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mandyjk77

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  1. What's the difference, are they the same thing? Thanks!
  2. Hello, this is my first class, don't remember doing APA format before. When reading the announcements, TA recommended using "Dr. Paper" to help with the APA format. Has anyone else done this? I just don't want to spend $30 if it's not a useful tool. Thanks!
  3. Thank you for explaining that the way you did! Now I understand why she transferred him to the NICU. I don't know the outcome but I know he was put on 100% O2 for a while and then weaned down, but I don't know how long he spent in the NICU. Thanks again!
  4. Hello, Just wanted to see what other "baby friendly" hospital's policies were regarding a baby 35-36.6 wks. In our hospital, any baby under 35 wks goes to NICU for at minimum 24 hr obs. If they are over 35 wks, vigorous at birth and have stable VS we keep them with moms for kangaroo care and breastfeeding. We will transfer them early if they need a blood sugar b/c they're less than 2500 gms/over 4000gms., or if mom's a Gest. DM, or they're not maintaining their temps etc.... but as long as they're stable we don't separate mom & baby. We had an incident where the baby was transferred to the nursery without mom b/c he started grunting and retracting. He was transferred at 1hr 55 mins of life. Mom was a c/s so he KC with dad during the section and then mom and baby did KC and attempted breast feeding. He was then taken to the NICU per the pediatrician b/c he was 36.6 wks, grunting and retracting and sating at 90%. I know the o2 sat was low but, I thought this was a little over kill. What do you guys think, what are your policies for these late pretermers? Our policies don't address these babies and they fall through the cracks. Please help me out and let me know what you do with these babes.Thanks!!
  5. What are some professional organizations you belong to, I wanted to find some that weren't too expensive to belong to. Any suggestions are greatly appreciated....Thanks!
  6. Just wanted to see how you push with a primip, I usually labor down until +3 station and the pt is feeling tons of pressure, but if they're not feeling pressure or they're not pushing effectively, what are some techniques you initiate? I like knee chest if they are willing to get on their hands and knees, I also will sit on the bed with them and while they're pushing, guide them by pushing down towards their rectum so they can feel where to push. Does anyone have any techniques that they swear by? Just trying to get more creative with my pushing & coaching. Thanks!
  7. I had the honor of being my friend's nurse today. I was a little nervous just in case something went wrong, but it all turned out great and she had a beautiful healthy baby girl! I just wanted to see how many other people had taken care of friends or someone they knew, was it uncomfortable, were you nervous, do you think it's okay from a legal stand point? Thanks!
  8. Thank you, that makes so much sense, thanks for the great response!
  9. mandyjk77 posted a topic in Ob/Gyn
    So I know it's an emergency if you have a shoulder dystocia and the longer the head is out the worse the consequences, but why? The baby is still attached to the placenta so it doesn't have to breath yet. I know there can be damage to the upper brachial plexas nerves causing paralysis or a clavical fx but how is the o2 supply diminished? Thanks for any light you can shed:)

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