New OB Nurses, Grads and Students, Please Feel Free to post your questions here: - page 4

Mugwump had a great idea offering services to new grads as a mentor (thank you for that!) So, I thought having a "sticky" for new grads, OB nurses, students, and others with questions who want... Read More

  1. by   Nurse032006
    Quote from SmilingBluEyes
    HI there Sherry, and welcome to the OB/GYN forum. Here is a link that you may find helpful. Just an aside, currently it is considered controversial as to whetherbreast self-exam is truly helpful in reducing risk of dying of breast cancer, as tumors are not found early enough often. Combining BSE with solid preventive health care, regular visits to one's doctor and REGULAR and THOROUGH mammography TOGETHER--- is currently the "gold standard" for reducing one's risk of discovering she has cancer "too late" for effective treatment. Personally, I do all of it. My risks are "up there".

    I have a cancer-surviving cousin who had invasive and very fast-progressing breast cancer in her 20s that was discovered 8 weeks post partum by her primary doctor on a routine exam. I think it's so important to get those check ups!

    here is the site, anyhow. Sorry I digressed.

    http://www.breastcancer.org/dia_detec_exam_idx.html
    Thanks for the reply...I know what you mean about the BSE and high risk of Cancer, I have a very high risk myself....I think it is sad to see that breast cancer is still so prevalent with all of the imformation and breast cancer awareness out there...it is scary!!!
    I picked this topic because this is the only one that related to my patient...thanks again for the info!!!!!!

    Sherry
  2. by   crb613
    This thread has helped me so much since starting my ob clinicals & I just had to share this. I got home today & had a letter from mt school informing me I had been selected to receive an academic award!!!! They also sent me 4 guest tickets to the annual awards presentation & banquet. I feel really honored & excited. I don't know what the award is but I will be happy with it regardless.I just had to tell ya'll! CRB
  3. by   SmilingBluEyes
    wow CRB way to go!! Congratulations to you!!!!
  4. by   Nurse032006
    Quote from crb613
    This thread has helped me so much since starting my ob clinicals & I just had to share this. I got home today & had a letter from mt school informing me I had been selected to receive an academic award!!!! They also sent me 4 guest tickets to the annual awards presentation & banquet. I feel really honored & excited. I don't know what the award is but I will be happy with it regardless.I just had to tell ya'll! CRB
    Wow...that's an honor, you should be proud!!!!!!!
  5. by   SmilingBluEyes
    bump for new people.
  6. by   crb613
    Does anybody know why this can't get a sticky???
  7. by   SmilingBluEyes
    it takes moderator to do it and my guess is, they are quite busy in other forums.
    Last edit by SmilingBluEyes on Apr 10, '05
  8. by   mugwump
    Quote from crb613
    Does anybody know why this can't get a sticky???
    My guess is there is already a place for students to go to ask questions. I was hoping that since OB is a speciatly that it could be sticky'd
  9. by   crb613
    Ok I am having a little trouble with fetal position. I have read this & read this & looked at pictures but I am confused. To me the LOA, LOP & the LOT look pretty much alike. Same thing on the ROA, ROP & ROT. Right & left are about all I can figure out aargh! I know it's a fixed ref. point on the fetus in relation to mom's pelvis but they all look alike to me except some are on the right/some on the left.If anyone can explain this simply I would sure appreciate it. Also transverse... my book shows the fetus crosswise.... then it lists the position as ROT & shows a picture of the fetus
    with it's head down like it's diving out. I am confused terribly to say the least!! Thank you CRB
  10. by   BETSRN
    Quote from crb613
    Ok I am having a little trouble with fetal position. I have read this & read this & looked at pictures but I am confused. To me the LOA, LOP & the LOT look pretty much alike. Same thing on the ROA, ROP & ROT. Right & left are about all I can figure out aargh! I know it's a fixed ref. point on the fetus in relation to mom's pelvis but they all look alike to me except some are on the right/some on the left.If anyone can explain this simply I would sure appreciate it. Also transverse... my book shows the fetus crosswise.... then it lists the position as ROT & shows a picture of the fetus
    with it's head down like it's diving out. I am confused terribly to say the least!! Thank you CRB
    Start as simply as you can. I take it you know what part of the fetal skull is the occiput. There is a right and a left side. For optimal positioning for birth, the baby should be head down and be facing the mother's back. That way, the baby's back is facing out front. If that is the case, the baby's right side of the head is facing out, then the position is ROA (or right occiput anterior). The baby's back wuill be facing more to the mother's left. If the baby just turns on it's axis and the left occiput faces front, then the baby is facing more to the mother's right side and that position is called LOA (or left opcciput anterior).

    That said (I hope that wasn't too confusing), if the baby's face is facing out front and the baby's back is facing the mother's back, then the baby is said to be in a POSTERIOR position which is a much more difficult position for coming down the birth canal. Then those occiputs are possterior (LOP or ROP).

    If you could put a pole right down through the baby (with baby head down), imagine that you could turn this pole with your fingers and the baby would spin around and the position would always be changing, right?

    If you go to any search engine and type in right or left occiput anterior (or posterior) you should get some pictures.

    Hope this isn't too confusing. I don't think I explained this too well. This was my fourth day on in a row and I am tired! Too many babies lately!
  11. by   crb613
    Quote from BETSRN
    Start as simply as you can. I take it you know what part of the fetal skull is the occiput. There is a right and a left side. For optimal positioning for birth, the baby should be head down and be facing the mother's back. That way, the baby's back is facing out front. If that is the case, the baby's right side of the head is facing out, then the position is ROA (or right occiput anterior). The baby's back wuill be facing more to the mother's left. If the baby just turns on it's axis and the left occiput faces front, then the baby is facing more to the mother's right side and that position is called LOA (or left opcciput anterior).

    That said (I hope that wasn't too confusing), if the baby's face is facing out front and the baby's back is facing the mother's back, then the baby is said to be in a POSTERIOR position which is a much more difficult position for coming down the birth canal. Then those occiputs are possterior (LOP or ROP).

    If you could put a pole right down through the baby (with baby head down), imagine that you could turn this pole with your fingers and the baby would spin around and the position would always be changing, right?

    If you go to any search engine and type in right or left occiput anterior (or posterior) you should get some pictures.

    Hope this isn't too confusing. I don't think I explained this too well. This was my fourth day on in a row and I am tired! Too many babies lately!
    The pole thru the baby helped!! I can imagine it turning.The anatomy I know but I am still pretty lost. I think I will get a small doll fix a pelvis & turn it until I can figure it out. I know it sounds stupid but heck if I can see it I will have it. I can usually read anything & see it in my mind but this I can't. I will also try google. Thanks for your help. Hope you are off for a few days, get some ZZZZZZZZZ's. CRB
  12. by   crb613
    Yahoo!! I got it. I took a doll & held it up to myself & turned it & now I have it. I don't know why I went so brain dead on this but...... I got it now!! Your explanation of the pole & turning did the trick! Thanks CRB
  13. by   foxyhill21
    what is doula services and do NP work in OB/GYN?

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