Stephanie Reid Mentor Student Nurse NUSNA Peer Mentoring Program

* 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

Lecture notes are awesome…Jen knows her stuff! Go over ATI tutorials for help with clinical skills…

* 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…

* Fundus * Lochia * Placenta (Please see common abbreviations forms)

* 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

* V. ariablesC. ord compression * E. early decelsH. ead compression * A. ccelerationsO. are Okay * L. late decelsP. placental insufficiency

* 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!!

* 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

* 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)

* 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

* 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? ml/5 hrs= 1200 ml/hr= 20 mL/min)

* 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”)

* Nullip= para 0 (never given birth before, could have been pregnant before though!) * Primip= one birth * Multip= multiple births * Grand multip= 5+ births