Jiayou

MIchelle L. Murray's " Labor and Delivery Nursing A guide to Evidence- Based Practice" is a very good book for new grad. It is my third year in L&D, I still look it up frequently when I have questions . It is very helpful.

Good Luck Klone!

Sorry I didn't realize there is a big gap between manufacturer recommendations and actual practices in hospitals. We don't use the second dose of cervidil in our hospital if the first dose fails. We use IV pitocin 30 minutes later after removing the ...

No. Cervidil can't be repeated. According to my book "Intrapartum Management Modeles,"The manufacturer does not currently recommended more than one application of the cervidil because adequate studies have not been conducted on repeat dosing" (pg 226...

Hello, Will you give terbutaline to vaginal bleeding pt? One of my pts was G4P2, 34 weeks GA, had intermittent vaginal bleeding. Ultrasound showed that she had placenta previa. Because she had contractions q 3 minutes, MD ordered Terbutaline 0.25 mg ...

Hello everyone, I finally found the evidence! In the AWHONH book, in the chapter, " Guideline for the Management of pts with Diagnosed or suspected placenta previa during the peripartum period," it says "Beta - agonist (Ritodrine, Terbutaline) are c...

Thank you all for your posts. They are very informative. I appreciate that. Especially thank you cnm in progress and Klone for your opinions from different points of view. I have learned a lot. I will consider more the risk vs. benefit next time whe...

You can work asa CNA in postpartum or try OB tech in Labor and Delivery

Hello, It is a terrible experience, and I feel so shameful to share, but I really need some advice to help me out of this deep dark hole ---I am so lost in L&D. I didn't have any confidence now...I don't know if it is my problem - am I too stu...

Thank you everybody for your understanding and encouragement. Your warm words really infused in lots of strength to me. I really appreciate that. No, I don't have choice to switch to the night shift even though I am suffering or torturing in day s...

Hello, I had a drug abuse pt whose drug screen result shows that she is positive in Amphetamines, Metamphetamine, Methadone, and THC last night. She screamed for UC pain all the time. The doctor refused to give her Stadol because he said it was cont...

Thank you all for your wonderful posts. I appreciate that, especially thank you Christine for your web site. I learned a lot. Thanks.

Thank you very much babyktchr ! I really appreciate your information.

I agree with bagladyrn. In our hospital, we will give hemabate too instead of methergine. I don't know lomotil can be used for diarrhea. Thank you bagladyrn.

Thank you so much SmilingBluEyes. It makes sense to me now. I really appreciate your explanations. Now I think I know how I can deal with those irritability. Go back to my original question, can you please tell me how you will identify uterine irrit...

Hello, I am wondering if somebody can answer my stupid question. I know it is a basic question, but I just can't find the answer from my OB reference books. When I took care of my G1P0, GA 34 weeks pt last shift, I had an order to give Terbutaline if...

Dear NurseNora, Don't feel sorry. I really appreciate that you tried to explain those relationships to me. Thanks a lot!

Thank you so much NurseNora for your information. I really appreciate that. Actually the pt was on IV. When I saw those irritability, I gave her some IV bolus, and assist her to the bathroom frequently, but she still had those HFLA. I didn't know tha...

Hello, I am not sure if any of you encountered such a problem, but I was bothered by this question for a while. When I turn my patients to lateral position, most of them will develop hypotension. I am wondering if we need to do some intervention for ...

thank you so much rnlabornurse4u for your explanations. they really make sense to me. i appreciate that.

Thank you Feisty for your response. I appreciate that. It is very interesting to hear that making judgment based on mean arterial pressure. Do you have any evidence based research? Because it is my first time hearing that, I am eager to learning more...

Thank you SmilingBluEyes for your response. I appreciate that. Do you mean we still need to pay attention to hypotension caused by lateral position? If patient has low BP in one side, we need to turn to other side to get optimal placenta perfusion? W...

Thank you butterball1980 for bringing up this question. I happened to have the same question as yours. When I read some books, I did see tracing of fetal heart rate, whereas the book ended up saying it was a still birth. I was curious too. How can I ...

Thank you all for your comments. I really appreciate that. I found the original statements about "doubling" contractions in my books. In Michelle Murray's " Antepartal and Intrapartal fetal monitoring," it says," Action in response to doubling inclu...

Hello, I have questions regarding to "coupling" or "doubling" contractions. One of my patients whom I took care of two weeks ago had "doubling" contractions every 3 minutes and she was already on pitocin 2 mu/min. I was hesitate to add pitocin to her...