Full Description
Nurses who are new to the labor and delivery (L&D) environment will welcome this newly updated, succinct, easy-to-use orientation guide for everyday labor and birth management practices. It is designed for speedy access to fundamental information about the most common L&D procedures and encourages the development of independence and confidence for new RNs orienting to this practice environment. The second edition has been revised to include new and updated practice guidelines for cesarean delivery, episiotomy, labor pain management, postpartum hemorrhage, preterm labor and birth, shoulder dystocia, umbilical cord blood storage, vaginal delivery, and breastfeeding. A completely new entry addresses meconium aspiration syndrome and two new appendices feature quick-reference charts and tables and an alphabetical synopsis of pertinent drug-related information.
New illustrations depict and facilitate understanding of effacement and dilation of cervix, breech presentation and delivery, umbilical cord prolapse, placental abruption, and other topics. Designed to fit in a pocket, the resource provides clear, step-by-step descriptions of commonly occurring practices and procedures in bulleted format. It covers L&D terminology, equipment, labs, medications, complications, and algorithms to help foster critical thinking and establish a concrete knowledge base. The book highlights potential OB complications and is full of examples and pearls of wisdom concerning the handling of emergencies and unexpected outcomes.
New to the Second Edition:
A completely new entry on meconium, with information on meconium aspiration syndrome
New quick-reference charts and tables (Apgar score, Bishop score, drug tables, and more)
New illustrations for labor and delivery protocol
Key Features:
Provides speedy access to fundamental L&D information
Presents succinct, step-by-step descriptions of commonly occurring procedures
Contents
Kathryn "Cassie" Giles Groll, DNP, CNM, is a doctorally prepared, certified nurse midwife, who is part of a full-scope OB/GYN private practice in New Jersey. She earned her master's degree in nursing and doctoral degree from the University of Medicine and Dentistry of New Jersey. She is licensed in both New Jersey and New York as a certified nurse midwife with prescriptive authority and as an OB/GYN nurse practitioner in the state of New York. She has worked as a midwife since 2006 and clinically as an RN in obstetrics in a variety of capacities, including as a clinical instructor of obstetrics at Columbia University, New York, and in the high-risk women's health float pool at New York-Presbyterian/Weill Cornell Medical Center, New York. She is a member of the American College of Nurse-Midwives, the Medical History Society of New Jersey, and Sigma Theta Tau International Honor Society of Nursing. She has served as an advocate for sexual assault victims in Somerset, New Jersey.
Contents
Preface
Acknowledgments
Part I: General Orientation and Labor and Delivery Overview
Amniotic Fluid
Antepartum Tests
Apgar Score
Bishop Score
Breastfeeding
Cervix in Labor
Cesarean Section (C/S)
Dating a Pregnancy (Assessment for Gestational Age)
Drug Classifications
Electronic Fetal Monitoring (EFM)
Emergency Drugs
Fetal Demise (IUFD)
Fetal Kick Counts
Gestational Diabetes Mellitus (GDM)
Group B Streptococcus (GBS)
Labor Progression
Labs
Magnesium Sulfate (MgSO4)
Montevideo Units (MVU)
Multiple Gestations
Newborn
Pain Management
Pitocin
RhoGAM
Surgical Instruments
Vaginal Birth After Cesarean Section (VBAC)
Vaginal Delivery
Part II: Procedures
Amniotomy
Amnioinfusion
Biophysical Profile (BPP)
External Cephalic Version
Fetal Fibronectin (fFN)
Fetal Scalp Sampling
Nonstress Test (NST)
Operative Vaginal Delivery
Part III: Emergencies
Abruptio Placentae
Amniotic Fluid Embolism
Bleeding in Pregnancy
Breech
Chorioamnionitis
Hypertension in Pregnancy
Meconium
Placental Abnormalities
Postpartum Hemorrhage
Prematurity
Shoulder Dystocia
Umbilical Cord Prolapse
Appendix A: Abbreviations
Appendix B: An Alphabetic Synopsis of Medications Commonly Used in Pregnant and Postpartum Women
Appendix C: General Charts
Notes
Index
