OB Reflection Paper 1
OB Reflection Paper #1
Jacob J. Felix
University of Detroit
Professor Melissa Major
January 11, 2015
On Monday January 5th I along with other nursing students were assigned to the OB clinical at Henry Ford Hospital Detroit. We met Professor Melissa Major, who was assigned to be our instructor at Henry Ford Hospital Main Campus. We were taken on a tour of the Labor, Delivery, and Recovery, Neonatal Intensive Care Unit, and Postpartum. I began to observe how all three areas contribute and coincide with greater outcomes of mother, baby, and family in patient care. Furthermore LDR is the starting point of the overall framework of labor, birth, and what occurs after the birthing process. On the LDR unit the writer was able to observe a patient who was a Hispanic woman in her early twenties who was pregnant with a baby girl. The patient reason for visit was induction due to her being 41 weeks pregnant. The writer knows that serious problems such as placental insufficiency leading to decrease in amniotic fluid volume (ogliohydramnios) and umbilical cord compression, fetal compromise due hypoxia from meconium aspiration, and postmaturity syndrome which is hypoxia and malnourishment in the fetus (Ashwill, James, McKinney, Murray, & Nelson 2013). The writer also observed an external fetal monitor on the patient’s abdomen. An external fetal monitor consists of the devices of an Ultrasound/Doppler and a Tocodynamometer that are secured on belts that are fasten on the mother’s abdomen (Ashwill, James, McKinney, Murray, & Nelson 2013). Ultrasound/Doppler monitors the fetal heart rate noting if there are any accelerations or decelerations (Ashwill, James, McKinney, Murray, & Nelson 2013). Tocodynamometer monitors contraction frequency and durations (Ashwill, James, McKinney, Murray, & Nelson 2013). The writer also found in an unoccupied room a delivery cart and warmer that helps regulate the newborn’s body temperature due to the newborn relatively small body mass. Just as
Jacob J. Felix
University of Detroit
Professor Melissa Major
January 11, 2015
On Monday January 5th I along with other nursing students were assigned to the OB clinical at Henry Ford Hospital Detroit. We met Professor Melissa Major, who was assigned to be our instructor at Henry Ford Hospital Main Campus. We were taken on a tour of the Labor, Delivery, and Recovery, Neonatal Intensive Care Unit, and Postpartum. I began to observe how all three areas contribute and coincide with greater outcomes of mother, baby, and family in patient care. Furthermore LDR is the starting point of the overall framework of labor, birth, and what occurs after the birthing process. On the LDR unit the writer was able to observe a patient who was a Hispanic woman in her early twenties who was pregnant with a baby girl. The patient reason for visit was induction due to her being 41 weeks pregnant. The writer knows that serious problems such as placental insufficiency leading to decrease in amniotic fluid volume (ogliohydramnios) and umbilical cord compression, fetal compromise due hypoxia from meconium aspiration, and postmaturity syndrome which is hypoxia and malnourishment in the fetus (Ashwill, James, McKinney, Murray, & Nelson 2013). The writer also observed an external fetal monitor on the patient’s abdomen. An external fetal monitor consists of the devices of an Ultrasound/Doppler and a Tocodynamometer that are secured on belts that are fasten on the mother’s abdomen (Ashwill, James, McKinney, Murray, & Nelson 2013). Ultrasound/Doppler monitors the fetal heart rate noting if there are any accelerations or decelerations (Ashwill, James, McKinney, Murray, & Nelson 2013). Tocodynamometer monitors contraction frequency and durations (Ashwill, James, McKinney, Murray, & Nelson 2013). The writer also found in an unoccupied room a delivery cart and warmer that helps regulate the newborn’s body temperature due to the newborn relatively small body mass. Just as
References: Ashwill, J.W., James, S.R., McKinney, E.S., Murray, & S.S., Nelson, K.A., Maternal-Child Nursing (4th ed.). (2013). St. Louis, MS: Elsevier