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Thanks for the feedback!

Just wondering...If a GBBS culture was done at 31-32 weeks and result was negative, and mom delivers at fullterm do your OB's usually treat w/ antibiotics? I was told that a culture this early can be a false negative? Thanks!

thanks for your replies! I actually called the unit and spoke to the nurse taking of the baby. She assesed baby said it was normal, told peds and said it was normal..baby then got a circ.

hi everyone! I need your opion. I admited a healthy male newborn to our MB unit, and everything was wnl...one thing I noticed was that the head of the member was slightly curve. the color, skin and everything was normal so I proceeded to document it as normal genitalia. The primary nurse assesed baby again later on the shift, and said the member looked curved and that it wasn't documented. Well I left work, forgot to chart the curved member...should I just go back to work and chart it, I believe she might of charted it.

Hi! I recently got hired to work at a level 3 hospital for mother/baby and L and D. I have 5yrs of experience in both depts. but worked in a level 2 hospital. I would help stabalize high risk patients and get them transfered out asap or delivered pts emergently if no other options, also most of the patients I cared for had no or limited prenatal care, some kind of drug use, alot of PIH....I guess you can say they were considered high risk. Well since I am new to this level 3 hosp. I was wondering if I can get any tips on transitioning and things to look out for.. Thanks, I appreciate, I am nervous....

Thanks for your help!

Hello, does anyone have any suggestions on reading material or tutorials on learning how to scrub for a c-section? In a few weeks I will learn how to scrub but I would like a head start. Thanks!

Hello, just wondering what are the standard practices when extubating a pt who is terminally ill. My family member is in multiple organ failure, and currently has been intubated for 2+ weeks. We know that she would not want to be kept on a ventilator and we know this is prolonging her time here. We have decided to extubate her since there is nothing else that can be done. I would also like to know what to expect once this is done, at times she opens her eyes but no one is sure if she is aware or has any brain function. Thank you so much..

Hi! I need some suggestions on how I should approach this. I am an OB nurse for almost 3 yrs, came in the dept. as a new grad. I've never had any problems a work, I am a charge nurse and have also oriented new grads or nurses and have received good evals. Currently I am orientating a new grad, w/ zero exp. in OB or nursery, but was an LPN for several years in peds. I found out several days ago that she is making about $3.00 more than me- per hr. I am upset about this and I think I should probably make the same or more- or am I asking for too much and being greedy? Thanks!

How long can a retained placenta stay in? Yesterday one of our pt's miscarried (

Hi everyone. My cousin had her baby yesterday morning- term and healthy. She ended up going to a nearby hospital instead of the hosp. where she was receiving pnc. Well this morning her nurse came in and took the baby back to the nursery and explained to her that the baby came out pos. for barbiturates, my cousin was neg. and so they notified the social worker, and DCFS. She did take benadryl and reg. tylenol this past weekend for a really bad cold w/ ok from her doc. She does not drink, smoke or take any other meds. and I'm 100% sure she doesn't do anything illegal. She's a 1st time mom, and has had excellent prenatal care! We don't understand what happened- she had no pain meds during labor. please if anyone can give me advice.

Sorry it took me so long to respond my computer was down. Shift differential was about 2.50-3.50, I don't remember. I now work in a level 2 community hosp. (southside) in LD- and I love it! I am a LD and mother/baby nurse. Good Luck

Hi! I graduated from Rush about a year ago. New grads start at about $21.__, and there is shift and weekend differential. During that time there was no room for me in LD so I decided to go somewhere else. There are so much opportunities at Rush - it's a great hospital- plus its Magnet. They also have a float pool and I heard they sometimes accept new grads where they will train you as a LD, NICU, postpartum, and antepartum nurse. GOOD LUCK!

Hi Mandy. I work at a small community hosp. and most of the docs are fine w/ VBACS. I've had about 4 or more VBAC patients and all were successful but I have seen 2 VBACS that were unsuccesful-1 Uterine rupture and 1 failure to progress. The doctors explain the risks, and patient signs a VBAC consent. When the pt is admitted make sure consent is signed, type and screen is done, and pt should have an 18 or larger gauge catheter in case she need a transfusion. If things aren't looking great keep a foley, shavers, IVFs at bedside in case you have to run in the OR.

D and C aka dilatation and curettage, VBAC and cerclage insertion just to name a few.

I work in a small community hospital where we average about 60-75 deliveries a month. Our L&D nurses circulate and we usually have an OB tech who scrubs or a nurse that scrubs. We have a nursery nurse or a L &D nurse that catches the baby.

Hi I also work at a small community hosp and we are assigned to 4 or 5 couplets. We do both hearing screens and PKUS in the nursery, and baby's stay out w/ mom the whole time. We try to always have a nursery nurse at all times because we are in a high risk area and a lot of our babies need level 2 nursery care-About 50% of our patients have no or little prenatal care.

thanks so much!

Hello. Today I had a patient dx-fetal demise @ 20 wks and I was just wondering what is a torch panel (ordered by doc)? I would like to know what labs it consist of and ranges. I looked trough the internet and my OB book, but was unsuccessful. Thanks- I'm a new grad and still learning!

hi! Call your doctor or make an appt. asap- try not to be scared of being judged. I've met other patients w/ similar situations and the last thing I or the rest of the medical staff would do is to judge the pt. Your doctor and nurses are there to help you!

Congrats! I also got hired 6 months ago as a new grad in L&D, and it can be very overwhelming at times- so be prepared! I really love L&D because there is so much to learn plus you help bring a new life into the world. Best advice is to always ask questions to the nurses, docs, and even the ob-techs! My co-workers are always telling me that it takes about a year to get your own routine, but always expect the unexpected! Good luck!

Hi everyone! I am a L&D RN that works in a small community hosp. which doesn't have a psych. floor. Well today I had a pt. who came from the ER during the night shift w/ a hx of schizophrenia (according to a relative who called) and waiting to be transferred. She was having illusions, was combative and the night staff applied restraints. Well this morning, as I started my shift her parents arrived and were insisting on taking their daughter out of the hosp. at this time she was calm but restless, and disoriented. The charge nurse was notified, the doc. was at the bedside and the director of the dept. The director was fine w/ having the pt. leave as long the parents signed AMA. The doc. witnessed the AMA, the charge was upset and was against having the parents signed- in the end the pt. left w/ parents. No psych. evaluation was done, because The psychiatrist couldn't make it this early but was aware that we had a psych. pt in our dept. My big ? is -can the parents sign AMA under this situation? This pt. is 26y/o.- parents were told of risks, and so on. Thanks-

What are some common medications & dosages ( for pain) that are given during labor besides an epidural? I am a new L & D nurse, and haven't administered that many since most of my patients come in fully dialated, or have requested an epidural. Thanks!

My school required that students pass w/ 85% on the Hesi, if the student didn't meet this percentage you had 2 more chances- if he/she did not pass on the 3rd time they had to stay an extra quarter or something like that. I think you will do fine - most people pass the 1st time.

How many units of pitocin are placed in a IV bag w/1000 LR? Is it 20units or 30units. When there is an IOL 30 units is used, is this correct? Thanks-