NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. RhoGAM

    NurseNora replied to murse23's topic in Ob/Gyn

    If Mom is Rh neg and Dad is Rh positive, the baby can be either positive or negative. If baby is negative, no RhoGam, if positive, Mom will need RhoGam. The Coombs tells if there is an incompatibility...

  2. Evidence based practice for newborn care

    NurseNora replied to babynurse428's topic in Ob/Gyn

    AWHONN has a monograph on newborn skin care. See their website. Forty some years ago we used water before the first feed to be sure there was no esophageal atresia. Then it was decided we could let...

  3. "Not allowed" to perform vaginal exams

    NurseNora replied to Kayla.J.RN's topic in Ob/Gyn

    oops not finished.Patients with intact membranes or ruptured and making good progress--don't want to cause iatrogenic infections.lNight shift nurses do tend to do more things than day shift. It's part...

  4. "Not allowed" to perform vaginal exams

    NurseNora replied to Kayla.J.RN's topic in Ob/Gyn

    If a resident offers to teach you something that is within your state's scope of practice, take him/her up on it. Doctors like to teach,so encourage them to do so. If the rational for nurses not doing...

  5. how do you push with your patients?

    NurseNora replied to violet_violet's topic in Ob/Gyn

    I love it when I can tell a patient to "just listen to your body and do what it tells youu." They start out with short little grunts (the equivalent of a pt with an epidural laboring down) and as the...

  6. How long did you wait to take advanced fetal monitoring?

    NurseNora replied to ColoradoBirthRN's topic in Ob/Gyn

    AWHONN suggests you have at least a years experience before taking Advanced. I've known people to pass it with less, but I think they learn more if they

  7. Trick and tips

    NurseNora replied to lovemyjoblandd's topic in Ob/Gyn

    OP babies seem to have more earlies, earlier in labor, at a higher station tha others becauea of more pressure against the anterior fontinelle from the pubic bone.Before a baby with a nucchal cord...

  8. becoming rusty with vaginal exams

    NurseNora replied to cebuana_nurse's topic in Ob/Gyn

    My hospital has a lady parts in a box for educational purposes, possibly you could get your place tp purchase one.Do you have a good relationship with ant of your docs? Tell him/her that you need more...

  9. Internal Fetal Monitoring

    NurseNora replied to Carlos1's topic in Ob/Gyn

    The electrode ends in a sharp wire that is formed into a spiral. Technically, it is"screwed into the scalp" but I prefer to not use that terminology. When it is placed, it penetrates under the scalp...

  10. AWHONN recommendations

    NurseNora replied to MKS8806's topic in Ob/Gyn

    There is a difference between evaluating and documenting. In the second stage, FHR should be evaluated every 5 min, but if the patient is on the electronic monitor, you don't have to document it as...

  11. Perform Leopold's Maneuvers

    NurseNora replied to winter_green's topic in Ob/Gyn

    Since you have one year of experience now, it's time you took the AWHONN Intermediate fetal monitoring course. Included is instruction and practice in doing Leopold's. You can check for a course near...

  12. What do u do when there are no mothers/babies in unit?

    NurseNora replied to nursingstudent3109's topic in Ob/Gyn

    We keep 2 RN in house for L&D at all times. When there are no patients there are always chores to be done: make up charts, check sterile supplies for outdated, make sure everything is stocked,...

  13. No physician in-house?

    NurseNora replied to winter_green's topic in Ob/Gyn

    Sorry, I wasn't finished and hit Post by accident. The national standard for emergency sections is that they be done in 30 min of when they're called. When I worked in the big city medical centers...

  14. No physician in-house?

    NurseNora replied to winter_green's topic in Ob/Gyn

    Americans have an expectation that every pregnancy must result in a healthy baby and a healthy mom. It would be nice if it did happen that way, but the reality is that despite the best care in the...

  15. No physician in-house?

    NurseNora replied to winter_green's topic in Ob/Gyn

    Birth is not a disease process, it's a normal natural physiological event that goes very well most of the time. When a problem does develop, most of the time it develops gradually and there is time to...

  16. Tips for PP Moms and Urination

    NurseNora replied to Fitzy819's topic in Ob/Gyn

    It's not just the smell of the peppermint oil that helps. The volatile oil molecules that are the basis of the smell ( absorbed by mucous membeane in the nose and go directly to the olifactory area of...

  17. what do ob nurses do when a woman has a stillbirth and miscarriag

    NurseNora replied to alicia rain's topic in Ob/Gyn

    I discuss the different ways that men and women grieve, the feelings that may arise unexpectedly, the things people may say in an attempt to be helpful that are, in fact, hurtful (you can always have...

  18. No physician in-house?

    NurseNora replied to winter_green's topic in Ob/Gyn

    I was terrified when I started working in a small hospital with no in house OB docs after over 30 years working in large teaching hospitals where I sometimes had to fight my way through the med...

  19. Tips for PP Moms and Urination

    NurseNora replied to Fitzy819's topic in Ob/Gyn

    Some Spirits of Peppermint in the hat can really help. It helps relax the

  20. Do foley bulbs work?

    NurseNora replied to Double-Helix's topic in Ob/Gyn

    I hate seeing it used for elective inductions, but it's great for medically indicated inductions with an unripe cervix. ( in my opinion, if the cervix isn't ripe [soft,partially effaced, starting to...

  21. Straight cath or foley cath for labor patients??

    NurseNora replied to shortstuff31117's topic in Ob/Gyn

    I don't have the references on hand, but you can Google 'infections after catheter placement" or some thing like that and find lots of references. Multiple straight caths cause less infections than an...

  22. holding legs during pushing

    NurseNora replied to mamawof2's topic in Ob/Gyn

    Many hospitals have banned the practice of leg holding just because of the frequency of staff injury. Use the leg stirrups or the foot stirrups, use all the pushing positions the bed offers (contact...

  23. Uncomfortable feeling during dilitation check?

    NurseNora replied to EMJrn's topic in Ob/Gyn

    When doing Pit inductions, I do the initial exam, then pit the patient in a recliner or rocking chair. I give her permission to refuse an ordered exam if she is still talking thru contractions. I...

  24. more meconium???

    NurseNora replied to babyktchr's topic in Ob/Gyn

    Babies are designed to hold 40 weeks worth of meconium. After that, they tend to have stained fluid, but not the thick, particulate kind that leads to problems.My hospital has been not doing...

  25. Rupture of an unscarred uterus?

    NurseNora replied to 2curlygirls's topic in Ob/Gyn

    In 43 years, I can think of only one spontaneous rupture in a nullip not on Pit and in early labor. She was just starting to think about going to the hospital to see if she was in labor when she had...