Postpartum / L&D Nurses

[nurse2be2010]

hi folks,

i am doing a poster presentation to teach *nurses* information that can be useful while they are working on a postpartum or labor and delivery unit, but i need a topic!

is there anything you wish you knew more about?

this presentation is focused on the nurses, not patient teaching.

any input is greatly appreciated!

[littlemammanurse, BSN, RN]

I talked about how to care for a mother and what to say to her after a miscarriage.My friend did how we can as nurses be educating new moms on postnatal contraception and sexual activity after birth.

[woopcrane]

Myths and reality about breast feeding - How to get a kid to latch and the proper latch is always good.

Obstretical emergencies -

RN immediate actions and response for pp hemorrage (we had RNs who waited for the provider to get to the unit before doing basic interventions like - IV pitocin, GOOD fundal massage and clot expression, ETC) How to use a ballon uterine device for pp hemorrage (WHERE it is stored on the unit) What meds, equipment will the provider ask (scream) for when they get there..

Shoulder dystocia -

importance of watching the delivery - (not the computer), marking when the VTX delivers so we can know how long from VTX to corpus, How to apply suprapubic pressure (which direction according to fetal position) epsioproc, what would be needed for repair..

Labor positioning to facilitate decent, utero-placental perfusion, uneven epidural, pushing positions, "cookie" position, changing positions

Positions to facilitate tolerance of pain, pressure points to help relieve pain

Epidural placement, possible emergencies during placement, mechanism of hypotension, drugs used for hypotension, The need to bolus prior to placement,

How to check anesthesia levels, dangers signs of too high levels, RN actions that can mitigate all of the above...

Proper use of vacuum (placement, vacuum levels)

Name the instruments - Is this a piper or simpson? Alice clamp? What's a Metz?

Care of the nursing breast - or the formula feeding breast.

Proper support of the perineum during delivery.

Tricks to active coaching of the epduralized 2nd stage

Proper Magnesium assessment

S/S hematoma (perineal)

Caput vs hemorrage on the newborn

Billi levels, how old vs how high, causes, thresholds for applications of bililights, Why does bili - light work?

New born assessment

Weight loss in the new born - normal, expected, abnormal intervention.

enjoy

[themoreyouknow]

Wow woopcrane, you nailed it!

Woopcrane has given you lots of advice! You may also do one on physical assessment of the postpartum mom. Where should the fundus be? Why is it important for mom to empty her bladder frequently?

post-partum depression

Expected weight loss for mom.