NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Anyone familier with Down Syndrome newborns????

    NurseNora replied to LUVtxNursing's topic in Ob/Gyn

    Although babies are born knowing how to breath, suck, and swallow. Rooting and suckingare reflexes. The ability to coordinate all of these into an effective nursing pattern is learned. Some learn...

  2. age of fetus

    NurseNora replied to crazylilkelly's topic in Ob/Gyn

    If an early U/S is within 2 weeks of a menstrual EDC in a woman with regular periods, the menstrual EDC is the one that should be

  3. Did I overreact or underreact?

    NurseNora replied to eden's topic in Ob/Gyn

    Are you sure this is the emergency situation your manager was referring to? You did all the right stuff. I might have stopped the pit and increased the IV as I was starting to change her position...

  4. L&D nights just as busy as days?

    NurseNora replied to HappyNurse2005's topic in Ob/Gyn

    Elective procedures tend to be done on day shift, although one busy teaching hospital where I worked scheduled inductions around the clock. But scheduled sections, versions, NSTs, intrauterine...

  5. Night Shift Survival

    NurseNora replied to RNRose's topic in Ob/Gyn

    There have been lots of good ideas here. The most helpful thing that I have done is start using a good sleep mask. Room darkening shades just don't get it dark enough for me to sleep deeply....

  6. postpartum newbie looking for a bit of help

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

    That's right, post partum bleeding is not stopped by a clot over the site of the placenta. It is controlled by contraction of the uterine muscle. When doing patient teaching, I tell them that the...

  7. Nuchal cord x4!

    NurseNora replied to texas-rn-fnp's topic in Ob/Gyn

    Saw one born lady partslly with 6 loops around the neck. As I walked past the Delivery Room, I heard the doc counting, " two, three, four..." so I stuck my head in to see what he was counting. It was...

  8. Cytotec and pitocin for iufd??

    NurseNora replied to l&drocks's topic in Ob/Gyn

    The uterus at 13 weeks is not very sensitive to pitocin. Just doesn't have the receptors yet. The cytotec would have probably worked alone. Another plus with cytotec inductions for midtrimester losses...

  9. In the right place at the right time........

    NurseNora replied to jrring1019's topic in Ob/Gyn

    I've seen two ruptures with epidurals. One did not feel the rupture. Her baby had already died from other causes. The other one had a good block, but felt the rupture. FHT's never went to the 60's....

  10. celebrity deliveries

    NurseNora replied to mugwump's topic in Ob/Gyn

    Wife of a major league baseball player--charming couple. Of course, he was still a rookie and they hadn't gotten used to being rich and famous. Hopefully they stayed charming after that happened....

  11. newborn assessment

    NurseNora replied to blendleylpn's topic in Ob/Gyn

    I only use the cord if I've got the baby and am trying to decide if it needs chest compressions or just PPV. The usual situation is a baby that is vigorous and placed immediatly on Mom's abdomen. I...

  12. Labelling Lidocaine

    NurseNora replied to imenid37's topic in Ob/Gyn

    JACHO requirement. I've seen lots of talk about it on a discussion list I'm on. Everyone wants to know what other places are doing. Some places have added preprinted labels to their tables for the...

  13. Fetal Obstructive Uropathy

    NurseNora replied to HisTreasure's topic in Ob/Gyn

    In the 90's, when I worked at a Level 3 big city hospital I saw this situation. I don't know why she needs multiple amnios before the procedure. I would imagine at least one would be for genetic...

  14. new to site

    NurseNora replied to mamacat's topic in Ob/Gyn

    For nearly 30 years, I worked in Level 3 L&D units. I moved to the boonies and am now working OB in a Level 1 rural hospital. I understand your fears. I was lucky that my Director heard and...

  15. Fetal Scalp Stimulation

    NurseNora replied to texas-rn-fnp's topic in Ob/Gyn

    Scalp stim is not a resuscitation measure, it is a test to determine if the baby has any reserve. The deceleration is evidence that the baby is under stress already. Attempting a scalp stim during a...

  16. C-section Personnel

    NurseNora replied to NativeButterfly's topic in Ob/Gyn

    Rural hospital, 1000 births per year. One RN and one RRT at all sections unless there is an anticipated problem with the baby. All OB staff and RRT's are NRP

  17. Regional differences in OB terminology ....

    NurseNora replied to Selke's topic in Ob/Gyn

    Yes, there are Mayo sissors too--both straight (for cutting suture) and curved (for cutting tissue). The Mayo brothers were very prolific... Invented all those surgical instruments, started that...

  18. Regional differences in OB terminology ....

    NurseNora replied to Selke's topic in Ob/Gyn

    In Delaware, it was "fully", in Arizona it's "complete". The one I had the most trouble with though was instrument names. What we called a "Kelly" in DE, is a "Mayo" out here. What AZ calls a "Kelly",...

  19. Patient with bad body odor

    NurseNora replied to capribry's topic in Ob/Gyn

    "It's time for your routine admission shower. Here use this antiseptic soap" has worked for me in the past. Or suggest a shower or bath for comfort. If the patient has a running epidural, give very...

  20. Cytotec Policy where I work:

    NurseNora replied to SmilingBluEyes's topic in Ob/Gyn

    We use 1000mcg per rectum for PPH and it works very quickly. I've never had a "Code Brown" with the cytotec as I have with the

  21. need help with case study

    NurseNora replied to sonja77's topic in Ob/Gyn

    The doc might do an amniocentesis for fetal lung maturity. If not mature, see if bedrest, drugs, etc improve the picture so delivery can be postponed until they are mature. And yes, labs to see if pt...

  22. Breastfeeding and shiftwork - does it work?

    NurseNora replied to jeepgirl's topic in Ob/Gyn

    In one hospital where I worked, the OB department had an electric pump just for nursing staff (large department, lots of nursing moms at any given time). In my current, very small, hospital women from...

  23. Directed pushing

    NurseNora replied to LauraLou's topic in Ob/Gyn

    Sometimes I use directed pushing, sometimes not. I just play it by ear. A patient will start pushing on her own when she gets the urge. Many of our clients are so used to being told what to do that...

  24. Replacing amniotic fluid to raise HR

    NurseNora replied to kbclary4's topic in Ob/Gyn

    Although it would be quicker to do a C/S, it may not be necessary. The amnioinfusion can cushion the cord enough that the fetal heart rate changes diminish or go away entirely and the woman can...

  25. Uterine rupture & maternal code

    NurseNora replied to RNLaborNurse4U's topic in Ob/Gyn

    The "windows" I have seen at C/S were usually just the uterus stretched very thin. But I have seen the uterus open along the old scar and the window was the intact bag of water. Scheduled repeat C/S,...