Opening the text

Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant

Science

Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby

Name: Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Author: Van Blarcom, Carolyn Conant

Van Blarcom, Carolyn Conant

Infants -- Care; Maternity nursing; Pregnancy

_Window sill_:
                 Baby box with hot-water bag
                     at 125° F., and blanket.
                 Chloroform dropper and inhaler.
                 Sterile albolene for baby.
                 Alcohol.
                 Baby band.
                 Wassermann tubes.

             _Second table_:
                 Basin of instruments.
                 Basin of bichloride, 1–1,000 with pair
                     of gloves.
                 Sponge sticks in alcohol.
                 Hypo, tray: pituitary liquid.
                             ergotole.
                             syringe and needles.
                             alcohol.
                             pledgets.
             _Lower shelf_: 2 tubs for resuscitating baby.
                            Covered placenta basin.
                            Dressing basin.

             _Head of bed_:
                 Nightgown.
                 Sheet.
                 Stockings.
                 Towel.

The nurse may find herself in any one of three situations during the
second stage. The doctor may arrive in ample time to conduct the
delivery; he may be slightly delayed and the nurse endeavor to retard
labor, according to instructions; or the baby may be born, with or
without the expulsion of the placenta, before his arrival.

When the doctor arrives at the onset of, or during the second stage of
labor, the nurse acts solely under his direction, the nature of her
offices depending somewhat upon the condition and surroundings of the
patient, and whether or not the nurse is the only person at hand to give
assistance. In any case, the gloves, and instruments for repairing a
tear should be boiled and in readiness; the dressings and other articles
to be used are to be conveniently arranged upon the tables and opened at
the proper time.

[Illustration:

  FIG. 80.—Instruments for normal delivery shown in boiling basin on
    table in Fig. 79: Needle holder. Blunt hook. Blunt scissors. 2 small
    Kelly clamps. Mouse tooth forceps. 4 towel clips. 2 large perineal
    needles and 2 cervical needles in gauze sponge.
]

After having everything ready and at hand for the delivery, the nurse
may be called upon to clean up and act as an assistant, or to give the
anesthetic. If she cleans up, she should wear a sterile gown and gloves,
and if it is the doctor’s custom, a cap and mask as well, having
prepared her hands somewhat as follows:[6]

  1. Scrub hands and arms with hot water and green soap for five
       minutes, paying especial attention to the fingers and nails.

  2. Clean and trim nails and scrub again for five minutes.

[Illustration:

  FIG. 81.—Old prints illustrating early ideas of suitable methods of
    making examinations and conducting deliveries, furnishing
    interesting contrast with present-day methods. Concern seems to be
    divided between the patient and the signs of the Zodiac in the
    picture at the right.
]

Public-domain text, read in full here on John Shaqi.

Opening the text

Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant

Science

Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby

Van Blarcom, Carolyn Conant

Infants -- Care; Maternity nursing; Pregnancy

_Window sill_:
                 Baby box with hot-water bag
                     at 125° F., and blanket.
                 Chloroform dropper and inhaler.
                 Sterile albolene for baby.
                 Alcohol.
                 Baby band.
                 Wassermann tubes.

             _Second table_:
                 Basin of instruments.
                 Basin of bichloride, 1–1,000 with pair
                     of gloves.
                 Sponge sticks in alcohol.
                 Hypo, tray: pituitary liquid.
                             ergotole.
                             syringe and needles.
                             alcohol.
                             pledgets.
             _Lower shelf_: 2 tubs for resuscitating baby.
                            Covered placenta basin.
                            Dressing basin.

             _Head of bed_:
                 Nightgown.
                 Sheet.
                 Stockings.
                 Towel.

The nurse may find herself in any one of three situations during the
second stage. The doctor may arrive in ample time to conduct the
delivery; he may be slightly delayed and the nurse endeavor to retard
labor, according to instructions; or the baby may be born, with or
without the expulsion of the placenta, before his arrival.

When the doctor arrives at the onset of, or during the second stage of
labor, the nurse acts solely under his direction, the nature of her
offices depending somewhat upon the condition and surroundings of the
patient, and whether or not the nurse is the only person at hand to give
assistance. In any case, the gloves, and instruments for repairing a
tear should be boiled and in readiness; the dressings and other articles
to be used are to be conveniently arranged upon the tables and opened at
the proper time.

[Illustration:

  FIG. 80.—Instruments for normal delivery shown in boiling basin on
    table in Fig. 79: Needle holder. Blunt hook. Blunt scissors. 2 small
    Kelly clamps. Mouse tooth forceps. 4 towel clips. 2 large perineal
    needles and 2 cervical needles in gauze sponge.
]

After having everything ready and at hand for the delivery, the nurse
may be called upon to clean up and act as an assistant, or to give the
anesthetic. If she cleans up, she should wear a sterile gown and gloves,
and if it is the doctor’s custom, a cap and mask as well, having
prepared her hands somewhat as follows:[6]

  1. Scrub hands and arms with hot water and green soap for five
       minutes, paying especial attention to the fingers and nails.

  2. Clean and trim nails and scrub again for five minutes.

[Illustration:

  FIG. 81.—Old prints illustrating early ideas of suitable methods of
    making examinations and conducting deliveries, furnishing
    interesting contrast with present-day methods. Concern seems to be
    divided between the patient and the signs of the Zodiac in the
    picture at the right.
]

Public-domain text, read in full here on John Shaqi.

Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby

Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby

No reviews yet