My Observation In Nursing

As part of my maternal nursing experience, I spent a day in a maternity floor where I observed a birth and learned more about labor and delivery. I paired with a registered nurse (RN) whose role for the day was to monitor, assess, and support her patient who was in active labor. Roles for other RNs were to care for newborns in the nursery and for the postpartum mothers currently in the ward. The charge nurse oversaw the maternity floor and helped the other RN’s as needed. Within the nurses, they coordinated lunches and breaks to ensure the unit was adequately staff all the time.
I observed an assessment of a laboring mother and her family. When we arrived, the patient was in the second stage of labor ready to push. The RN had the background information she received during report and incorporated it during her shift. The mother had a spontaneous rupture of membranes (SROM) about 24 hours ago, and was admitted shortly after. Because her contractions were not strong enough to dilate the cervix, Pitocin was given intravenously and she was monitored continuously thereafter. The cardiotocography (CTG) was placed on her abdomen to monitor for uterine contractions and fetal heart rate. The on-call midwife was attending the delivery and was in the room for majority of the time.
The RN briefly explained me how to interpret the CTG monitor to determine the …show more content…
The RN addressed these by creating a healing environment with low lights and limited noise. Comfort measures for the mother were encouraging the use of the patient-controlled analgesia (PCA) as needed and applying cool wash cloths to her forehead. The RN and the midwife were attentive to the patient’s need as well as the family members that were in the room, by keeping them informed of the mother’s progress throughout the labor and