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OB 101

OB 101. Stephanie Reid Mentor Student Nurse NUSNA Peer Mentoring Program 2-26-13. Goal of this presentation…. Know your a&P of female body Know “normal pregnancy” and L&D so you can identify an abnormal one ½ clinical and ½ supportive. How to survive OB nursing rotation.

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OB 101

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  1. OB 101 Stephanie Reid Mentor Student Nurse NUSNA Peer Mentoring Program 2-26-13

  2. Goal of this presentation…

  3. Know your a&P of female body • Know “normal pregnancy” and L&D so you can identify an abnormal one • ½ clinical and ½ supportive How to survive OB nursing rotation

  4. Lecture notes are awesome…Jen knows her stuff! Go over ATI tutorials for help with clinical skills… How I survived…

  5. What are you expecting of this clinical experience?

  6. L&D vs. postpartum

  7. If you think of nothing else…keep this in the back of your mind during every test and clinical experience from L&D to postpartum! This is the only rotation that you are simultaneously responsible for two lives! • Two monitors, two sets of vitals, two assessments… Two lives vs one

  8. Fundus • Lochia • Placenta (Please see common abbreviations forms) What’s so fun about a fundus?!

  9. Baseline rate: >2 min average • Bradycardia:<110 bpm for 10 min • Tachycardia:>160 bpm for 10 min • Variability: fluctuations • Accelerations: abrupt increases from baseline • Decelerations: decreases from baseline FHR monitoring

  10. V. ariables C. ord compression • E. early decels H. ead compression • A. ccelerations O. are Okay • L. late decels P. placental insufficiency Viva la V.E.A.L. C.H.O.P.!!!

  11. Patient Education!! • NSAIDS, Iron Supplements, Prenatals… • Know your abbreviations (AROM, etc.) • Vaccination administration technique • Parking is in the FAR back – 99 has traffic. Plan ahead. Carpool if you can! • Closest Starbucks are Herndon & 99 (fresno) / Avenue 16 & 99 (madera) • Your L&D days show up EARLY, ask for things to do!! Getting Ready for Clinical

  12. LDR • NICU • PED • FOB • TOCO • SO • FM • EFM • TOCO • IUPC • FSE • FHR • CTX • UC • CST • NST • ROM • AROM • MEC • SROM • SVD • VAVD • C/S • EPIS • EBL • AGA • LGA • SGA • IUGR • GBS • HSV • PPH Important abbreviations to know

  13. Mag sulfate: prevents seizures r/t pre-eclampsia, tocolytic • Nifedipine: anithypertensive used to stop preterm labor • Terbulatine: bronchodilator used to stop preterm labor (tocolytic- anti-contraction med) Maternity drugs vs otherwise used as…

  14. Betamethasone: prevents respiratory distress in newborn • Cervidil: cervical ripening/ labor induction • Cytotec: cervical ripening/ labor induction • Demerol: pain relief • Duramorph: pain relief • Methergine: prevents postpartum hemorrhage by causing uterine contractions • Zofran: nausea/vomiting comes with pain meds • Pitocin: labor induction and prevents postpartum hemorrhage by causing uterine contractions Important drugs most commonly used

  15. Know: • How to convert lbs/oz to grams (2.2lbs in 1kg) • Drop factors/drip rate equation: ml/hr (if 6L are prescribed over 5 hours, and drop factor is 14, what is the drip rate?...6000ml/5 hrs= 1200 ml/hr= 20 mL/min) Math test

  16. G.T.P.A.L. • gravity.term.parity.preterm.abortions.living. • Way to indicate mother’s status • Gravity= nbr of pregnancies • Term= babies born after 37 wks (live or still) • Preterm= viable births after 20 wks, before 37 wks • Abortions= surgical and/or miscarriages • Living children= self explanatory • (TPAL portion is known as a “parity”) Gravity and parity and preterm…oh my!

  17. Nullip= para 0 (never given birth before, could have been pregnant before though!) • Primip= one birth • Multip= multiple births • Grand multip= 5+ births OB slang…

  18. Questions…?

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