NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Books for beginners

    Join AWHONN, save money on books, conferences, and classes. Get Principals and Practices of Fetal Heart Monitoring and take the online class in Basic Fetal Monitoring. The Labor Progress Handbook by...
  2. CNA in L&D

    In my last hospital CNAs did a lot in L&D, but not much direct patient care. Ambulating a patient to the bathroom was about the only patient care they did. They set up delivery instrument tables....
  3. New Grad in L&D

    The Labor Progress Handbook by Penny Simkin is really good for physical interventions to get baby in the best position for labor to progress. Rotating the head from OP to OA. Resolving an asynclytic...
  4. Feeling discouraged

    I worked LD for 45 years and loved my last delivery as much as my first. Every once in a while you will have a period with no patients. Every once in a while you'll run out of beds (I once had a...
  5. What happened to molar pregnancies before modern medicine?

    I also remember when RhoGam was brand new and we were still delivering lots of babies to moms who had been sensitized before it was available. I saw lots of babies with
  6. What happened to molar pregnancies before modern medicine?

    I remember the spontaneous delivery of a molar pregnancy in the early 70's. She was not quite 20 weeks and looked term with large twins. I don't remember how many large specimen containers we filled...
  7. Is this folklore or an old wives tale?

    Once they're moving around and passing gas, they can go back to using straws. You just don't want to add gas until they're able to get rid of
  8. Can you not be Type A and be a good nurse in L&D?

    I was a labor nurse for 45 years, no way am I a Type A personality. I'm more of a gow with the flow kinda gal. Everyone has mentioned things going wrong, and that does happen, but the majority of the...
  9. Amniotic Fluid Embolism Patient - I wouldn't wish it on any nurse.

    I have cared for two women with AFE, now called Anaphylactoid Syndrome of Pregnancy, both moms died, both babies survived. I called a code for the first one-AND NO ONE CAME. People thought it was a...
  10. Only Crusty Old Bats will remember..

    Scrub dresses that snapped at the neck and tied at the waist. Once an anesthesist left the patient to wander around the room, stopped by me to "check the chart" and stuck his hand in the back of my...
  11. Only Crusty Old Bats will remember..

    We called it a brain patch. I'd forgotten
  12. False Pregnancy (Pseudocyesis)

    A hydatidiform mole is a pregnancy. The placenta just takes over and grows abnormally into small white grape-like clusters. They grow quickly and the uterus becomes much larger than it should be...
  13. Interview with Nurse Educator & Staff RN

    Hopefully the. Educator will be interested in your thoughts on your learning style, and assessing your learning
  14. How can I educate fellow nurses?

    Be a good example and do it yourself. Mention how much more easily the baby went to the breast than with this oman's first section when they were separated. Tell patients your facility is just...
  15. Week 11 of orientation... Lack of confidence :(

    Ask to sit in on some preparation for childbirth classes to learn about some helpful coaching skills. I forgot to mention that
  16. Week 11 of orientation... Lack of confidence :(

    What does your preceptor see as areas where you really need improvement? What are you doing well? Ask her if she hasn't told you. If it's just time management, you'll get it with time and experience....
  17. ED to LDRP - advice, please!

    Join AWHONN (Association of Women's Health, Obstetrics, and Neonatal Nurses). It's our professional organization and a wonderful source of educational materials, at a discount for members. Check out...
  18. New labor and delivery nurse!! Tips/advice/stories wanted ;)

    And remember that fetal monitor paper in the US runs at 3cm/hr, so it's 3cm between the dark
  19. G1PO INDUCTIONS

    AWHONN recommends not doing elective inductions before 39 weeks. My hospital had a doc very like this one (I've seen him do amniocentesis for lung maturity for elective inductions) who actually left...
  20. L&D STAFFING--info needed!

  21. Fetal demise

    A lot can be addressed in your discharge teaching. When you're talking about dealing with breast engorgement, especially if she was planning to breast feed, an opportunity may arise. It will arise...
  22. Cytotec and FHR...what would you do

    You're all right, I misspoke. I meant to say "previous
  23. Vaginal Exams

    Remember that the dark lines on the fetal monitor paper are 3cm
  24. Cytotec and FHR...what would you do

    What's the patients temperature? What's the activity level of the fetus?if it's between 9pm and 1am, it's probably baby's aerobics time and it'll come back down when baby quiets. I still wouldn't give...
  25. Neonatal assessment team

    All our labor nurses are NRP trained. Second nurse is one of these labor nurses unless high risk for some reason, then NICU nurse and NNP present for assessment and stabilization. If baby is stable I...