allnurses: A Nursing Community for Nurses

allnurses: A Nursing Community for Nurses - Ob-Gyn Nursing http://allnurses.com en Fri, 20 Nov 2009 23:17:26 GMT vBulletin 60 http://img.an-file.info/misc/rss.jpg allnurses: A Nursing Community for Nurses - Ob-Gyn Nursing http://allnurses.com OB for NICU Nurses :) http://allnurses.com/ob-gyn-nursing/ob-nicu-nurses-440095-new.html Fri, 20 Nov 2009 02:54:35 GMT Ok, so I'm throwing my brain back to nursing school, but apparently some things have faded. Can someone give me a quick review? I know that late decels are generally a bad thing in regards to fetal well-being. But what is the difference between early decels, variable decels, and late decels in regards to what you see on the monitor and what it indicates about fetal well-being? Thanks! ]]> Ob-Gyn Nursing littleneoRN http://allnurses.com/ob-gyn-nursing/ob-nicu-nurses-440095.html Chloraprep http://allnurses.com/ob-gyn-nursing/chloraprep-439901-new.html Thu, 19 Nov 2009 01:46:21 GMT I have seen ob physician prep abdomen for c-section with chloraprep WITHOUT sterile gloves or any... I have seen ob physician prep abdomen for c-section with chloraprep WITHOUT sterile gloves or any gloves for that matter. I also witnessed a nurse prep a breast without sterile gloves on:eek: also... is this actually ok?!!?? ]]> Ob-Gyn Nursing theamberdawns http://allnurses.com/ob-gyn-nursing/chloraprep-439901.html Dilation Issues Pts w/ Prior Cryo http://allnurses.com/ob-gyn-nursing/dilation-issues-pts-439773-new.html Wed, 18 Nov 2009 15:08:21 GMT Have you seen/heard of patients who have had trouble during labor/delivery due to cervix not... Have you seen/heard of patients who have had trouble during labor/delivery due to cervix not dilating properly after having had a cryo done (for abnormal pap / dysplasia) in the past? Heard of this recently and wanted to see how common this is/isn't. ]]> Ob-Gyn Nursing honeymist http://allnurses.com/ob-gyn-nursing/dilation-issues-pts-439773.html should i review maternal child nursing? http://allnurses.com/ob-gyn-nursing/should-i-review-439720-new.html Wed, 18 Nov 2009 04:08:52 GMT I am going to work in ob after 5 yrs of medsurge and home health. I was wondering if i should... I am going to work in ob after 5 yrs of medsurge and home health. I was wondering if i should review my maternal child book or if i will learn what i need to know when i start working?:eek: ]]> Ob-Gyn Nursing reddellrn http://allnurses.com/ob-gyn-nursing/should-i-review-439720.html Need Help with these OB Questions Please http://allnurses.com/ob-gyn-nursing/need-help-these-439677-new.html Wed, 18 Nov 2009 00:30:14 GMT Hi Everyone, We were given 30 questions to answer each as a group consensus. These are 3 that... Hi Everyone,

We were given 30 questions to answer each as a group consensus. These are 3 that we are really battling with and could use some expert input PLEASE!

A 17-year-old primigravida is 28 weeks gestation and has gained 6 pounds since 4 weeks ago at her last prenatal visit. The most important nursing action is to:

Caution her to avoid salty foods and return in 2 weeks
Advise to cut down on fast foods that are high in fat
Recommend she stay home from school for a few days to reduce stress
Assess blood pressure, presence of edema, and urine for protein.

The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is: (Choose all that apply)

Stillbirth
Behavioral problems
Fetal addiction to the substance inhaled
Intauterine growth retardation

A woman who has had a previous cesarean birth is in active labor, when suddenly complains of pain between her scapulae. Which of the following actions should the nurse take? (Select all that apply)

Assess the patient’s vital signs for tachycardia, and falling blood pressure.
Observe for abnormally high uterine resting tone
Assist the client into a supine position
Notify the physician immediately

As a group we are split between: # 1 A or D for the answer We all agree this is possible preeclampsia.
#2 A lot of us feel it’s A B & D only Others feel it’s all A, B, C, & D
#3 A for sure with D? Is the symptom of “pain between her scapulae” a symptom of Uterine Rupture or is it possibly a symptom of something else?
Thanks in advance for any help anyone can provide
2CatLover

]]> Ob-Gyn Nursing 2CatLover http://allnurses.com/ob-gyn-nursing/need-help-these-439677.html Never been an OB nurse help! http://allnurses.com/ob-gyn-nursing/never-been-ob-439629-new.html Tue, 17 Nov 2009 20:41:22 GMT But my doc measures my belly and does this adding thing every time to estimate how big the baby is.... But my doc measures my belly and does this adding thing every time to estimate how big the baby is. And every time for 3 visits now he's come up with like 8lbs. 3oz. Actually today it was 8lb. 1oz. I just know he added wrong but I can't find the equation anywhere that he uses. He measures my belly vertically and then measures the sides and adds those up. Then I think he adds 6 and subracts 10 and that number is your baby's weight or something? I think he added wrong and I think it should've been 9lbs. 1 oz. today. But I can't find it on the internet anywhere. Do you know it? ]]> Ob-Gyn Nursing Vtachy1 http://allnurses.com/ob-gyn-nursing/never-been-ob-439629.html Hospital Rejects Birth Plans http://allnurses.com/ob-gyn-nursing/hospital-rejects-birth-439233-new.html Sun, 15 Nov 2009 19:39:45 GMT * ---Quote--- Want to have a doula or labor coach to assist at your birth? Interested in drafting...
Quote:

Want to have a doula or labor coach to assist at your birth? Interested in drafting a birth plan with your partner? Don’t have your baby at the Aspen Women’s Center in Provo, UT. The center has posted a sign in their entryway that reads:

"Because the Physicians at Aspen Women’s Center care about the quality of their patient’s deliveries and are very concerned about the welfare and health of your unborn child, we will not participate in a “Birth Contract”, a Doulah Assisted, or a Bradley Method delivery. For those patients who are interested in such methods, please notify the nurse so we may arrange transfer of your care."

http://blogs.babble.com/strollerderby/2009/11/09/hospital-rejects-birth-plans/

And a related photoshop contest, that I found funny: http://www.theunnecesarean.com/blog/...ontest-is.htmlWhat do y'all think? I would personally be offended. I feel like this is telling patients, "Because we know it all, it is our way or the highway." ]]> Ob-Gyn Nursing Dream_Nurse2b http://allnurses.com/ob-gyn-nursing/hospital-rejects-birth-439233.html <![CDATA[ob-gyn/l&d/mbcu organizations and continuing education]]> http://allnurses.com/ob-gyn-nursing/ob-gyn-l-439180-new.html Sun, 15 Nov 2009 07:35:45 GMT I was thinking of joining AWHONN. I currently work med-surg but would like become a ob-gyn nurse... I was thinking of joining AWHONN. I currently work med-surg but would like become a ob-gyn nurse in the future. What other organizations are out there to join? I also want to know where get more information for seminar/conference for continuing education in ob-gyn. any advise is helpful. thanks! ]]> Ob-Gyn Nursing xj3nnerz http://allnurses.com/ob-gyn-nursing/ob-gyn-l-439180.html ob meds and calculations http://allnurses.com/ob-gyn-nursing/ob-meds-calculations-438996-new.html Sat, 14 Nov 2009 05:58:38 GMT im very excited, i applied for a job in ob moday, and that afternoon hr called me and offered me... im very excited, i applied for a job in ob moday, and that afternoon hr called me and offered me the job. Of course i said yes. Heres the problem. I worked in Home Health for a few years and we do not give very many iv meds. I have not done calculations in years. I wanted to be familiar with meds used in ob and how to do the calculations. I want to be prepared. Any help would be greatly apreciated.:specs: ]]> Ob-Gyn Nursing reddellrn http://allnurses.com/ob-gyn-nursing/ob-meds-calculations-438996.html found ANOTHER one :( http://allnurses.com/ob-gyn-nursing/found-another-one-438946-new.html Sat, 14 Nov 2009 00:36:40 GMT http://allnurses.com/ob-gyn-nursing/discovered-iufd-other-434342.html remember this post of... http://allnurses.com/ob-gyn-nursing/...er-434342.html

remember this post of mine from 19 days ago about discovering an IUFD on a pt who came into triage? that really sucked.

I found ANOTHER one today. Term-came in for induction. Her and her husband cried that horrible grief stricken wailing that makes your heart hurt-truly one of the worst sounds i think i've ever heard. Even the male doctor cried a little.

sometimes life isn't fair, is it? ]]> Ob-Gyn Nursing HappyNurse2005 http://allnurses.com/ob-gyn-nursing/found-another-one-438946.html fentanyl in labor http://allnurses.com/ob-gyn-nursing/fentanyl-in-labor-438865-new.html Fri, 13 Nov 2009 16:12:06 GMT Hello, I anybody using fentanyl for pain relief in labor? If so, how much is used. How often and... Hello,
I anybody using fentanyl for pain relief in labor? If so, how much is used. How often and does it work well? What effects do you see on the baby?
Thanks,
ldcmw ]]> Ob-Gyn Nursing ldcmw1 http://allnurses.com/ob-gyn-nursing/fentanyl-in-labor-438865.html Epidural and DTR http://allnurses.com/ob-gyn-nursing/epidural-and-dtr-438203-new.html Tue, 10 Nov 2009 15:55:43 GMT Hi there -
New OB nurse here (whoohoo!) I'm about 7 weeks into my orientation and recently have been taking care of a lot of pts. with PIH/PET, almost all of whom end up on Mag Sulfate (blech! - had it myself with my first baby so I know firsthand how crappy it makes you feel!)
So my question is this: I know how important it is to check DTR's when a woman is pre-eclamptic and/or on magnesium, but can anyone tell me how (if at all) epidural anesthesia affects these reflexes? Especially of the lower extremities.
I ask this b.c. I thought I just read in an article yesterday that an epidural would block the reflexes of the lower extremities (and therefore you should use the elbow and bicep reflexes for checking). But then I saw a resident on my floor try to check the achilles reflexes of my pt (who had had an epidural).
Anyone? ]]> Ob-Gyn Nursing ibambamama http://allnurses.com/ob-gyn-nursing/epidural-and-dtr-438203.html Possible to take NRP/ACLS while unemployed? http://allnurses.com/ob-gyn-nursing/possible-take-nrp-438040-new.html Tue, 10 Nov 2009 01:36:36 GMT Hi everyone, I am hoping to land a position in a Postpartum/Mother-Baby unit in the near future,... Hi everyone,
I am hoping to land a position in a Postpartum/Mother-Baby unit in the near future, and would really like to take the NRP and ACLS courses, even if I don't get hired. Is it possible to take these classes on your own, or do you have to take them through an employer?
Thanks :) ]]> Ob-Gyn Nursing McBx3 http://allnurses.com/ob-gyn-nursing/possible-take-nrp-438040.html Staffing Issue http://allnurses.com/ob-gyn-nursing/staffing-issue-437834-new.html Mon, 09 Nov 2009 06:57:06 GMT I work at a small, rural hospital that does about 350 births/year. I recently started working there... I work at a small, rural hospital that does about 350 births/year. I recently started working there and am concerned about staffing. I often come in the morning and there has been only one nurse who worked the 7pm-7am shift (or the two scheduled nurses split the shift 6 hrs each). We don't use nursing assistants or any support personnel. There is no unit secretary either. They technically "staff" two nurses per shift, but one of the nurses is usually put on call at home and either comes in if a delivery is likely or splits the shift with the other rn. At this hospital anesthesia is also not in house on the off shift! I feel as though I am setting myself up for disaster by working here. I don't have a ton of experience either. At this point, I feel like I would be better off driving the hour to the closest large city to work where they staff using AWHONN guidelines! Thoughts? My family thinks I should talk to the mgr and see if they are open to change, but I find it hard to believe that over the years no one has ever brought this up! ]]> Ob-Gyn Nursing http://allnurses.com/ob-gyn-nursing/staffing-issue-437834.html Most efficient way to get a job in postpartum http://allnurses.com/ob-gyn-nursing/most-efficient-way-437769-new.html Sun, 08 Nov 2009 23:39:10 GMT Hello there. I graduated with my BSN in May and am extremely interested in working in... Hello there.

I graduated with my BSN in May and am extremely interested in working in Postpartum/Nursery/Mother-Baby/Couplet Care. I have gotten certified in BLS, ACLS, PALS, NRP, STABLE and Fetal Heart Monitoring. I am working on my Childbirth Educator's Certification. I have no other hospital experience except what I've done during my three years of nursing school at 6 different facilities.

My question is what's the fastest, most efficient way to work in the department I'd like to call home. With these sketchy economic times, I'm not quite sure how to go about this. Should I just take a job as a CNA or LPN in the facility I'd like to work for and wait for an opening? Would that even help, since most postpartum jobs I've looked at required experience in Postpartum and/or L&D? Should I wait for a new graduate RN position to open up? Will I be waiting for a year? Should I just apply for Med/Surg positions to get a few years of experience, then apply later to postpartum?

I know no one can really answer these questions, but whatever suggestions, especially from personal experience, would be really helpful and greatly appreciated!

Thanks. ]]> Ob-Gyn Nursing mqad48 http://allnurses.com/ob-gyn-nursing/most-efficient-way-437769.html