L&D Interventions and Rationale's

[GreenGirl72]

I'm in my OB rotation. I observed a c/s. My instructor asked us to provide, for each stage of labor (all 4) 3 interventions and rationale's for each.

In addition, for each stage, 2 Nursing Dx (1 psych & 1 physical) for each stage AND medications and their primary action.

We're in 12-hr clinicals with a NICU rotation 1/2 the day as well. There have only been 2 students to observe vag. deliveries in 3 clinical days.

ANY info is greatly appreicated! I have some meds that are safe to use in pregnancy such as toradol, pit, nubain, dilaudid, methergine, prostaglandin and hemabate. I know that the last few are mostly used in heavy bleeding post-partum pts. not necessarily for pain.

Thank you!

GreenGirl

[Jolie, BSN]

Once you formulate your nursing diagnoses and list your interventions, we can let you know if you are on the right track.

You will find the necessary information in your OB text and/or care planning book.

[GreenGirl72]

Ok, Thanks. I'll get back with the Dx's.

What about the different meds used during the 4 stages of labor? I honestly don't know whether or not I'll be seeing another delivery?

Thanks again!

[Jolie, BSN]

Think about what happens at the various points of labor and delivery and what medications might be needed at those times. For example, induction/augmentation of labor, prevention of infection, pain relief, control of bleeding.