Nursing assessments during labor: Assessments required during labor include: monitoring fetal heart rate (110-160bpm) and rhythm, observe membranes for rupture assessing color, odor, and clarity of fluid. Fluid should be clear, if green it could indicate fetus has passed meconium before birth, which could indicate problems for fetus. If membranes have ruptured, assess fetal heart rate (FHR) for at least one minute after rupturing. Perform vaginal exams (limit to avoid introducing microorganisms) to determine level of dilation and effacement. Monitor maternal vital signs: blood pressure (BP), pulse (P), respiratory rate (RR), and oxygen saturation (O2). Observe for infection or hypertension by systolic BP being over 140mmHG/90mmHG and temperature above 38C (100.4 F). Monitor mother for contractions, asking how she’s feeling, and facial expressions. Contractions should be every 2-3minutes, lasting 40-90 seconds, with an intensity of 50-80mmHg. Record intake and output (including intravenous therapy). Observe for bladder distention by checking suprapubic area every 2 hours.
Nursing assessments during birth: Assessments during birth includes observing perineum for damage or bleeding. Bleeding is normal, but should not exceed saturation of more than one pad in one hour. Assess birth canal for injuries. Assist with birth of infant and suction nose and mouth to prevent aspiration. Assess infant’s airway. Observe placenta to check for intactness. Monitor FHR during birth and
The duties of a neonatal nurse comprise of caring for newborns with a variety of problems such as premature birth, surgical complications, heart malformations,
Ever since I was a little girl, I was always telling my parents I wanted to be a doctor to help people. As I got older my sisters had babies and I always wanted to hold them and take care of them furthermore, just recently I had come across a defined profession caring for infants in a great deal of need. I have been interested in helping people in need, performing surgeries and caring for infants since I was approximately eight years old. I have recently been doing some research on a Neonatal Nurse Practitioner (NNP), and believe that the job description fits me well. I would find a colossal amount of joy in being a NNP because I love being around babies and would enjoy being able to make a difference in their early life, as well as in their family’s lives.
Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the
Ever since I was about 10, I was extremely interested in becoming a neonatal nurse practitioner. I love babies and love helping others so I figured this particular job could be perfect for me. A neonatal nurse practitioner means you provide care for newborns in need of specialized attention for about the first month of their life. These newborns are usually premature or very sick and the nurse practitioners are usually their primary caregiver. NNP’s are responsible for their patients, exercising judgment when necessary to assess, diagnose, and initiate medical procedures. Many tasks include monitoring specialized equipment, including incubators and ventilators. Providing education and support to patients’ families regarding neonatal, intensive
Providing an effective care and support to the patient and for their babies during labour
Maternity Care and Delivery is a totally different situation that involves the health and well being of two patients, the mom and the baby. The procedures we code for would include the monitoring
The aim of this assignment is to explore the four stages of APIE, explaining their importance in nursing, as well as identifying possible problems within the stages, in relation to the videos of Joe. These issues will then be anaylsed using theory, to create possible explanations and consequences for the behaviour and actions shown by Joe and the nurses.
Immediately after birth, the newborn has an identification band put on. One band is put on the ankle, one on the wrist. The newborn has footprints done immediately. Included on the footprint sheet are the newborn’s name, sex, DOB, time of birth, and mother’s health record.
Labor and delivery nurses not only get to assist in delivery, but they get to help care for babies after delivery. After birth, the baby’s umbilical cord must be cut. Typically, the father of the baby will cut the cord, but if the cord is wrapped around the baby’s neck, it can restrict blood flow and must be cut immediately (Winder). The doctor must take charge and free the baby from choking by cutting the cord as quickly as possible. The nurse must remain calm and be ready to quickly check the baby to make sure everything is looking healthy. They must check its heart beat, clean out its nose and mouth, make sure it is breathing normally, make sure it has all ten fingers and toes, and check the weight and length of the baby (What Can I Do Now? Nursing
The nurse must be mindful of each intervention initiated and the possible benefits of the intervention against its potential harmful effects for both mother and fetus. Not providing basic comfort measures for the mother can cause serious physical and emotional problems and could lead to possible fatigue and feelings of failure from the mother. The priority of this nursing intervention is to provide the mother and fetus with the least discomfort as possible and
Nurses are a vital component in patient care. The importance of conducting efficient nursing assessments is critical in order to provide both patient-centered care and safe, effective patient healing. Nurses are often responsible for taking care of patients with very complex disease processes. They frequently provide care to patients with illnesses such as Chronic Obstructive Pulmonary Disease (COPD). According to the Centers for Disease Control and Prevention, in 2014, approximately 6.8 million adults were diagnosed with COPD within the Unites States. The completion of proper assessments and initiation of interventions for these patients are crucial in order to prevent further complications of the illness.
In many U.S. hospitals today the patient care that women receive during management of labor and delivery doesn’t look very evidenced based. Electronic fetal heart rate monitoring (EFM) is the most common form of intrapartal fetal assessment in the United States. We continue to see widespread use of EFM in low risk pregnancies. Electronic fetal monitoring is standard procedure despite numerous randomized controlled trials that have disproven its validity. It is routinely used, yet does not decrease neonatal morbidity or mortality compared to the use of intermittent auscultation. Intermittent auscultation of the fetal heart rate is an acceptable option for low-risk laboring women, yet it is underutilized in the hospital setting. Several expert organizations have proposed the use of intermittent auscultation as a means of promoting physiologic childbirth. So why do we use continuous EFM in the low risk pregnancy and what does the best evidence support and how can nurses apply the best available evidence to practice? As a patient advocate it is the nurses responsibility to answer these questions and provide the low-risk pregnant woman with current evidence about options for fetal heart rate assessment during labor.
monitor fetal heartbeat. In the first stage of labor , the neck of the uterus,
The nurse would want to ensure adequate nutrition for the baby and preventing aspiration or infection