NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Lisa Miller's Advanced Fetal Monitoring--worth $300?

    NurseNora replied to kirsnikity's topic in Ob/Gyn

    I enjoyed it and felt that it was worth the money. But then I also used it as an excuse to go back east to visit friends. So I got double my money's worth. When I took it 2004) a lot of her teaching...

  2. Cpd???

    NurseNora replied to nurse79's topic in Ob/Gyn

    Two hours of documented adequate contractions (using an IUPC) with no cervical change usually means a C/S. But if you weren't getting adequate contractions and the baby was doing well, there is no...

  3. Cervical Exam

    NurseNora replied to pskeim's topic in Ob/Gyn

    If you don't have a pocket dilation guide, remember that the monitor paper has a dark line every 3 cm (1 min on most monitors). Other than that, just practice, practice, practice. Lots of good...

  4. Are medical-legal concerns changing childbirth?

    NurseNora replied to kathiecnm's topic in Ob/Gyn

    When I started in L&D in 1969, we had all women sign a consent on admission for "lady partsl Delivery, repair of episiotomy, Cesarean Section, possible hysterectomy". No one refused to sign it, as...

  5. pt husband keeps moving the toco!

    NurseNora replied to lannisz's topic in Ob/Gyn

    All very good responses about the charting angle. Had you been in the room palpating contractions? Were they recording? Did you feel anything when the patient reported feeling a contraction?...

  6. Mentoring

    NurseNora replied to suni's topic in Nursing Educators, Faculty

    As a night shift nurse, I cannot stress enough the importance of scheduling things at convenient times for us. Just before or just after the shift is often helpful. Offer the same program a couple of...

  7. I cringe as he cuts...

    NurseNora replied to 33-weeker's topic in Ob/Gyn

    No, all women DO NOT need an episiotomy. Most do very well without one. The tissue is very elastic and can stretch enough to allow the baby to pass through. Even if there is a tear, it is usually only...

  8. OB T-shirt slogans?

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

    "Home delivery is for

  9. Do you round up when weighing babies???

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

    Find out what your hospital standard is. If some do it one way and some another, your hospital needs to put a consistent policy into

  10. Things a new L/D and PP nurse should know

    NurseNora replied to SchizoDsy's topic in Ob/Gyn

    Join AWHONN, your professional organization. Can't believe I forgot to put that in my list of

  11. Too Sensitive?

    NurseNora replied to jserrano's topic in Ob/Gyn

    Bach's Flower "Rescue Remedy" comes in a spray bottle that looks like breath spray. Some people find it helpful although there is absolutely no scientific basis for it. Found in health food stores. I...

  12. Things a new L/D and PP nurse should know

    NurseNora replied to SchizoDsy's topic in Ob/Gyn

    The best way to impress your preceptor is to be very clear about your learning needs. If your preceptor's style is not helping you, say so. Do you need more or less hands on help, do you learn best...

  13. I cringe as he cuts...

    NurseNora replied to 33-weeker's topic in Ob/Gyn

    I've only worked with one doc who did this type of episiotomy, I'm having a senior moment and can't remember the name of it. It's a combination of midline and mediolateral. It's supposed to be less...

  14. when do you start feeling comfortable?

    NurseNora replied to hoping to be an rn's topic in Ob/Gyn

    Don't compare your insides to other people's outsides. Some of the people you interned with may feel as scared and unsure of themselves as you do, but just aren't showing it. I've found that after...

  15. New OB Nurses, Grads and Students, Please Feel Free to post your questions here:

    NurseNora replied to SmilingBluEyes's topic in Ob/Gyn

    Welcome to OB! It is scary at first and at times it's still scary later on. One of the things I had to work thru in my mind was that it's not up to me who lives and who dies. It's God's...

  16. Didnt do so hot in NRP class...

    NurseNora replied to shortstuff31117's topic in Ob/Gyn

    Nothing beats real, hands on experience. Attend as many deliveries as possible. Volunteer to "catch" for all your coworkers. As you gain experience with the hands on of catching any baby, you'll not...

  17. The cheerleading is NOT helpful

    NurseNora replied to waterfall99's topic in Ob/Gyn

    I am sometimes quiet and nondirective, other times loud and directive depending on the situation and the patient's desires. Recently I was doing "quiet and nondirective" and another RN came in for...

  18. What doctors do that bugs you...

    NurseNora replied to 33-weeker's topic in Ob/Gyn

    I called the physician in the middle of the night with this report: "Your patient Susi Smith is here; she's a multip, 8cm, 100% effaced, +1 station. I need you to come in now." He took longer than...

  19. Confused in IA!!

    NurseNora replied to booknut's topic in Ob/Gyn

    Lie is about the relationship of the long axis of the baby as compared to the long axis of the mother. Ninety some percent of the time the lie is longitudinal, that is the baby's spine is parallel to...

  20. patient ratios?

    NurseNora replied to MIA-RN1's topic in Ob/Gyn

    Join your national organization, AWHONN, learn about the approved staffing ratios, report to your department director and house supervisor everytime you're over the staffing ratio. Send a copy to...

  21. Determining station....

    NurseNora replied to enfermeraSG's topic in Ob/Gyn

    It causes some extra discomfort for the patient to feel for the ischial spines, so I only do it when I really need to know the actual station without a doubt. Usually I estimate it by how far I have...

  22. Has the definition of Para changed over the years?

    NurseNora replied to Bonny619's topic in Ob/Gyn

    For the 37 years I have been an OB nurse, para has been defined as the number of pregnancies carried to 20 weeks or more. There have always been people who wanted it to be babies born (twins counting...

  23. Meds used to stop preterm labour

    NurseNora replied to mom2Alina's topic in Ob/Gyn

    The only time I've used a Nitro patch on an OB patient was to relax the uterus to replace a uterine inversion. Yes, Mag Sulfate is a dangerous drug. There is NO drug that is not dangerous in some...

  24. G's and P's question-mom has had twins

    NurseNora replied to HappyNurse2005's topic in Ob/Gyn

    Gravida is pregnancies, Para is pregnancies (not babies) carried beyond 20 weeks. Unless you use TPAL--term, premature, abortions, living. Second pregnancy, first premature twins would then be: G2 P1...

  25. Moms who want to feel absolutely NO pain

    NurseNora replied to HappyNurse2005's topic in Ob/Gyn

    When I have a patient requesting an epidural before labor starts, I tell them that there is a certain amount of discomfort associated with the epidural itself. The tingling numbness is very annoying...