Nursing Of The Childbearing Family Maternity

On November 23, 1993, Doe was seen by an obstetrician, Dr. James Meserow, at the St. Joseph’s Hospital in Chicago. This was the first time Doe was seen by Dr. Meserow, but she had been receiving regular prenatal care throughout her pregnancy. Upon giving Doe the usual check-up, he determined from a series of tests that the baby was under duress due to an issue with the placenta. At this point, it is important to recognize that Doe is a mentally competent woman carrying her first child, and the fetus is currently around 35 weeks. It also important to recognize that Dr. Meserow is a board-certified obstetrician/gynecologist. Dr. Meserow informs both Doe and her husband of the diagnosis and highly recommends either an immediate cesarean section or to induce labor in order to prevent any further potential damage to the fetus due to the lack of oxygen from the compromised placenta. Doe refuses both of the recommendations based on her religious convictions that God will heal her child and keep it safe from any harm, and will, therefore, wait to have a natural childbirth.

On my journey of becoming a registered midwife, I firstly gained experience working in the NHS as a volunteer on the postnatal ward at the Royal Free Hospital. This post has not only given me an excellent insight into the work of a clinical midwife, but helped me to enhance my communication skills and build my confidence in working in a hospital environment. The continuous training opportunities and the supportive staff has made me more confident that working as a part of the NHS team is the right career choice for me.

The onset of her labor was on a Saturday morning. She thought she had had too many tacos, but then she lost her mucus plug. Labor was slow because her cervix would not dilate. She went to the hospital more than once, but the maternity ward would not admit her because her cervix was stuck at two centimeters. The obstetrics staff advised her to walk around which she did. She took multiple hot baths to help with the pain. She was in labor and awake on and off from Saturday morning until Monday night when she finally gave birth at Kaiser hospital in Riverside, California.

The following assignment will be written in first person as it is reflective in nature. Bulman and Schutz (2004) agree that to learn from an experience practitioners should go beyond description and reflect on that experience. The aim of this piece is to reflect on my role as a mentor and demonstrate my awareness of the responsibilities involved, whilst paying particular attention to the required learning outcomes 2-5 of the module. In keeping with the NMC (Nursing and Midwifery Council, 2008) Code of Conduct anonymity will be adhered to and therefore no names of people or places will be mention.

This community resource utilizes nurses in several different methods in order to help women with postpartum. In this program, nurses are members of the profession because they assess and evaluate the patient needs and communicate with the medical team the care needed to be implemented in order to provide the patient with the proper resources, to promote a successful and positive postpartum experience. As well as working with members of the health care profession to assist the patient for an optimal outcome for the mother and baby.

On my second day, the first labor I witnessed took place very fast. The mother doesn’t have to do much pushing and the baby slipped out of her. During this time, the only nurse available is my preceptor. This is not what I expected to happen based on my experience from last semester clinical simulation and

Throughout most of the shift, my nurse preceptor and I were in the patient’s room either evaluating her and the fetus, performing exams, taking vital signs, administering medications and fluids, charting, or reading the fetal monitoring strips. We also kept in regular contact with the physician to keep him up to date on the patient’s status and to receive new orders. We also spent a lot of time talking to the patient, her mother, and her boyfriend. They were concerned for the status of the mother and the baby. We explained to them that both the mother and the baby’s heart rate was high and their goal was to decrease them both. In addition, my nurse preceptor explained how we were administering Tylenol and amoxicillin to reduce the fever and

When first beginning my shift, I decided to take vitals on both of my patients. While I was taking the mothers vitals I asked her if she was in any pain and she had verbalized that she was having some pain in her perineum due to her laceration. Therefore, before beginning my assessment I administered Tylenol/codeine along with providing her with some tucks to assist her providing some relief from pain. I also ensured to document my administration of medication and followed up with an evaluation of her pain approximately forty-five minutes later. After evaluation, she had reported a level of pain of 1/10. Furthermore, I also performed ongoing shift-assessments of both the newborn and mother followed by documentation on CPN. One of my main highlights

One of the reasons our particular volunteering will be relevant to nursing is that we will be helping to spread information about pregnancy to those who might be unaware of the opportunities and possibilities available to them. Through this volunteering, we are helping to educate soon-to-be mothers on ways that they can avoid an abortion – saving the child’s life and comforting the mother during an emotionally stressful time. As nurses, we will

Adequate discharge instructions are essential before releasing a patient from the hospital. Inadequate instructions could lead to hospital readmissions, adverse events after leaving the hospital, misuse of medical equipment or medicine, failure to follow-up with providers, and can increase the cost to the patient in the end. This is no different in the postpartum period. New mothers and fathers are expected to leave the hospital knowing everything about taking care of a newborn, and these hospital stays keep getting shorter. In the Mercy Ardmore facility, mothers and babies are discharged in 24 hours after a vaginal delivery and 48 hours after a cesarean section, as long as there are no medical complications. This leaves little time to teach new parents all there is to know about newborn

Discharge counseling was done with Mrs. Esperanza, she understood all instructions provided, as follows: physical signs and symptoms that may indicate a problem, post partum home care, resumption of sexual intercourse, the importance of follow-up visits for mother-baby checkups and contraception. After counseling was performed the identification for both mother and child were verified. Mrs. Esperanza was escorted to her car by her spouse and hospital staff nurse. A car seat was brought in by Mrs. Esperanza’s husband and the baby was transported off the hospital premises safely secured in a rear-facing infant car seat. --------------------------------------I.Sanchez, RN 007

Childbirth can be described as one of the most rewarding and also painful experiences in a woman’s life. Most women choose some type of method to ease pain, however, there has been a lot of controversy over which pain management method is the most effective. Not only is the pain management method a factor, mothers have to choose which type of childbirth is right for them. Women can choose from out-of-hospital or in-hospital births and with the exception of complications, they can decide whether they want to deliver naturally or have medicinal assistance. The Center of Disease Control and Prevention reports that the percentage of out-of- hospital births has increased from 1.26% of U.S. births in 2011 to 1.36% in 2012, and has been increasing

Mrs. L. is 29 years old female and has been pregnant for 30 weeks. After a car accident, she has abdominal pain and vaginal bleeding. Her vital signs are RR:20, P:104, BP:80/50, T:37.5, pain level: 6 out of 10, and she needs an emergency C-section. To prepare the patient for surgery, the staff nurse and I give her a 16 gauge intravenous catheter insertion. During the procedure, Mrs. Lee is screaming, shaking and tearful. Both the staff nurse and I are stressed during the

The post-partum section of the women’s department is dedicated mostly for women who have already given birth. Although they have a labor and delivery room set up just in case any surprise or emergency births occur. I was told in my orientation that this room is rarely used and if it does get used than the most of the nurses will be working with that mother in labor. When I came into the hospital to volunteer, I noticed that the room was occupied and the nurses were working on the laboring mother. Since I am not qualified to help out the nurses during this situation, I went to my post at the nurse’s station and watched the phone that is linked to the other patient rooms.

For the longest time I wanted to begin a career as a Certified Nurse-Midwife (CNM), to help women give birth and to witness the commencement of new life over and over again. While I may still do this but am on the fence about what I’ll choose to specialize in, I know I will pursue medicine, simply to extend my knowledge of this practice as far as possible; but I also want to do my part in the effort to change it. Because life is precious to you and it’s precious to me, and first and foremost, I want to protect that.