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
=Kidneys.= One of the most important factors in prenatal care is
promoting the function of the kidneys and watching their output. It is
probably more true of the kidneys than of any other organs that a slight
abnormality which would not give trouble at other times may, if
neglected during pregnancy, produce very grave results. The amount of
urine passed in twenty-four hours should be measured, and a specimen
prepared, once a month during the first half of pregnancy and every two
weeks afterward. If less than three pints are passed the patient should
know, without further instruction, that she is not taking enough water
and must take more. And so it is the nurse’s duty, in this connection,
to convince her patient of the importance of drinking an abundance of
water, and periodically measuring her urine and sending specimens to the
doctor for examination.
She is very likely to follow such advice if she is told that by so doing
she will help to prevent convulsions, for most women know of this
complication and dread it.
In preparing a specimen, a covered or corked receptacle which is large
enough to hold the voidings for twenty-four hours, must be thoroughly
washed and scalded; in it should be collected the total amount of urine
voided during twenty-four hours and kept in a place that is cool enough
to prevent putrefactive changes. The additional precaution of putting a
teaspoonful of chloroform into the receptacle is wise and does not
injure the specimen. The patient should be instructed to empty her
bladder at any designated hour, and then keep all urine voided from that
time until the corresponding hour on the following day. The urine should
be shaken so as to mix thoroughly the different voidings, and six or
eight ounces poured into a bottle which has been washed and scalded,
carefully corked and labelled with the date, patient’s name, address and
the total amount for twenty-four hours.
If the nurse is called upon to test for albumen, either of the following
will serve, unless the doctor specifies a test which he prefers:
_Heat and acetic acid test_: Fill a test tube about half full of urine
and gently boil the upper part in a flame; add five drops of 2% to 5%
acetic acid and again boil gently. The presence of albumen is shown by a
white cloud in the upper part of the urine.
_Esbach’s test_: Fill a test tube half full of urine; add eight or ten
drops of Esbach’s Solution. The presence of albumen is shown by a white
flocculent precipitate in the upper part of the urine.
Public-domain text, read in full here on John Shaqi.
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