My husband asked me a few weeks ago if the joy I used to get when attending a birth was still there now that I am at a birth nearly every day I'm at work. I told him, regrettably, that it did become somewhat routine for the most part. I am usually busy tending to the needs of the patient, making sure the doctor's orders are followed, lab work is normal, set up is ready in time for the birth and keeping a watchful eye on the fetal heart rate tracing - doing interventions as needed and alerting the doctor of any problems. Pretty clinical most of the time.
I hadn't really thought about it much... But, yeah... for the most part the joy I used to experience as a doula at births is largely gone. It made me sad to realize this.
Then, about a week or so ago, I attended a birth that transported me to that old joyful experience once again. It was a breath of fresh air. I can't put my finger on exactly why this particular birth touched me again... but it did. I found myself laughing and cheering at the end.. and when the baby was actually born, I was clapping! The labor nurse: clapping!! The doctor looked over at me and said, "You can start the pit now." And it snapped me back into reality: Oh, I am the nurse. Oops!
It was lovely. I wish I could say each birth still touched me the same way.. But I am at least glad to say that I am still able to be moved by birth.. If not every birth then some.
Showing posts with label bith. Show all posts
Showing posts with label bith. Show all posts
Thursday, July 29, 2010
Friday, September 26, 2008
An Awesome Responsibility
This past week a blue, limp and breathless baby was born.
And, the doctor handed her to me.
The resuscitation was successful. My colleagues were there beside me when I needed their help.
Being a Nurse is more than I envisioned it to be.
Being a Nurse is, by far, more than a job to me. It is a commitment. A commitment to learn and continue to learn. To care and hold no biases; pass no judgements. To relieve pain, but also to cause it sometimes; and, to embrace it when we must. To have days that are thankless and tasks that are messy. To be a part of a team, knowing I am not alone.
Mostly, being a Nurse is the act of pouring myself into my passion and being greatly rewarded for it.
And, the doctor handed her to me.
The resuscitation was successful. My colleagues were there beside me when I needed their help.
Being a Nurse is more than I envisioned it to be.
Being a Nurse is, by far, more than a job to me. It is a commitment. A commitment to learn and continue to learn. To care and hold no biases; pass no judgements. To relieve pain, but also to cause it sometimes; and, to embrace it when we must. To have days that are thankless and tasks that are messy. To be a part of a team, knowing I am not alone.
Mostly, being a Nurse is the act of pouring myself into my passion and being greatly rewarded for it.
Wednesday, June 4, 2008
Crunch Time
Only 2 days before I take state boards!! NCLEX ? Crunch time.
Here are some Obstetric Pharmacology NCLEX questions:
1) In assessing a premature neonate, which assessment finding should the nurse anticipate as a result of the ritodrine (Yutopar) therapy?
A. Respiratory distress
B. Hypertension
C. Hypothermia
D. Hypoglycemia
2) A client is scheduled for induction of labor at 40 weeks gestation. The nurse knows the safest technique for the antepartum administration of oxytocin (pitocin) is:
A. In an IV bag diluted per protocol
B. In an IV bag piggybacked into the main IV line
C. In two separate IM injections
D. IV bolus slowly over 20 minutes
3) Which assessment must the nurse make prior to the safe administration of IV oxytocin (pitocin)?
A. Cervical dilation
B. Fetal station
C. Maternal blood pressure
D. Fetal position
4) A client receiving magnesium sulfate for treatment of severe pregnancy induced hypertension (PIH) begins to show manifestations of magnesium intoxication, and the decision is made to administer calcium gluconate. The nurse will use which of the following methods to administer the calcium gluconate? Administration via:
A. Rapid IV push
B. IM injection
C. IV drip
D. Slow IV push
5) Which clinical finding would indicate to the nurse an adverse reaction to betamethasone (Celestone) in an antepartum client?
A. BP of 90/52
B. Muscle weakness and cramping
C. Temp of 103
D. Blood sugar of 64
6) Which does the nurse understand to be an action of dinoprostone (Prepidil)? It is a:
A. Vasodilator which can be used to stimulate contractions and induce labor in post-term clients.
B. Vasoconstrictor which can be used to delay the onset of premature labor contractions.
C. Vasodilator which can be used to ripen and soften the cervix in term clients.
D. Vasoconstrictor which can be used to increase uterine contractility in postpartum hemorrhage.
7) The nurse determines that administration of magnesium sulfate would be contraindicated for the:
A. Mildly pre-eclamptic multigravida client at 38 weeks gestation.
B. Severely pre-eclamptic multipara client in the first stage of labor.
C. Mildly pre-eclamptic primigravida client in preterm labor at 34 weeks gestation.
D. Primipara client with severe pre-eclampsia during the first post-partum day.
Answers: 1) D 2) B 3) D 4) D 5) B 6) D 7) A
Questions from Meds Pub Online Review
Here are some Obstetric Pharmacology NCLEX questions:
1) In assessing a premature neonate, which assessment finding should the nurse anticipate as a result of the ritodrine (Yutopar) therapy?
A. Respiratory distress
B. Hypertension
C. Hypothermia
D. Hypoglycemia
2) A client is scheduled for induction of labor at 40 weeks gestation. The nurse knows the safest technique for the antepartum administration of oxytocin (pitocin) is:
A. In an IV bag diluted per protocol
B. In an IV bag piggybacked into the main IV line
C. In two separate IM injections
D. IV bolus slowly over 20 minutes
3) Which assessment must the nurse make prior to the safe administration of IV oxytocin (pitocin)?
A. Cervical dilation
B. Fetal station
C. Maternal blood pressure
D. Fetal position
4) A client receiving magnesium sulfate for treatment of severe pregnancy induced hypertension (PIH) begins to show manifestations of magnesium intoxication, and the decision is made to administer calcium gluconate. The nurse will use which of the following methods to administer the calcium gluconate? Administration via:
A. Rapid IV push
B. IM injection
C. IV drip
D. Slow IV push
5) Which clinical finding would indicate to the nurse an adverse reaction to betamethasone (Celestone) in an antepartum client?
A. BP of 90/52
B. Muscle weakness and cramping
C. Temp of 103
D. Blood sugar of 64
6) Which does the nurse understand to be an action of dinoprostone (Prepidil)? It is a:
A. Vasodilator which can be used to stimulate contractions and induce labor in post-term clients.
B. Vasoconstrictor which can be used to delay the onset of premature labor contractions.
C. Vasodilator which can be used to ripen and soften the cervix in term clients.
D. Vasoconstrictor which can be used to increase uterine contractility in postpartum hemorrhage.
7) The nurse determines that administration of magnesium sulfate would be contraindicated for the:
A. Mildly pre-eclamptic multigravida client at 38 weeks gestation.
B. Severely pre-eclamptic multipara client in the first stage of labor.
C. Mildly pre-eclamptic primigravida client in preterm labor at 34 weeks gestation.
D. Primipara client with severe pre-eclampsia during the first post-partum day.
Answers: 1) D 2) B 3) D 4) D 5) B 6) D 7) A
Questions from Meds Pub Online Review
Tuesday, April 1, 2008
Subscribe to:
Posts (Atom)