Nursing Tips

Maternity (59)

An Indirect Coombs test is used to determine if a pregnant patient is Rh-positive or Rh-negative.

Rh-Negative Patients

Cathy Parkes RN, BSN, PHN, CWCN

An Indirect Coombs test is used to determine if a pregnant patient is Rh-positive or Rh-negative.

Rh-Negative Patients

Cathy Parkes RN, BSN, PHN, CWCN

An Indirect Coombs test is used to determine if a pregnant patient is Rh-positive or Rh-negative.

Alpha-fetoprotein (AFP) levels are measured with prenatal bloodwork or with an amniocentesis.  HIGH levels of AFP are associated with neural tube defects. LOW levels of AFP are associated with chromosomal disorders (such as Down Syndrome).

AFP measurement

Cathy Parkes RN, BSN, PHN, CWCN

During amniocentesis, alpha-fetoprotein (AFP) levels are measured. HIGH levels of AFP are associated with neural tube defects. LOW levels of AFP are associated with chromosomal disorders (such as Down Syndrome)....

AFP measurement

Cathy Parkes RN, BSN, PHN, CWCN

During amniocentesis, alpha-fetoprotein (AFP) levels are measured. HIGH levels of AFP are associated with neural tube defects. LOW levels of AFP are associated with chromosomal disorders (such as Down Syndrome)....

 A person who gets medroxyprogesterone (Depo-Provera) shots for contraception needs to increase their intake of Calcium and Vitamin D because a key side effect of this medication is decreased bone density!

Depo-Provera Side Effect

Cathy Parkes RN, BSN, PHN, CWCN

 A person who gets medroxyprogesterone (Depo-Provera) shots for contraception needs to increase their intake of Calcium and Vitamin D because a key side effect of this medication is decreased bone density!

Depo-Provera Side Effect

Cathy Parkes RN, BSN, PHN, CWCN

 A person who gets medroxyprogesterone (Depo-Provera) shots for contraception needs to increase their intake of Calcium and Vitamin D because a key side effect of this medication is decreased bone density!

Injectible medroxyprogesterone (i.e. Depo-Provera) can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.

Injectible Medroxyprogesterone

Cathy Parkes RN, BSN, PHN, CWCN

Injectible medroxyprogesterone can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.

Injectible Medroxyprogesterone

Cathy Parkes RN, BSN, PHN, CWCN

Injectible medroxyprogesterone can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.

Important patient teaching about diaphragms: Should remain in place for 6 hrs after intercourse; Spermicide needs to be reapplied after each act of intercourse. Women need to be refitted: every 2 years, after a 20% weight change, or after a pregnancy.

Diaphragm Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

Important patient teaching about diaphragms: Diaphragms should remain in place for 6 hrs after intercourse; Reapply spermicide after intercourse.

Diaphragm Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

Important patient teaching about diaphragms: Diaphragms should remain in place for 6 hrs after intercourse; Reapply spermicide after intercourse.

During pregnancy, an ultrasound is typically performed at 18-20 weeks gestation to assess growth, development, and age of the fetus.Full bladder allows better visualization. Instruct mom to drink approximately 1 quart of water before the procedure.

Ulstrasounds in Pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

During pregnancies, an ultrasound is typically performed ~ 18-20 weeks gestation to assess for growth, development, and age of the fetus.

Ulstrasounds in Pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

During pregnancies, an ultrasound is typically performed ~ 18-20 weeks gestation to assess for growth, development, and age of the fetus.

Care of an infant born to a HIV-positive mom. Scheduled c-section.
Administer antiviral agents during pregnancy, labor and delivery, and to newborn. Avoid forceps, vaccum, scalp electrodes, amniotomy. Breastfeeding NOT recommended.

HIV-Positive Moms

Cathy Parkes RN, BSN, PHN, CWCN

Care of an infant born to a HIV-positive patient

HIV-Positive Moms

Cathy Parkes RN, BSN, PHN, CWCN

Care of an infant born to a HIV-positive patient

Bleeding during pregnancy: PAINLESS bright red bleeding during the second half of pregnancy is indicative of Placenta Previa. Bleeding with INTENSE UTERINE PAIN is indicative of Abruptio Placenta.

Bleeding During Pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

Causes of bleeding during pregnancy

Bleeding During Pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

Causes of bleeding during pregnancy

Nursing Tips - Fetal Lung Maturity

Fetal Lung Maturity

Cathy Parkes RN, BSN, PHN, CWCN

Fetal lung maturity is determined by the L/S ratio.

Fetal Lung Maturity

Cathy Parkes RN, BSN, PHN, CWCN

Fetal lung maturity is determined by the L/S ratio.

Key Patient Teaching: IUDs

Key Patient Teaching: IUDs

Cathy Parkes RN, BSN, PHN, CWCN

Key patient teaching with IUDs: Report foul smelling discharge, change in IUD string length, fever/chills, or pain with intercourse!

Key Patient Teaching: IUDs

Cathy Parkes RN, BSN, PHN, CWCN

Key patient teaching with IUDs: Report foul smelling discharge, change in IUD string length, fever/chills, or pain with intercourse!

Folic acid and pregnancy

Folic acid and pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

Folic acid is SUPER important during pregnancy because it helps to prevent neural tube defects.

Folic acid and pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

Folic acid is SUPER important during pregnancy because it helps to prevent neural tube defects.