By Cassie Giles Groll DNP RN CNM
Nurses who're new to the hard work and supply (L&D) setting will welcome this newly up to date, succinct, easy-to-use orientation advisor for daily hard work and start administration practices. it really is designed for fast entry to basic information regarding the commonest L&D tactics and encourages the improvement of independence and self belief for brand spanking new RNs orienting to this tradition setting. the second one variation has been revised to incorporate new and up-to-date perform guidance for cesarean supply, episiotomy, hard work discomfort administration, postpartum hemorrhage, preterm hard work and beginning, shoulder dystocia, umbilical wire blood garage, vaginal supply, and breastfeeding. a very new access addresses meconium aspiration syndrome and new appendices characteristic quick-reference charts and tables and an alphabetical synopsis of pertinent drug-related information.
New illustrations depict and facilitate realizing of effacement and dilation of cervix, breech presentation and supply, umbilical wire prolapse, placental abruption, and different subject matters. Designed to slot in a pocket, the source offers transparent, step by step descriptions of in general happening practices and approaches in bulleted layout. It covers L&D terminology, gear, labs, medicinal drugs, issues, and algorithms to assist foster severe considering and identify a concrete wisdom base. The publication highlights strength OB issues and is filled with examples and pearls of knowledge in regards to the dealing with of emergencies and unforeseen outcomes.
New to the second one Edition:
- A thoroughly new access on meconium, with details on meconium aspiration syndrome
- New quick-reference charts and tables (Apgar rating, Bishop ranking, drug tables, and more)
- New illustrations for hard work and supply protocol
- Provides quick entry to basic L&D information
- Presents succinct, step by step descriptions of regularly taking place procedures
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Additional resources for Fast facts for the L&D nurse : labor & delivery orientation in a nutshell
Bili Hgb WBC Plt HCT AST glucose PT ALT Alk P INR PTT Ca Mg PO4 FAST FACTS in a NUTSHELL If at any time a patient may need to have a C/S, blood bank should be called and 2 units should be crossmatched and readily available. Refrigerator in unit should also have O neg (emergency release) blood and should be checked to ensure it is not expired at the beginning of every shift.
Philadelphia, PA: Lippincott Williams & Wilkins. Simpson, K. , & Creehan, P. A. (2013). ). Philadelphia, PA: Lippincott Williams & Wilkins. 25 mg SQ q 20–30 min PRN May cause maternal tachycardia Magnesium sulfate (MgSO4) Loading dose: 4–6 g IV, then 2–4 g IV/hr Serum magnesium (Mg) level should be drawn q 6 hr. Levels should be between 6 and 8 mg/dL Levels 8–10 mg/dL + decrease deep tendon reflexes Levels 13–15 mg/ dL + respiratory distress Levels >15 mg/dL + cardiac arrest Monitor I&O Manage IV drip so no more than 125 mL/hr infuses Antidote: calcium gluconate 1 g IV over 3 min (continued ) EMERGENCY DRUGS 31 EMERGENCY DRUGS 32 I.
Ultrasonography in pregnancy (Practice bulletin no. 101). Washington, DC: Author. , Kriebs, J. , & Gegor, C. L. (2015). ). Sudbury, MA: Jones and Bartlett. 23 DATING A PREGNANCY (ASSESSMENT FOR GESTATIONAL AGE) • LGA/SGA • Maternal weight • Fetal anomalies I. GENERAL ORIENTATION AND LABOR AND DELIVERY OVERVIEW 24 DRUG CLASSIFICATIONS IN PREGNANCY A Controlled studies of pregnant women do not show any adverse effects on fetus B Animal studies have shown no adverse effects on fetus, but no controlled study has been performed on pregnant women C Either there are no studies on animals or pregnant women or animal study showed adverse effect on fetus D Studies on pregnant women did exhibit an adverse effect on fetus.