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Surviving OB Nursing Rotation: Know Your Female Body Anatomy and Pregnancy Basics

This presentation covers essential knowledge for nursing students on female anatomy, normal pregnancy, labor and delivery, and postpartum care. Stay organized with clinical skills help and patient education tips. Learn key abbreviations and drug information for maternity care. Understand fetal monitoring, abbreviations, and medical calculations. Prepare for clinical shifts and know important terminologies for obstetric care. Get ready for clinical rotations and understand abbreviations for labor and delivery. Improve your comprehension of medical terminology in obstetrics. Perfect for nursing students preparing for OB rotations.

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Surviving OB Nursing Rotation: Know Your Female Body Anatomy and Pregnancy Basics

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Presentation Transcript

  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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