The nurse’s role in maternity, women’s health and pediatric nursing ch 2

The Nurse’s Role in Maternity, Women’s Health
and Pediatric Nursing Ch 2 The various roles of the professional nurse
are listed on the screen. As a care provider the nurse cares for women,
infant, children and their families in time of childbearing, illness, injury, recovery
and wellness Teaching is a huge part of OB nursing for
sure. Even moms who have had multiple children need
to have education or at least reinforcement of information. When you do your clinical for OB you will
do a teaching plan every week. Collaborator is when you coordinate and manage
care of your patient. This can be with midwife, physician, social
worker or any other referrals that are needed. Researcher involves staying current in your
nursing practice. Using evidence-based practice is a necessity
while caring for your patient to help reach the best outcomes. Advocate is when you speak on behalf of someone. This can be used when caring for an unborn
fetus, a newborn or pediatric patient. There are various advanced roles you can obtain
for OB or Peds. CNM can care for low risk women and deliver
babies. Nurse practitioners can specialize in women’s
care. Clinical nurse specialists have become expert
in that area. For example: women’s health
Clinical nurse leaders are more general but focus more on patient safety, quality of care
and positive outcomes. Listed on the screen are the various places
a nurse can work who have an interest in the OB or peds nursing
You should be familiar with therapeutic communication so this should be a review. A few guidelines when having a therapeutic
conversation need to include: Calm setting which includes privacy
Being sure to introduce yourself and clarify what your role is
Being aware of your nonverbal cues and Using active listening
Examples of techniques are listed in box2-2 in your book. The nursing process for OB/Peds nursing is
the same as any other type of nursing. You first must assess. You will find that many times you are doing
a head to toe assessment once during your shift (depending on patient status) and then
the rest of your assessments are just a focus assessment. For our peds population you have to determine
why they are there and then what is the most important part of that assessment. For example, if they had their appendix out,
your focus assessment would consist of incision, bowels sounds, pain etc. We will talk more about focused assessments
for OB patients when we discuss postpartum assessments. There are special nursing diagnosis for the
OB and newborn population. One of the hardest things for students to
do is to determine nursing diagnosis that are pertinent to the OB population. Many times these are healthy patients so you
are using more psychosocial diagnosis instead of medical issues. For the newborn and peds population many times
your nursing diagnosis may be geared more toward the parents. Planning will include goals. Once again this may be geared toward the parent
if it is not appropriate for the patient. You will implement your interventions. Be patient specific and then you must evaluate. Complementary health therapies may be used
instead of conventional medical therapy or in addition to it. As nurses we must assess if any of these are
being used as some may not be safe in regards to other meds, tx’s ect. Evidence based nursing is crucial to providing
positive outcomes for your patients. Listed are different resources to use when
providing care to the OB/Peds population

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