NurseNora

NurseNora BSN, RN

L&D

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All Content by NurseNora

  1. Care Plan for Postpartum C-Section PT

    NurseNora replied to rockenmomma's topic in Ob/Gyn

    Abdominal surgery is a risk for ineffective breathing pattern as is opiate use (especially if spinal/epidural morphine was used). Since pregnancy causes blood to clot more easily, and a post op...

  2. code on a baby

    NurseNora replied to adpiRN's topic in Ob/Gyn

    When you beat yourself up for not doing something as well as you would have liked, you make it harder to learn from the experience. You're still new and the first time you do something you're not...

  3. Why Lactated Ringers in Postpartum?

    NurseNora replied to BKnurse44's topic in Ob/Gyn

    My guess is that it's physician preference, as a previous poster suggested. We use NSS or LR when we run Pit because it can cause water intoxication (related to antidiuretic hormone and can cause...

  4. what the heck am I feeling?

    NurseNora replied to loving2's topic in Ob/Gyn

    Look at pictures in textbooks and compare them to what you are feeling. Notice in the sagital picture of a pregnant woman not in labor that the cervix is long and the os points to the patients sacrum....

  5. A Question about GTPAL (Pregnancy Codes).

    NurseNora replied to DJ Trance AZ's topic in Ob/Gyn

    TPAL used to be very helpful when trying to figure out a patient's obstetrical history. But now that there are more multiple pregnancies because of ovulation induction and in vitro, things are getting...

  6. Pitocin ante/post partum administration

    NurseNora replied to Woman_in_love's topic in Ob/Gyn

    We start at 1mU/min and increase 1-2mU/min q30min until adequate contraction pattern. The top dose a nurse is able to give is 20mU/min. The doc can increase it more if he/she wishes. If there are...

  7. Newborn evacuation plans

    NurseNora replied to cherokeesummer's topic in Ob/Gyn

    We do couplet care and the healthy babies are with the moms. Mom would carry or push in a bassinette her infant out with her. Moms who are not ambulatory would either carry her infant in her arms in...

  8. I want to be a RN but don't want to deal, with you know...

    NurseNora replied to Back2Nursing09's topic in General Nursing

    People die outside of hospitals every day. You could be in WalMart tomorrow and have the person in line in front of you drop dead. I say this because we recently had a person arrest the the WalMart...

  9. Precepting

    NurseNora replied to RN in pink's topic in Emergency

    Different people have different learning styles. Ask him how he learns best. Give him feedback on a regular basis, what he's doing well in and where he is still weak. Ask him how he feels about his...

  10. RN Orienting to OB/GYN and I need some advice

    NurseNora replied to RDS7064's topic in Ob/Gyn

    I can't imagine working 1-2 shifts/month in L&D without a solid background in it. The same with a level 2 new born Nursery. I think you could do post partum care without a lot of time and...

  11. Frustrated over a code

    NurseNora replied to pinky22786's topic in General Nursing

    I don't know if I would expect an US tech to notice a patient's color, they're looking at the monitor screen rather than the patient. But I would expect anyone in the room to tell me if the patient or...

  12. Post emergency C-Section information needed

    NurseNora replied to peachmouse's topic in Ob/Gyn

    Before giving RhoGam, the cord blood is tested for the baby's type. If baby is Rh negative, it's not needed. If baby is Rh positive, Mom's blood is tested for presence of fetal Hgb and for antibodies....

  13. Intervention for low HCT, Hgb, and Lymphocytes

    NurseNora replied to peachmouse's topic in Ob/Gyn

    The question was what to do if the H&H dropped after the C/S. It always drops after a C/S because there is always blood loss. Since it is expected, it is quite possible that nothing needs to be...

  14. would anyone like to share their story of why chose to be OB nurse? (nursing studnet)

    NurseNora replied to laina chow's topic in Ob/Gyn

    My story is a little different. I have no children because I never wanted any. I don't like kids and I find that I even prefer fetuses to babies. From the time I was a very little girl, I never...

  15. L&D nurse at my wit's end....

    NurseNora replied to clb6885's topic in Ob/Gyn

    I think you did well. Was the baby monitored all night and did it keep moderate variability and accelerations? If so, she truly was asymptomatic and well perfused. The body does not consider the...

  16. nursing student question: what are the main challenges faced in OB nursing?

    NurseNora replied to Bellakaye's topic in Ob/Gyn

    I spent the first 30 some years of my career working in large teaching hospitals. Pregnancy is not a disease and labor is not an illness. Working with interns and resident doctors who have spent a...

  17. Help with Presentation on PRECIPITOUS DELIVERY

    NurseNora replied to AnnieOaklyRN's topic in Ob/Gyn

    I don't know of any free web sites for videos. I have used myself to demonstrate the cardinal movements of flexion, internal rotation, extension, & external rotation by flexing my chin onto my...

  18. helping pts after del

    NurseNora replied to jctiabecerra's topic in Ob/Gyn

    When I was a young nurse, there was a saying, "You have to baby the mother before she can mother her baby." Don't know if that is still in fashion, but I've found starting off with lots of TLC goes a...

  19. help a new scrub nurse

    NurseNora replied to JadeRN7's topic in Ob/Gyn

    Many doctors enjoy teaching so if you tell them you are still new and learning you can sometimes get them on your side. "This is only the second time I've done this alone and I still need help. Could...

  20. Frustrated new L&D nurse

    NurseNora replied to clb6885's topic in Ob/Gyn

    The assignments were not appropriate. I understand the charge nurse taking a lighter load because it is her responsibility to stay on top of everything and to help out where necessary. That's not what...

  21. OB abbreviations

    NurseNora replied to blendleylpn's topic in Ob/Gyn

    Not positive, but I'd guess "fundal height Consistent With" dates. And for the other one, possibly "size equals, or is appropriate for

  22. Short Interview, help please

    NurseNora replied to txcwglangel's topic in Ob/Gyn

    What are the daily duties of your job?I take care of women in labor. I see them when they first come to the hospital to see if they are in labor and identify any developing problems with mother or...

  23. What can I delegate?

    NurseNora replied to SNIXRN's topic in Ob/Gyn

    You cannot delegate any assessment. Putting on a fetal monitor includes assessing the strip, so do that yourself. Your hospital should have job descriptions of what kind of things can be done by the...

  24. Need Honest Advice

    NurseNora replied to clb6885's topic in Ob/Gyn

    I've noticed that just when a new nurse starts feeling comfortable and thinking that she may be getting the hang of this labor nursing stuff, something happens to take away all her confidence in...

  25. Nurses role if Dr is not giving all options (VBAC specifically)

    NurseNora replied to maiday's topic in Ob/Gyn

    It's very unusual for a pt scheduled for a C/S to arrive at the hospital expressing doubts about the procedure. After all, she has had since her original surgery to think about what happens next time....