Concept map for ob/peds clinicals

[greysanatomyfan]

Okay....so our instructor has posted stuff we can get done before we go to clinicals and right now I am trying to do a concept map for an episiotomy. I am COMPLETELY lost!!! This is my second semester of nursing school and the first semester we only had to do one concept map. I would love some insite on this......someone please HELP!!!!!!:banghead::confused:

[Daytonite, BSN, RN]

An episiotomy is a medical treatment. Why is it done? It is being done by the doctor for something in the normal birthing process that needs to be assisted or has not gone right.

• to reduce the pressure on the head of the fetus
  
• control the enlargement of the lady partsl opening
  
• provide a straight and clean incision that is easy to repair and avoid a perineal tear
  

Risks

• infection
  
• lingering pain while healing
  

[greysanatomyfan]

Thanks...that helps sooo much!!!!

[Daytonite, BSN, RN]

if you are needing help with the different problems of ob and peds or the pathophysiology, i put together some really helpful weblinks for these subject areas that you can go to in order to find this kind of information. you will find them listed on this sticky thread in the nursing student assistance forum:

• https://allnurses.com/nursing-student-assistance/medical-disease-information-258109.html - medical disease information/treatment/procedures/test reference websites
  

you can often find pathophysiology for most medical diseases and conditions in the online merck manual. become familiar with the brookside press site for ob (http://www.brooksidepress.org/products/military_obgyn/home.htm) since it has videos, information on drugs and ob problems. good luck with your class.

[greysanatomyfan]

You don't know how much I appreciate the help! I'm sure all of this will help!!

Thanks again!!!!

[netglow, ASN, RN]

Be careful tho, depends on what your instructors want... the Medical only? Or what it is you the nurse must assess and respond to... ie what all comes into the nurses realm, which is hard to keep focused on sometimes.

[Daytonite, BSN, RN]

pathophysiology of what can go wrong in ob tells you how ob problems evolve. that information is needed to understand the etiology of nursing problems. nursing interventions, however, are performed upon the order of the physician (collaborative) as well as to affect the outcome of the nursing problems (independent). these can, and are, subject to debate which is why instructors often ask for students to provide rationales or references for the interventions they choose to use.

[greysanatomyfan]

we have to do nursing diagnosis related to signs and symptoms, then inteventions, rationals and expected outcomes in a concept map form.