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Obstetrical Nursing


Obstetrical Nursing



ASSISTED DELIVERY AND CESAREAN SECTION

Some women experience no problem giving birth to their babies. Others have difficulty and need assistance. Common procedures used to assist a baby's birth include forceps delivery, vacuum extraction and cesarean section. This course provides an overview of these procedures and details the Labor and Delivery nurse's responsibilities in regard to forceps delivery, vacuum extraction and C-section. The course also discusses the nurse's role in patient education regarding these procedures.

After completing this course, the learner should be able to:
  • List indications for assisted delivery
  • Define and describe the most common devices and techniques used in assisted delivery
  • Describe patient and equipment preparation procedures for C-section
  • Discuss the importance of patient education in emergent obstetrical situations

    DVD / 2015 / 17 minutes

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    CARING FOR THE ANTEPARTUM PATIENT

    The pregnant woman experiences significant changes during pregnancy that affect all of her major body systems and emotions. This program focuses on the physiological and emotional changes a woman goes through during pregnancy, and includes information that can assist the nurse in caring for and reassuring her pregnant patients. Patient history and prenatal care is also discussed.

    After completing this course, the learner should be able to:
  • Distinguish normal gestation from preterm gestation
  • Identify all of the major physical changes that occur during pregnancy
  • Distinguish how these wide ranging physical changes can affect a pregnant woman's physical and emotional functioning and well being
  • Identify appropriate information that should be gathered and tests that should be taken during initial obstetrical visits
  • Use specific terms to identify number of pregnancies and number of deliveries for each patient
  • Identify the various laboratory tests and monitoring procedures that must be performed at various points during the pregnancy

    DVD / 2015 / 22 minutes

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    CARING FOR THE POSTPARTUM PATIENT

    During the postpartum period of care, the patient may require a notable amount of physical and psychological care. This course focuses on the physiological, psychological and emotional changes a woman goes through during the postpartum period, and includes information that can assist the nurse in caring for and reassuring her postpartum patients. The course also discusses the importance of emotional support and patient education during the postpartum phase of care.

    After completing this course, the learner should be able to:
  • List and discuss the physiological changes that occur in the postpartum patient
  • List and discuss the psychological and emotional changes that can occur in the postpartum patient
  • Describe and perform physical assessment of the postpartum patient
  • Discuss the nurse's primary role during postpartum care
  • Discuss the importance of emotional support and patient education during the postpartum phase of care

    DVD / 2015 / 17 minutes

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    COMPLICATIONS OF PREGNANCY

    Complications of Pregnancy is designed to familiarize nurses with the different types of complications that can occur during pregnancy. The course also describes approaches for managing these complications, which can help ensure a safe and healthy delivery for mother and child.

    After completing this course, the learner should be able to:
  • Discuss various complications that can occur during pregnancy, including preterm labor, placenta previa, abruptio placenta, preeclampsia and eclampsia.
  • Identify the most common signs and symptoms of each of the complications described.
  • Describe techniques and methods that are commonly used to manage these pregnancy complications.
  • Discuss strategies that nurses and other healthcare personnel can use to help the mother carry her pregnancy to term and deliver a healthy newborn.

    DVD / 2015 / 20 minutes

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    ELECTRONIC FETAL MONITORING

    While most births occur naturally and without complication, some do not. The labor and delivery nurse must be able to use effective monitoring systems in order to observe changes in the status of the fetus during labor. By understanding the latest monitoring techniques and equipment, including electronic fetal monitoring systems, the nurse can help to create a positive delivery outcome for her patients. This program focuses on the latest electronic fetal monitoring devices and practices.

    After completing this course, the learner should be able to:
  • Identify the most commonly used types of fetal monitoring equipment
  • Explain how the electronic fetal monitor is attached and used
  • Educate patients regarding fetal monitoring
  • Monitor for complications during labor using different monitoring techniques

    DVD / 2015 / 25 minutes

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    LABOR AND DELIVERY

    Labor and Delivery is designed to familiarize nurses with the labor process and introduce guidelines and practices that can be used to manage the process and help ensure good delivery outcomes for patients.

    After completing this course, the learner should be able to:
  • Define and describe the four stages of labor
  • Differentiate between the stages and phases of labor
  • Discuss in detail, the nursing care that should be performed through each phase and stage of labor

    DVD / 2015 / 16 minutes

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    NEWBORN STABILIZATION AND CARE

    Newborn Stabilization and Care is designed to familiarize nurses and others with newborn stabilization and care practices.

    After completing this course, the learner should be able to:
  • Discuss physiological changes that occur at birth that allow the neonate to adapt to life outside the uterus
  • Assess and provide for the stabilization needs of the healthy neonate
  • Explain the use of the Apgar test
  • Describe the key steps that must take place if the newborn is suffering from respiratory distress

    DVD / 2015 / 17 minutes

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    PAIN CONTROL

    Labor is the apt term to describe the birthing process, which is laborious and painful. Pain Control describes how the body responds to pain during labor, and provides a detailed overview of the different pain relief techniques and medications that are available.

    After completing this course, the learner should be able to:
  • Discuss how the body responds to pain during the stages of labor
  • Define various non-pharmacologic methods of pain relief for the mother
  • Discuss the different types of medication and regional anesthesia that can be used to reduce pain during labor
  • Describe advantages and disadvantages of different pain relief methods
  • Compare the effects of different types of pain relief medications on both the mother and fetus

    DVD / 2015 / 15 minutes

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    ANTEPARTAL NURSING ASSESSMENT

    This video covers the essential components of a prenatal history, defines common obstetric terminology found in the history of maternity clients and factors related to the father's health that are generally recorded on the prenatal record. It describes areas that should be evaluated as part of the initial assessment of psychosocial and cultural factors related to a woman's pregnancy and the normal physiologic changes one would expect to find when performing a physical assessment of a pregnant woman. The lecture emphasizes on the methods most commonly used to determine the estimated date of birth and development of an outline of the essential measurements that can be determined by clinical pelvimetry. Students will understand the possible causes of abnormal findings during the initial or subsequent prenatal examination and relate the components of the subsequent prenatal history and assessment to the progress of pregnancy.

    DVD / 2012

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    ASSESSMENT OF FETAL WELL-BEING

    This video identifies pertinent information to be discussed with the woman regarding her own assessment of fetal activity and methods of recording fetal activity. It looks at indications and interprets findings for ultrasound examination during pregnancy, procedure and information obtained from Doppler velocity, nonstress test, contraction stress test, and biophysical profile tests. The lecture covers the use of amniocentesis as a diagnostic tool and tests that can be done on amniotic fluid together with the advantages and disadvantages of chorionic villus sampling (CVS).

    DVD / 2012

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    INTRAPARTAL NURSING ASSESSMENT

    This video lecture covers high-risk screening and intrapartal assessment of maternal physical and psychosociocultural factors and looks at methods used to evaluate the progress of labor. The lecture describes auscultation of fetal heart rate, the procedure for performing Leopold's maneuvers and the information that can be obtained. It differentiates between baseline and periodic changes in fetal heart rate monitoring and describes the appearance and significance of each while outlining steps to be performed in the systematic evaluation of fetal heart rate tracings. Student learn nonreassuring fetal heart rate patterns and appropriate nursing responses and care of the family undergoing electronic fetal monitoring. Furthermore, the lecture includes the indications for fetal blood sampling, related pH values and how fetal oxygen saturation (FSpO2) monitoring uses pulse oximetry to monitor fetal oxygenation within the fetal blood to determine if hypoxia is occurring

    DVD / 2012

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    MATERNAL NEWBORN AND CHILD HEALTH NURSING

    This video discusses the nursing roles available to the maternal-newborn and pediatric nurses. It summarizes the use of community-based nursing care in meeting the needs of childbearing and childrearing families and the current status of factors related to health insurance and access to healthcare. Following statistical terms relevant to healthcare such as birth rate, infant mortality rate, neonatal mortality rate, and maternal mortality rate are defined and goals identification for client safety developed by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO). Students learn significant legal and ethical issues that influence the practice of maternal-child nursing. Discuss the role of evidence-based practice in improving the quality of nursing care for childbearing families.

    DVD / 2012

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    PREGNANCY AND CHILDBIRTH: THE REAL STORY (PROFESSIONAL EDITION)

    The wonder of pregnancy and childbirth is an exciting and stressful time for mothers as well as fathers. This engaging, interview led program transitions from conception to birth as it covers the key developmental stages in each trimester. Experts interviewed include midwives Kelly Langford and Jan Ireland, and obstetrician Dr Lionel Steinberg. In parallel, we follow a mother's journey across the nine months. The program documents foetal development, outlines key medical tests, the emotional and physical aspects of pregnancy, birthing options and the birthing process. An invaluable resource for those entering the fields of health care, midwifery, psychology and medicine, it combines medical information with the human experience.

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    DVD / 2012 / (Professional) / 22 minutes

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    POSTPARTUM MOOD DISORDERS

    Laura Miller, MD; Katherine L. Wisner, MD; Susan Baab, RN, MSN, CS

    Understand the clinical features of ostpartum 'blues', depression and psychoses. Understand the differences in clinical presentation and correlates, etiology and course of illness for the three categories of postpartum disorders; Identify medications which are reasonable choices for women with postpartum depression; Develop a monitoring plan for babies whose mothers take antidepressants and breastfeed; Learn the precautions of treating them under those circumstances; Gain an understanding of the best treatment options for postpartum bipolar women, including breastfeeding mothers, after a careful cost-risk analysis.


    DVD / 2011 / 60 minutes

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    CARDIOPULMONARY ASSESSMENT AND CARDIAC ANOMALIES

    The program begins by offering an overview of fetal circulation. With this foundation, it goes on to examine the issues related to cardiopulmonary assessment. Topics such as acrocyanosis, retractions, transient tachypnea and infant respiratory distress syndrome are presented. The program then presents and discusses cardiac anomalies. The four categories of cardiac defects are highlighted and the eight most common cardiac defects are outlined.

    DVD / 2010 / 18 minutes

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    GESTATIONAL AGE AND NEWBORN REFLEXES

    This program focuses on the New Ballard Gestational Age Assessment. In the process of this discussion, both the assessment of neuromuscular maturity and that of physical maturity are examined. As the infant is assessed, reference is made to the system developed by Dr. Jeanne Ballard. The program concludes with a presentation of 13 newborn reflexes.

    DVD / 2010 / 18 minutes

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    PHYSICAL ANOMALIES AND NEUROLOGIC ISSUES

    The program begins with an examination of such physical anomalies as neural tube defects (anencephaly, spina bifida and meningocele), craniosynostosis and cleft lip and palate. Additionally, features such as simian crease, pilonidal sinus, and gastroschisis are presented. The presentation of neurologic issues includes a brief discussion of the infant brain and neurons and leads to a detailed discussion of neonatal hypoglycemia. This detailed view of neurologic assessment concludes with a presentation of pathologic jaundice, its causes and intervention strategies.

    DVD / 2010 / 19 minutes

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    THE FIRST 10 MINUTES

    This program begins with a discussion of primary roles of the placenta and umbilical cord during pregnancy. It goes on to describe the role of surfactant in the lungs and presents the current understanding of factors which foster the newborns first breath. Other topics addressed include: steps to be taken if there is meconium in the amniotic fluid, the four routes of heat loss and the seven factors which increase a newborn's susceptibility to cold stress. The presentation ends with an overview of the APGAR score and its role in newborn assessment.

    DVD / 2010 / 18 minutes

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    THE HEAD TO TOE ASSESSMENT

    This program looks at the complete head to toe assessment of the newborn. It begins with a discussion of vital signs and continues with presentation of issues related to eye care. Weighing and measuring are examined including presentations of "normal" values. As the assessment continues, the trunk, umbilical cord, skin, extremities, genitalia and anus are discussed. The program concludes with a presentation of issues related to newborn screening such as phenylketonuria (PKU).

    DVD / 2010 / 18 minutes

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    IMPORTANCE OF POSTPARTUM HOME VISITS

    Linda J. Tandy, MSN, RN, CCM, IBCLC

    Identify postpartum patients; List common early healthcare needs of the patient; Nursing interventions for identifying patients; How skilled nurses can effect change through education.


    DVD / 60 minutes

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