OB/Peds Clinicals

royr · Oct 29, 2006

I am about to start my OB/PEDS clinicals and was wondering what to expect and what do the students do in OB/PEDS clinicals.

That will all depend on your instructor and your patient. I have had patients that let me do EVERYTHING a nurse can do within scope of practice for them in OB, and others that did not want (male) students. I have had parents that love my play / work /play approach to peds - and others that stare at me with those "Mommy or Daddy" eyes waiting to see if I will make a mistake that will cause their little one to cry when it comes time to give the injection or take other meds. I have not to date ever had a problem with any of the kiddos - probably because I never bothered to grow up myself and am a big kid. The experience and what you get out of it is all up to a number of factors out of your control - so be as prepared as you can and take life as it comes - and enjoy the little ones - they are where the joy is!

ChadleyNC · Oct 30, 2006

I just completed mine over the summer. They were interesting in their own ways. They are not areas I plan to concentrate in, and they aren't places I am comfortable, both for different reasons. However, I was surprised as always to find they were much less daunting than I thought they would be. In my program, the peds rotation was the full care spectrum. No different from any other floor. The OB rotation through L&D was observation only. Postpartum, nursery, and antepartum were full care as well. Objectives focused on assessment within these patient groups and interventions as appropriate. Overall not a bad experience. Didn't change my mind though that peds nor OB is my thing. Best of luck, and don't look away cause it will be over before you know it.

hope4thebest · Oct 30, 2006

I just did Obs

basically you have to do ALOT of teaching (especially if it is a first time mom)

(i.e) how to position the infant, so (s)he is able to latch on

- what the "proper" latch is

- frequency of feeding (q2-4 hours) but this is not written in stone it depends on the individual infant and their needs.

-diaper care

the list goes on

I did the assessment of the mom (we used a thing called bubblee)

-Breast ( check to see if it soft, engorged..ect)

-Uterus ( fundus to see of it is hard or boggy)

-Bladder (check to see if bladder is distended, or verbally if pt is able to void, whether she has pain or burning sensation)

-Bowel (check to see if pt has had a bowel movement; usually pt's are given a laxative)

-Lochia (color,amount, odour, clots..ect)

-extremities (homans sign)

-emotions (how are they adjusting)

The assessment of the infant

the head - cephalhemato (sp?)

-caput

-molding

the mouth (to see if it is moist, dry, pink..)

umbilical cord (to see if it is moist or beginning to dry)

**the weight VERY important

Ect..

There is more, but I didn't know whether or not I should continue..(so I stoped..lol) :chuckle I thought I was writting TOO much

Hope I helped...