New OB Nurses, Grads and Students, Please Feel Free to post your questions here: - page 45

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   Jolie
    Quote from cubbynurse
    -is depo-provera ever given if the mother is going to be breastfeeding? it says use with caution if lactating. would any hormonal birth control be used for a breastfeeding mother?

    in my experience, most obs and cnms want their patients to establish breastfeeding before starting hormonal contraceptives. i can't recall a breastfeeding mom being started on these medications in the immediate post-partum period (while in the hospital). it is not uncommon for them to be instructed to avoid intercourse until their 6 weeks pp check-up, at which time contraceptives are started, since breastfeeding is well-established by then.
    -it also lists thromboemolism/ pulmonary embolism as a life-threatening complication of this medication....which confused me. i thought that estrogen was what caused clots to form and if depo-provera does not contain estrogen, how is this a side-effect of it?

    not sure about this one i'd have to look it up.


    -my book says it comes in both po and oil suspension...how often is the po form used in the postpartum setting?

    provera is available in a number of forms. however, "depo" refers to a long-acting injectible form. depo-provera is an im injection given approximately every 3 months. the oral form of provera is not a contraceptive, to my knowledge, but is used as hormone replacement therapy. the oil suspension of provera is a short-acting form used as progesterone replacement.

    i'm sorry if some of these questions seem kind of silly thanks in advance!
    no question is silly! enjoy your new job!
  2. by   UPanRUNNIN
    OK I probably should not answer this as I havent even reached the RN level yet. But I can speak from experience. After I had my second son while still in the hospital I received the depo provera shot. I had a c-section and was there for 4 days, I received the shot on the 3rd day. And I was breast feeding. I would hope that especially with a c-section if there was a risk of clotting they would not have given me the shot. Maybe if the patient is in good health and had no complications on previous labor and postpartum recovery it is just a call the DR. makes. I dont exactly know, but thats what happened to me and thought Id share it. Like I said I am not yet an RN, still in school.
  3. by   Poopsie Gigglebuns
    Can someone give me some good references on the ins/outs of using pit? as a new nurse, i'm getting conflicting info. some say ctx should be 250 mvu and 1.5 min apart - others say different. some rns have increased dosage even after 1 or 2 lates. some increase even if we haven't been getting good info from toco/cardio b/c patient is too fat. also, some say turn pit off if patient has been on overnight and is not progressing(receptors saturated); others say you should turn it up when this happens. policy of hospital pretty much says do what MD prescribes. i don't know enough to step in and say not a good idea. all my drug book says is CI and AE, which is pretty much useless. So confused!!!
  4. by   flipflop239
    Hi! i have a question, i am goin gto the university of central florida this fall with a pre-nursing major to get my BSN in nursing. I want to work in labor/delivery, but dont mistake me, i dont want to be a midwife, but how long does it takeonce you get your BSN to get into that program and working in the hospitals working in L&D? is there a program i have to go thru after the i get my BSN?? thanks so much, i just want to know what my path is for me and what i should plan for, im so excited!
  5. by   Poopsie Gigglebuns
    congrats on your choice of l/d. i don't know much about florida, but in texas, there are a few hospitals that will let you do your internship in l/d right away, others will make you work in antepartum or postpartum for a year first. depends on the hospital.
  6. by   ladyinred667
    Quote from flipflop239
    Hi! i have a question, i am goin gto the university of central florida this fall with a pre-nursing major to get my BSN in nursing. I want to work in labor/delivery, but dont mistake me, i dont want to be a midwife, but how long does it takeonce you get your BSN to get into that program and working in the hospitals working in L&D? is there a program i have to go thru after the i get my BSN?? thanks so much, i just want to know what my path is for me and what i should plan for, im so excited!
    Are you asking how long it takes to work in L&D after you become an RN? I just passed the NCLEX last month and am able to apply to jobs in L&D. Some take new grads and some do not. I am in South Florida.
  7. by   babycatcher7
    Hello everyone! I am writing because I have just recently passed the NCLEX and am looking for a good new grad training program. I am interested in moving to Los angeles so have started to explore options there. My first choice is NICU, then post partum/well baby nursery, then L&D.

    I found a L&D program at Cedar Sinai, but have gotten feedback that it is not a very supportive learning environment for new grads. In terms of my background I am have been working as a doula for 3 years and trained for some time under a licensed midwife. I am debating pursuing a career as licensed midwife or a CNM. I would like to work as a RN to sharpen my clinical skills in the hospital, make a decent salary, and get clarity on what type of midwifery I will practice.

    Does anyone have any suggestions on good new grad training programs?
  8. by   CocoSweet
    Hi, I am just finishing up my pre-reqs at FCCJ. I am going into nursing. I already know that I want to be an OB Nurse. My question is when will I be able to do strictly OB nursing? Will I be able to do my 90 hours in a hospital on the L/D floor or what?
  9. by   ElvishDNP
    Quote from CocoSweet
    Hi, I am just finishing up my pre-reqs at FCCJ. I am going into nursing. I already know that I want to be an OB Nurse. My question is when will I be able to do strictly OB nursing? Will I be able to do my 90 hours in a hospital on the L/D floor or what?
    When you go through nursing school, you'll have to do clinicals in all assigned areas - med/surg, peds, OB, psych, and so on. You don't get to pick just one and do all your hours there. Once you graduate & pass nursing boards, then you can do whatever you want. You might find in clincals that you like something better than OB or it might cement your desire for OB. Anyway, you have to do the clinicals in all the areas assigned to you. You may want to check out the nursing and pre-nursing student forums here too. Good luck!
  10. by   SQueenRN
    Hello. I am an ADN student, graduating in December! I am in my OB clinicals right now and I LOVE IT!!! It feels like it's perfect for me and just what I want. I feel a PULL towards it! And I totally "get it"... things just make sense. I plan on doing my preceptorship there in the fall. Anyway, I was talking to a couple people and one person told me that I should go right into Mother/Baby if I want and another person told me to start off on Med/Surg to "get the experience." I don't want to go into OB feeling like I'm in over my head and I also don't want to go into Med/Surg because I know I'll hate it (i work as a PCT on a busy med/surg floor and I see what the RNs go through). Can anybody give me any advice on this?
  11. by   loboscon08
    Quote from ScraigSN
    Hello. I am an ADN student, graduating in December! I am in my OB clinicals right now and I LOVE IT!!! It feels like it's perfect for me and just what I want. I feel a PULL towards it! And I totally "get it"... things just make sense. I plan on doing my preceptorship there in the fall. Anyway, I was talking to a couple people and one person told me that I should go right into Mother/Baby if I want and another person told me to start off on Med/Surg to "get the experience." I don't want to go into OB feeling like I'm in over my head and I also don't want to go into Med/Surg because I know I'll hate it (i work as a PCT on a busy med/surg floor and I see what the RNs go through). Can anybody give me any advice on this?
    If you know it's what you want to do, then I say go for it! I just graduated in May and am currently working mother/baby and I have NO regrets and I am loving every minute of it! I am getting trained as if I knew absolutely nothing about mother/baby coming into it, so that has been really helpful! I too hated med/surg in school so the decision was easily made for me. The wonderful thing about nursing is that you can always change if you try something and it doesn't feel right to you. You are never stuck in just one area. Best wishes to you in your final months of school and good luck making your decision! :heartbeat
  12. by   ElvishDNP
    I bought the line about medsurg too and started out on a gen surg floor - I hated it. Not because the patients were so awful, they weren't, I just knew it wasn't where I was supposed to be. So if you know your heart is somewhere else, then I say go for it if you can.

    Looking back, I'm grateful for the experience I had in med/surg (all 9mo full-time and 2yrs PRN) but would not go back for any amount of money. Whatever decision you make, you won't go wrong. My best to you.
  13. by   SQueenRN
    Quote from loboscon08
    If you know it's what you want to do, then I say go for it! I just graduated in May and am currently working mother/baby and I have NO regrets and I am loving every minute of it! I am getting trained as if I knew absolutely nothing about mother/baby coming into it, so that has been really helpful! I too hated med/surg in school so the decision was easily made for me. The wonderful thing about nursing is that you can always change if you try something and it doesn't feel right to you. You are never stuck in just one area. Best wishes to you in your final months of school and good luck making your decision! :heartbeat
    THANK YOU for your quick response and encouragement! I am so jealous of you! I want to work in Mother/Baby sooo bad!! I really want to go with my heart and passion... I will try my hardest to get a Mother/Baby job in December. Best of luck to you in the rest of your career! You seem happy and content where you are working and isn't that the best? :redpinkhe

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