Nursing Tips
Maternity (57)
Precipitous Labor
Precipitous labor is one which lasts less than three hours from the onset of contractions to the time of delivery. Monitor patients with precipitous labor for postpartum hemorrhage!
Precipitous Labor
Precipitous labor is one which lasts less than three hours from the onset of contractions to the time of delivery. Monitor patients with precipitous labor for postpartum hemorrhage!
Newborn Hyperbilirubinemia: Treatment
Phototherapy with UV lights is a common treatment for newborn hyperbilirubinemia.
Newborn Hyperbilirubinemia: Treatment
Phototherapy with UV lights is a common treatment for newborn hyperbilirubinemia.
Heel Stick Procedure: Infants
Prior to performing a heel stick procedure on an infant, warm the newborn's heel to increase blood circulation.
Heel Stick Procedure: Infants
Prior to performing a heel stick procedure on an infant, warm the newborn's heel to increase blood circulation.
"Gift from Infant"
Older siblings may have difficulty adapting to the presence of the infant.
"Gift from Infant"
Older siblings may have difficulty adapting to the presence of the infant.
Back Pain during Labor
Laboring patients who express back pain may benefit from sacral counterpressure.
Back Pain during Labor
Laboring patients who express back pain may benefit from sacral counterpressure.
Presumptive Signs of Pregnancy
Presumptive Signs of pregnancy are things that can be explained by OTHER reasons besides pregnancy.
Presumptive Signs of Pregnancy
Presumptive Signs of pregnancy are things that can be explained by OTHER reasons besides pregnancy.
Shoulder Dystocia
For a patient experiencing shoulder dystocia, suprapubic pressure may help to push baby's shoulder off of the symphysis pubis.
Shoulder Dystocia
For a patient experiencing shoulder dystocia, suprapubic pressure may help to push baby's shoulder off of the symphysis pubis.
Umbilical Cord Inspection
After birth, the placenta and umbilical cord are inspected for abnormalities. The umbilical cord should contain 2 arteries and 1 vein and have no green/brown discoloration.
Umbilical Cord Inspection
After birth, the placenta and umbilical cord are inspected for abnormalities. The umbilical cord should contain 2 arteries and 1 vein and have no green/brown discoloration.
Suppressing Lactation: Patient Teaching
For a patient wishing to suppress lactation, encourage the use of a supportive bra for 72 hours after delivery.
Suppressing Lactation: Patient Teaching
For a patient wishing to suppress lactation, encourage the use of a supportive bra for 72 hours after delivery.
Medroxyprogesterone (Depo-Provera)
Medroxyprogesterone (Depo-Provera) is a progestin-only contraception, meaning it is okay for patients who are breastfeeding or have a prior history of clotting!
Medroxyprogesterone (Depo-Provera)
Medroxyprogesterone (Depo-Provera) is a progestin-only contraception, meaning it is okay for patients who are breastfeeding or have a prior history of clotting!
Newborn Medications
Medications for the infant after delivery include "eyes and thighs": erythromycin ophthalmic ointment to prevent ophthalmia neonatorum, Vitamin K administered IM in the vastus lateralis to prevent bleeding, and the...
Newborn Medications
Medications for the infant after delivery include "eyes and thighs": erythromycin ophthalmic ointment to prevent ophthalmia neonatorum, Vitamin K administered IM in the vastus lateralis to prevent bleeding, and the...
Breastfeeding: Patient Teaching
Educate breastfeeding mothers that a correct latch is demonstrated by baby's nose, cheeks, and chin touching the breast with a portion of the areola in the infant's mouth. Adequate breastfeeding...
Breastfeeding: Patient Teaching
Educate breastfeeding mothers that a correct latch is demonstrated by baby's nose, cheeks, and chin touching the breast with a portion of the areola in the infant's mouth. Adequate breastfeeding...
Circumcision Care
If an infant is circumcised, clean the penis with warm water & apply petroleum jelly at every diaper change.
Circumcision Care
If an infant is circumcised, clean the penis with warm water & apply petroleum jelly at every diaper change.
Hydatiform Mole
Hydatiform mole is a type of Gestational Trophoblastic Disease. Key S&S include: "Prune juice" discharge; Hyperemesis (severe n/v); Elevated hCG levels
Hydatiform Mole
Hydatiform mole is a type of Gestational Trophoblastic Disease. Key S&S include: "Prune juice" discharge; Hyperemesis (severe n/v); Elevated hCG levels
Calculating Due Date
How to calculate a pregnant patient's due date: Add 9 months PLUS 1 week from the first day of their last menstrual period.
Calculating Due Date
How to calculate a pregnant patient's due date: Add 9 months PLUS 1 week from the first day of their last menstrual period.
Fundal Assessment
Fundal assessment is part of the routine postpartum assessment. If the fundus is displaced laterally, have the patient empty their bladder!
Fundal Assessment
Fundal assessment is part of the routine postpartum assessment. If the fundus is displaced laterally, have the patient empty their bladder!
VEAL CHOP
To understand the cause of different fetal heart rate patterns, remember VEAL CHOP. Variable decelerations -> Cord compression. Early deceleration -> Head compression. Accelerations -> OK. Late decelerations -> Placental...
VEAL CHOP
To understand the cause of different fetal heart rate patterns, remember VEAL CHOP. Variable decelerations -> Cord compression. Early deceleration -> Head compression. Accelerations -> OK. Late decelerations -> Placental...
Car Seat Safety for Newborns
Car seat safety for newborns includes installing the car seat in the back/middle seat, using a rear-facing seat with a 5-point harness until at least age 2, installing the seat...
Car Seat Safety for Newborns
Car seat safety for newborns includes installing the car seat in the back/middle seat, using a rear-facing seat with a 5-point harness until at least age 2, installing the seat...
Acrocyanosis
Acrocyanosis is the bluish discoloration of fingers/hands and toes/feet and is an expected finding in the newborn. Report persistent central cyanosis to the provider.
Acrocyanosis
Acrocyanosis is the bluish discoloration of fingers/hands and toes/feet and is an expected finding in the newborn. Report persistent central cyanosis to the provider.
Ultrasonography
Two types of ultrasonography used in pregnancy are transvaginal (ultrasound transducer placed in the patient's vagina) and abdominal (transducer placed on the outside of the abdomen).
Ultrasonography
Two types of ultrasonography used in pregnancy are transvaginal (ultrasound transducer placed in the patient's vagina) and abdominal (transducer placed on the outside of the abdomen).
Testing for Infertility
When beginning testing for infertility, semen analysis is often the first test performed. This is non-invasive and less expensive than further testing!
Testing for Infertility
When beginning testing for infertility, semen analysis is often the first test performed. This is non-invasive and less expensive than further testing!
Treatment for Infertility
Treatment for infertility is unique to the individual, but some treatments include: Intrauterine Insemination (IUI), In Vitro Fertilization (IVF), Embryo Transfer (ET), the use of donor eggs/sperm/embryo, and the use...
Treatment for Infertility
Treatment for infertility is unique to the individual, but some treatments include: Intrauterine Insemination (IUI), In Vitro Fertilization (IVF), Embryo Transfer (ET), the use of donor eggs/sperm/embryo, and the use...
Toxoplasmosis
Toxoplasmosis is a teratogenic parasitic infection acquired by consumption of raw or undercooked meat, or by handling cat feces.
Toxoplasmosis
Toxoplasmosis is a teratogenic parasitic infection acquired by consumption of raw or undercooked meat, or by handling cat feces.
Assessing Fetal Heart Tones
The fetal heart tones cannot be assessed using a doppler until around 12 weeks gestational age. Prior to this time, heart tones can only be identified using ultrasound.
Assessing Fetal Heart Tones
The fetal heart tones cannot be assessed using a doppler until around 12 weeks gestational age. Prior to this time, heart tones can only be identified using ultrasound.
Probable Signs of Pregnancy
Probable signs of pregnancy include Chadwick's Sign, Goodell's Sign, Hegar's Sign, ballottement, and a positive pregnancy test. These findings are probably related to pregnancy, but could have other explanations.
Probable Signs of Pregnancy
Probable signs of pregnancy include Chadwick's Sign, Goodell's Sign, Hegar's Sign, ballottement, and a positive pregnancy test. These findings are probably related to pregnancy, but could have other explanations.
Naegele's Rule
A patient's estimated date of delivery can be determined using Naegele's Rule. After determining the first day of the patient's last period, subtract 3 months, then add 1 week and...
Naegele's Rule
A patient's estimated date of delivery can be determined using Naegele's Rule. After determining the first day of the patient's last period, subtract 3 months, then add 1 week and...
Supine Hypotensive Syndrome
Supine hypotensive syndrome is caused by a pregnant patient's heavy uterus compressing the inferior vena cava when lying supine. Educate patients to rest either in a side-lying position, or with...
Supine Hypotensive Syndrome
Supine hypotensive syndrome is caused by a pregnant patient's heavy uterus compressing the inferior vena cava when lying supine. Educate patients to rest either in a side-lying position, or with...
MMR Vaccine and Pregnancy
A patient who was rubella non-immune during pregnancy should receive the MMR vaccine after delivery (this vaccine is contraindicated during pregnancy). Educate the patient that pregnancy must be avoided for at...
MMR Vaccine and Pregnancy
A patient who was rubella non-immune during pregnancy should receive the MMR vaccine after delivery (this vaccine is contraindicated during pregnancy). Educate the patient that pregnancy must be avoided for at...
Macrosomic Infants
A macrosomic infant (large for gestational age) is one who is over 4,000 g (or 8 lbs., 13 oz.).
Macrosomic Infants
A macrosomic infant (large for gestational age) is one who is over 4,000 g (or 8 lbs., 13 oz.).
Positive Signs of Pregnancy
Positive signs of pregnancy include identification of fetal heart sounds, fetal movement felt by a healthcare provider, and ultrasound visualization of the fetus. There is no other explanation for these...
Positive Signs of Pregnancy
Positive signs of pregnancy include identification of fetal heart sounds, fetal movement felt by a healthcare provider, and ultrasound visualization of the fetus. There is no other explanation for these...
Infertility Test: Hysterosalpingogram (HSG)
One test that can be performed for infertility is a hysterosalpingogram (HSG). Because this test uses contrast dye to assess the patency of the fallopian tubes, be sure to assess...
Infertility Test: Hysterosalpingogram (HSG)
One test that can be performed for infertility is a hysterosalpingogram (HSG). Because this test uses contrast dye to assess the patency of the fallopian tubes, be sure to assess...
Natural Family Planning
Natural family planning methods involve avoiding intercourse during fertile periods by tracking the patient's menstrual cycle, or assessing the basal body temperature or cervical mucus consistency daily.
Natural Family Planning
Natural family planning methods involve avoiding intercourse during fertile periods by tracking the patient's menstrual cycle, or assessing the basal body temperature or cervical mucus consistency daily.
Maternal Serum Alpha-fetoprotein (MSAFP)
Maternal Serum Alpha-fetoprotein (MSAFP) is a test for genetic abnormalities performed between 15 and 20 weeks gestation.
Maternal Serum Alpha-fetoprotein (MSAFP)
Maternal Serum Alpha-fetoprotein (MSAFP) is a test for genetic abnormalities performed between 15 and 20 weeks gestation.
Lab Tests for First Trimester
First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative...
Lab Tests for First Trimester
First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative...
Warning Signs in Pregnancy
Educate patients about warning signs in pregnancy for which they should notify their provider: diarrhea, fever, chills, severe abdominal cramping or pain, severe vomiting, vaginal bleeding, and decreased fetal activity...
Warning Signs in Pregnancy
Educate patients about warning signs in pregnancy for which they should notify their provider: diarrhea, fever, chills, severe abdominal cramping or pain, severe vomiting, vaginal bleeding, and decreased fetal activity...
Oral Contraceptives
Combined oral contraceptive pills (contain estrogen and progestin) are contraindicated for patients who are breastfeeding, smoke, or have a history of blood clots, stroke, coronary artery disease, or hypertension.
Oral Contraceptives
Combined oral contraceptive pills (contain estrogen and progestin) are contraindicated for patients who are breastfeeding, smoke, or have a history of blood clots, stroke, coronary artery disease, or hypertension.
Ectopic Pregnancy
Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.
Ectopic Pregnancy
Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.
Pregnancy Weight Gain
Expected weight gain during pregnancy differs depending on the mother's pre-pregnancy weight.
Pregnancy Weight Gain
Expected weight gain during pregnancy differs depending on the mother's pre-pregnancy weight.
Nonstress Test (NST)
A nonstress test (NST) is a non-invasive test done to examine the fetal heart rate and response to fetal movement.
Nonstress Test (NST)
A nonstress test (NST) is a non-invasive test done to examine the fetal heart rate and response to fetal movement.
Bishop Score
A Bishop score is used to determine maternal readiness for labor induction based on cervical readiness.
Bishop Score
A Bishop score is used to determine maternal readiness for labor induction based on cervical readiness.
Rh-Negative Patients
An Indirect Coombs test is used to determine if a pregnant patient is Rh-positive or Rh-negative.
Rh-Negative Patients
An Indirect Coombs test is used to determine if a pregnant patient is Rh-positive or Rh-negative.
AFP measurement
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
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)....
Depo-Provera Side Effect
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
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!
Premature Rupture of Membranes
To confirm Premature Rupture of Membranes (PROM), you can use one of these tests: Nitrazine paper test, Ferning test
Premature Rupture of Membranes
To confirm Premature Rupture of Membranes (PROM), you can use one of these tests: Nitrazine paper test, Ferning test
Injectible Medroxyprogesterone
Injectible medroxyprogesterone can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.
Injectible Medroxyprogesterone
Injectible medroxyprogesterone can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.
Diaphragm Patient Teaching
Important patient teaching about diaphragms: Diaphragms should remain in place for 6 hrs after intercourse; Reapply spermicide after intercourse.
Diaphragm Patient Teaching
Important patient teaching about diaphragms: Diaphragms should remain in place for 6 hrs after intercourse; Reapply spermicide after intercourse.
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