NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. "discovered" an IUFD the other day :(

    NurseNora replied to HappyNurse2005's topic in Ob/Gyn

    I understand the feelings you're having as I've had similiar experiences. It just never gets easy. When I train people in triage, I tell them that that is why looking for the fetal heart beat is the...

  2. Case Presentation Help

    NurseNora replied to CollaborateRN's topic in Ob/Gyn

    AWHONN (Association of Women's Health, Obstetrics, and Neonatal Nurses) is our professional organization and sets most of our standards. I believe one of the threads at the top of this section...

  3. Case Presentation Help

    NurseNora replied to CollaborateRN's topic in Ob/Gyn

    For pain and discomfort in the perineal area, be sure to look carefully (turn patient to the side and have her bend the knee of the top leg so you get a good look at her perineum) and touch with a...

  4. Question about "Too narrow of bones" with giving birth

    NurseNora replied to SNLou84's topic in Ob/Gyn

    When looking at a woman, the apparent hip size is related to how much the upper part of the pelvis flares out. This upper part of the pelvis has nothing to do with the birth cannal. It is the inside...

  5. Left side lying?

    NurseNora replied to KJRN79's topic in Ob/Gyn

    She will not be able to tolerate lying on her left side all the time. Either side is fine, so is semi reclining. She will need to change positions frequently for her comfort (and sanity). Just avoid...

  6. hemabate side effects to nurses

    NurseNora replied to adpiRN's topic in Ob/Gyn

    Rectal cytotec is much cheaper and seems to have less side effects. Any drug that is developed especially for OB use is going to be very expensive because of the extensive testing. But my major...

  7. Hi, just a question on MESs of PIH patients

    NurseNora replied to whitebunny's topic in Ob/Gyn

    there's little that can be done for the low serum protein. Some docs will still order a high protein diet, may not help, but doesn't hurt. The low serum protein is because of the disease's effect on...

  8. Does it break your heart?

    NurseNora replied to IMABSNRN's topic in Ob/Gyn

    Ditto to what previous posters have said. But also think about how wonderful it was for this baby to die in his mother's arms with her singing to him and not alone in an isolette hooked up to...

  9. Crash Review Course Needed ASAP

    NurseNora replied to Tucwebb's topic in Ob/Gyn

    Fetal monitoring is a skill developed over time with experience. You'll drive yourself crazy trying to interpret your daughter's strip. Watching a strip come out of the machine second by second is...

  10. Mother/baby organization

    NurseNora replied to LuvofNursing's topic in Ob/Gyn

    When you start working, you will have a preceptor to help guide you. During that time you will begin to get a feel for who needs to be seen first. If all other things are equal, I start with the room...

  11. H1N1 and floating to other departments

    NurseNora replied to HeartsOpenWide's topic in Ob/Gyn

    CDC guidelines state that a nurse may care for patients with and without the flu using droplet precautions. So far my major problem this flu season has been trying to get the ER (after 8PM all OB...

  12. Please Help! L&D interview

    NurseNora replied to jkilla's topic in Ob/Gyn

  13. need help to choose a maternity project ttile!

    NurseNora replied to whitebunny's topic in Ob/Gyn

    Since you're interested in cultural differences, try something on the labor care of a woman who has experienced female genital mutilation/female circumcision. that's one that requires lots of cultural...

  14. Patient Compliant...Taking it Really Hard

    NurseNora replied to Diva7332's topic in Ob/Gyn

    Give thanks that this was at the end of your shift and you didn't have to keep dealing with him. That way you didn't have to tell him that it's much harder to hit a swollen, moving target than he...

  15. Delivery tables

    NurseNora replied to Fdavis's topic in Ob/Gyn

    That's what we used to use in the bad old days. The delivery table was like a wide OR table. When a primip was showing at least a "quarter's worth" of caput or when a multip was complete or nearly so,...

  16. Policy Questions and Hello

    NurseNora replied to SoCalL&DRN's topic in Ob/Gyn

    We wear hospital laundred scrubs when circulating C/S. It varies by the doc. Some do no prep at all, some use betadine. All have recently agreed that we no longer have to use sterile water to prep...

  17. I don't care anymore, I'm never saying another thing...

    NurseNora replied to RN1982's topic in General Nursing

    I am saddened to see this much cynicism. I hope most are just venting as the origional poster said she was. Keeping quiet and not pointing out problems and suggesting ways of improving them is one...

  18. Sleepy Time

    NurseNora replied to ikimiwi's topic in Ob/Gyn

    I remember keeping all babies NPO for 8 hours after birth and they all, even breast fed babies, had to have sips of water before the first feed. The purpose was to check for esophogeal atresia. NPO...

  19. breastfeeding gone wrong

    NurseNora replied to adpiRN's topic in Ob/Gyn

    I once had a dad holding his baby as I was bustling aroung the room cleaning up after the delivery if the color was OK. It was not OK, it was blue. He was holding the baby perpendicular to his body,...

  20. Sleepy Time

    NurseNora replied to ikimiwi's topic in Ob/Gyn

    Babies tend to be alert and awake for about 2 hours after birth and then go into a sleepy state that lasts 24-36 hours. If the baby got a good nursing done in the first hour after birth, you don't...

  21. Post Partum...

    NurseNora replied to sissyboo's topic in Ob/Gyn

    Some complications to be on the lookout for: lady partsl or labial hematoma. You can see the swelling with a labial hematoma, but often with a lady partsl hematoma it's inside and cant' be seen. Signs...

  22. Postpartum comfort

    NurseNora replied to JB0901's topic in Ob/Gyn

    This is the first hospital I've ever worked that OKs using the microwave to heat hot packs. We put a wet towel in a chux and tape the chux shut so there are no leaks and microwave it. I don't feel...

  23. Recovery for vaginal delivery

    NurseNora replied to IrishIzCPNP's topic in Ob/Gyn

    In my place, recovery starts within 15min of placenta delivery. If there's a long repair, we'll keep her a little longer afterwards if necessary, but that's rarely necessary. We usually keep our...

  24. What are your thoughts on AROM?

    NurseNora replied to Mary C's topic in Ob/Gyn

    It seems to me a patient like that would be better off with prostaglandin of some sort until she had a better Bishop's score. Do any of your docs use a foley balloon to manually dilate the cervix?...

  25. Pushing Instructions

    NurseNora replied to aunttae's topic in Ob/Gyn

    AWHONN discourages directed pushing and when a patient doesn't have an epidural, it's wonderful to be able to tell them to listen to their bodies and just do what their bodies tell them to do. If the...