its march to progress and the one teacher barrio school became a complete primary school. The achievement motivated barrio folks through the dim days of war crisis marched into full development of its home industries. Poultry and garment factories cropped up and the increasingly marked progress gave way to the completion of an elementary school. That was 1947, when the rehabilitation, reconstruction and development were under done through the combined cooperative efforts of the barrio people and with the leadership of Head Teacher. It was at this period when intermediate building and additional rooms for primary classes were constructed. Parada Elementary School headed by Mr. Narciso L. Diňo. They are using the traditional approach of teaching using books, visual aids and interactive discussion of lessons inside the classroom. The teachers make use of the traditional method of teaching such as board, chalk, cartolina, chart, manila paper and cardboard as visual aids that takes a lot of time and effort that’s why the students were getting bored. There are 70 students in preschool and it is divided by two sections; the morning section and the afternoon section. The students meet five times a week and everyday they have a flag ceremony and exercise before they go to their designated room. Every student must go their designated room with the guidance of their respected adviser. When they arrive, the teacher checks the attendance. The teacher will finish the lesson according to the scope of the lesson plan. The teachers also conduct lectures, exercises and exam to further improve the knowledge of the students. There are five subjects for Preschool in Parada Elementary School these are Filipino, Exploring Math, Writing, Getting Smart to Language and Worksheets on Readiness Skills. They do not have a grading system. Instead of cards, they used a checklist for the attendance of the students. The student must know how to write their names and know how to count from one to ten before entering Pre-school. Online E-Learning in Mathematics for Pre-school is designed mainly to demonstrate concepts, instruct, and remediate student errors and misunderstandings in preschool. Some programs are useful for teaching basic skills in Math. Many entertaining computer mathematics games encourage students to learn while enjoying the experience. Other programs are useful for instruction or remediation because they present problems that the student answers. The online system will be beneficial for students in reviewing their lessons at home and it is also be beneficial in monitoring the status level of the students who understand the lesson.

Renal System Physiology Physioex

Exercise 9: Renal System Physiology: Activity 3: Renal Response to Altered Blood Pressure Lab ReportPre-lab Quiz ResultsYou scored 25% by answering 1 out of 4 questions correctly. 1. If all other variables are kept constant, how does the afferent arteriole radius affect the rate of glomerular filtration (select all that apply)? Your answer : b. A decreased afferent arteriole radius will increase the rate of glomerular filtration. Correct answer: c. An increased afferent arteriole radius will increase the rate of glomerular filtration. . A decreased afferent arteriole radius will decrease the rate of glomerular filtration. 2. If all other variables are kept constant, how does the efferent arteriole radius affect the rate of glomerular filtration (select all that apply)? Your answer : d. A decreased efferent arteriole radius will decrease the rate of glomerular filtration. Correct answer: a. An increased efferent arteriole radius will decrease the rate of glomerular filtration. b. A decreased efferent arteriole radius will increase the rate of glomerular filtration. 3. If all other variables are kept constant, how does blood pressure affect the rate of glomerular filtration (select all that apply)? Your answer : c. If blood pressure goes down, the rate of glomerular filtration goes up. Correct answer: b. If blood pressure goes up, the rate of glomerular filtration goes up. d. If blood pressure goes down, the rate of glomerular filtration goes down. 4. In the absence of other renal processes (including tubular reabsorption and secretion), more glomerular filtration leads to a larger urine volume.You correctly answered: a. trueExperiment ResultsPredict Question: Predict Question: What will happen to the glomerular capillary pressure rate and glomerular filtration rate if both of these arteriole radii changes are implemented simultaneously with the low blood pressure condition?Your answer : b. Glomerular filtration rate and pressure will rise above baseline values.Stop & Think Questions:If blood pressure were to drop (for example, as the result of blood loss), what changes in the nephron would allow the kidney to maintain ts normal glomerular filtration rate (select all that apply)?Your answer: c. afferent arteriole constrictionCorrect answer: a. afferent arteriole dilation d. efferent arteriole constriction2. Comparing the glomerular filtration rate and glomerular capillary pressure with the baseline values (from the first run), how effective was the increased afferent arteriole radius in compensating for the low blood pressure?Your answer : b. The afferent arteriole dilation improved the low glomerular capillary pressure and filtration rate marginally.Correct answer: c. The afferent arteriole dilation returned the low glomerular capillary pressure and filtration rate almost to baseline values.3. Comparing the glomerular filtration rate and glomerular capillary pressure with the baseline values (from the first run), how effective was the decreased efferent arteriole radius in compensating for the low blood pressure?You correctly answered: b. The efferent arteriole constriction improved the low glomerular capillary pressure and filtration rate marginally.Experiment Data:Post-lab Quiz ResultsYou scored 0% by answering 0 out of 4 questions correctly. 1. If all other variables are kept constant, when blood pressure decreases, glomerular filtrationYour answer: b. remains approximately the same.Correct answer: c. ecreases.2. If afferent arteriole radius decreases in response to an increase in blood pressure, then glomerular filtrationYour answer: a. increases.Correct answer: b. remains approximately the same.3. If all other variables are kept constant, when the efferent arteriole radius decreases, glomerular filtrationYour answer: c. decreases.Correct answer: a. increases.4. With blood pressure held at a constant value, which of the following combinations will raise the glomerular filtration rate above baseline values? Your answer: c. afferent rteriole constriction and efferent arteriole constrictionCorrect answer: b. afferent arteriole dilation and efferent arteriole constrictionReview Sheet Results1. List the several mechanisms you have explored that change the glomerular filtration rate. How does each mechanism specifically alter the glomerular filtration rate?Your answer: Renal mechanisms have effects on water excretion . GFR is large compared to the amount of urine produced. Most water in the filtrate because of renal processes and independent of ADH action2.Describe and explain what happened to the glomerular capillary pressure and glomerular filtration rate when both arteriole radii changes were implemented simultaneously with the low blood pressure condition. How well did the results compare with your prediction?Your answer: The simultaneously implementation of both arteriole rates changing caused glomerular filtration rate and low blood pressure conditions went above the baseline value.3. How could you adjust the afferent or efferent radius to compensate for the effect of reduced blood pressure on the glomerular filtration rate?Your answer: You can co nstrict or dilate them.4. Which arteriole radius adjustment was more effective at compensating for the effect of low blood pressure on the glomerular filtration rate? Explain why you think this difference occurs.Your answer: There was a greater increase of glomerular pressure when afferent radius is increased ra ther than the decrease of the efferent radius.5. In the body, how does a nephron maintain a near-constant glomerular filtration rate despite a constantly fluctuating blood pressure?Your answer: Auto-regulation

Free Essays on Anabaptism

The Hated Anabaptists â€Å"One cannot and should not use force to compel anyone to accept faith, for faith is a free gift of God. It is wrong to compel anyone by force or coercion to embrace the faith, or to put to death anyone for the sake of his erring faith. It is an error that in the church and sword other than that of the divine Word should be used. The secular kingdom should be separated from the church, and no secular ruler should exercise authority in the church. The lord has commanded simply to preach the Gospel, not to compel anyone by force to accept it. The true church of Christ has the characteristic that it suffers and endures persecution but does not inflict persecution upon anyone† (Bender). In order to realize the importance and to understand the problems of the Anabaptists, we need to look at the causes of the eventual movement from a historical perspective. In the early 1500’s great changes were taking place in the European economy. The peasants, for example, were leading fairly pleasant lives on their farms. Taxes were low. Landowners who rented land to peasants started getting a little greedy and began collecting more rent for their land. Since the governing authorities were trying to enforce new laws of taxation, the peasants and the working class were badly affected. They were paying taxes in order to support the cities and nobility. This badly hurt their way of living. The value of money sank and prices of goods rose, which caused inflation in the economy. So, with the increase in taxes and rent there was great disappointment amongst the people. They became desparate and turned to anything they could find for comfort. One of these things was Religion. ( Jedin 3 ) The more educated class began examining documents and teachings of the church, which at this time were very strict. The church back then was not as it is today. The church was joined with the state, so everything that affected the church, aff... Free Essays on Anabaptism Free Essays on Anabaptism The Hated Anabaptists â€Å"One cannot and should not use force to compel anyone to accept faith, for faith is a free gift of God. It is wrong to compel anyone by force or coercion to embrace the faith, or to put to death anyone for the sake of his erring faith. It is an error that in the church and sword other than that of the divine Word should be used. The secular kingdom should be separated from the church, and no secular ruler should exercise authority in the church. The lord has commanded simply to preach the Gospel, not to compel anyone by force to accept it. The true church of Christ has the characteristic that it suffers and endures persecution but does not inflict persecution upon anyone† (Bender). In order to realize the importance and to understand the problems of the Anabaptists, we need to look at the causes of the eventual movement from a historical perspective. In the early 1500’s great changes were taking place in the European economy. The peasants, for example, were leading fairly pleasant lives on their farms. Taxes were low. Landowners who rented land to peasants started getting a little greedy and began collecting more rent for their land. Since the governing authorities were trying to enforce new laws of taxation, the peasants and the working class were badly affected. They were paying taxes in order to support the cities and nobility. This badly hurt their way of living. The value of money sank and prices of goods rose, which caused inflation in the economy. So, with the increase in taxes and rent there was great disappointment amongst the people. They became desparate and turned to anything they could find for comfort. One of these things was Religion. ( Jedin 3 ) The more educated class began examining documents and teachings of the church, which at this time were very strict. The church back then was not as it is today. The church was joined with the state, so everything that affected the church, aff...

History of the Atari Video System

History of the Atari Video System In 1971, Nolan Bushnell together with Ted Dabney created the first arcade game. It was called Computer Space, based on Steve Russells earlier game of Spacewar!. The arcade game Pong was created by Nolan Bushnell (with help from Al Alcorn) a year later in 1972. Nolan Bushnell and Ted Dabney started Atari (a term from the Japanese game Go) that same year. Atari Sold to Warner Communications In 1975, Atari re-released Pong as a home video game and 150,000 units were sold. In 1976, Nolan Bushnell sold Atari to Warner Communications for $28 million. The sale was no doubt aided by the success of Pong. By 1980, sales of Atari home video systems had reached $415 million. That same year, the first Atari personal computer was introduced. Nolan Bushnell was still employed as president of the company. Sold Again Despite the introduction of the new Atari computer, Warner had a reversal of fortune with Atari with losses totaling $533 million in 1983. In 1984, Warner Communications unloaded Atari to Jack Tramiel, ex-CEO of Commodore. Jack Tramiel released the somewhat successful Atari St home computer and sales topped $25 million in 1986. Nintendo Lawsuit In 1992, Atari lost an anti-trust lawsuit against Nintendo. That same year, Atari released the Jaguar video game system as competition to Nintendo. Jaguar was an impressive game system, however, it was twice as expensive as Nintendo. The Fall of Atari Atari was reaching the end of its legacy as a company. In 1994, Sega game systems invested $40 million in Atari in exchange for all patent rights. In 1996, the new Atari Interactive division failed to revive the company which was taken over by JTS, a maker of computer disk drives that same year. Two years later in 1998, JTS sold Atari assets as intellectual property scraps. All copyrights, trademarks, and patents were sold to Hasbro Interactive for $5 million.

Reflections of what happened in early childhood center of early Essay - 1

Reflections of what happened in early childhood center of early childhood education in NZ - Essay Example I am now at the point where I want to know how to balance children’s interest with the things I know they need to learn with the teacher’s guidance. Informing Kilderry (2004) discussed critical pedagogy in a sense that early childhood educators critically assess the purpose of everything they do with children. They hold wide perspectives and know when to adjust to the context each child comes from. Critically aware early childhood practitioners believe that knowledge is constructed within a social group and is mediated and cannot be separated from its cultural and historical understandings (Jipson, 2000). Thus, in a multicultural setting, the teacher gets to adjust to and respect each child in accordance to their cultural and family backgrounds. The teacher makes a range of teaching decisions in everything that comprises the learning environment of children, but ultimately follows the child’s lead. Critical pedagogy in the New Zealand educational system applies t he principles of the Te Whaariki curriculum of empowerment, holistic development, family and community and relationships (MOE, 1996). Such curriculum supports the learning and development of children and their families through a nurturing safe environment that allows children to explore their world under the watchful eyes of their teachers and parents. Confronting This reflection conforms to the learning outcome 4.3 The ethical, moral and political dimensions of professional dilemmas are critically reflected upon, including reference to both the early childhood Code of Ethics and the New Zealand Teachers Council Code of Ethics. This is very apt to my own questions on the balance between child-centredness and teacher-directedness in the early childhood curriculu

Paramedics assessment with Problems in Pregnancy and Complicated Research Paper

Paramedics assessment with Problems in Pregnancy and Complicated Childbirth - Research Paper Example By estimating her EDC or EDD through ultrasonography or manual calculations by measuring the fundic height or getting the LMP, a rough correlation with her uterine contractions can be deduced to know if the patient is undergoing false or true labor. Rupture of membranes or excretion of a mucus plug may indicate an active labor process. General health must also be assessed if the mother has had allergies, is smoker or alcoholic, or takes any drugs or medications (Complicated childbirth). In ancient times, the mode of delivery for subsequent pregnancies after a history of cesarean section (CS) will always be CS. Currently, there are now options to undergo a trial of labor after a cesarean birth but patients must be aided in their decision making with sufficient understanding about the risks and benefits of a vaginal delivery. With TOLAC, there is a risk of uterine rupture. The following characteristics, increases the success of vaginal delivery: previous vaginal delivery, history of VB AC, spontaneous labor, competent cervix, nonrecurring indications i.e. breech, previa, herpes, preterm delivery, an interpregnancy interval of more than 18 months. Similarly, the risks associated and factors that may contribute to failure of the process are morbid obesity, Hispanic and African American race, increasing birth weight, previous history of cephalopelvic disproportion, diabetes mellitus, failure to progress labor, no history of vaginal deliveries, or a previous cesarean section. In the clinical case given, her risks of undergoing a trial of labor may be high; therefore a cesarean delivery may be recommended (Caughey, n.d.). Condition Clinical presentation Problems/Risks/Complications Management Ectopic pregnancy Signs of pregnancy i.e. amenorrhea, positive pregnancy test Abdominal pain accompanied by shoulder pain as the embryo grows distending the involved structure and compressing adjacent organs If abdominal implantation, signs of shock i.e. hypotension If cervical or fallopian tube implantation, vaginal blood loss Problem: implantation of the embryo in structures other than the uterus Risk: previous ectopic pregnancy, history of tubal surgery, history of tubal infection, progestin-only contraception, intrauterine contraceptive devices Complication: rupture of structure with the growing fetus, hemorrhage causing hypovolemic shock Early diagnosis via ?-hCG level determination Transport to a medical facility for possible surgical procedure Correct signs of shock Pain alleviation Pre-term labour Uterine contractions Small amount of cervical effacement or dilatation Problem: premature onset of labor before 38 weeks of gestation Risk: multi-gravid, intrauterine infections, premature rupture of the membranes, uterine or cervical anatomical anomalies, smoker, Complication: preterm birth, low birth weight neonate, fetal distress, infection Prehospital setting: supportive care, decrease level of stress, bed rest Hospital setting: IV salbutamol Pre-eclamp sia Hypertension; BP >140/90 mmHg Edema Proteinuria Headaches Visual disturbances Pulmonary edema Hepatic dysfunction Oliguria Thrombocytopenia or haemolysis Problem: biochemical and physiological alteration resulting to widespread vasoconstriction, organ ischemia and edema Risk: obesity, diabetes mellitus, race Complication: progression to eclampsia; brain ischemia, seizure, heart failure, decreased