Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
The trained nurse should be polite to, but not familiar with servants,
as she is looked upon as the highest type of the professionally educated
gentlewoman, and she must be constantly alert that her reputation in
this respect is not diminished.
BATHS
=Hot Baths.=—Temperature from 98° F. to 120° F.
Water should be tepid at first and the hot water gradually added until
the required degree is obtained.
_Warm bath_ 92° F. to 98° F.
_Tepid_ 85° F. to 92° F.
_Cold_ 33° F. to 65° F.
=Sedative Bath.=—The patient is stripped and stands for an hour in the
hydrotherapy room, while a hot spray is played up and down the spine.
The temperature of the water is 104° F. to begin with, and gradually
increased to the point of toleration.
=An alkaline bath= is prepared by adding an ounce of sodium carbonate to
each gallon of water.
=Bran Bath.=—Add two ounces of bran to each gallon of water. Mix the
bran in a small amount of boiling water and add to the bath water.
=Mustard Bath.=—To three gallons of water at a temperature of 105° F.
add a tablespoonful of mustard. Leave the child in the water for five
minutes, all the while rubbing and stroking the limbs and back. Then
wrap naked in a warm blanket and leave for half an hour.
STERILE DRESSINGS—ANTISEPTIC SOLUTIONS—STERILIZATION OF INSTRUMENTS
The preparation of sterile dressings, antiseptic solutions and the
sterilization of instruments, is particularly the work of the nurse,
whether in the hospital or in a private home. The following directions
are therefore desirable:
As soon as the nurse is sure her patient is in labor, she boils a milk
bottle, fills it two-thirds full of 95 per cent alcohol, puts a pledget
of sterile cotton in the bottom and then boils a pair of dressing
forceps, which are placed, handle up, in the alcohol. (See Fig. 52, page
132.) _With this forceps, she handles all clean dressings, instruments,
and rubber goods that may be contaminated by touch._
=Dressings and Supplies.=—The necessary dressings and supplies may be
prepared one or two weeks before labor according to the following
instructions:
_Five Yard Packing._—Draw threads at either end of five yard lengths of
gauze to its full width. Fold the cut edge across until it lies
one-third the distance from the opposite side. Next, fold the double
edge over, and bring it to the outside edge of the first fold. Keep it
perfectly straight. When folded full length, roll from the end and wrap
in strong muslin wrappers. Sterilize in the autoclave or Arnold
sterilizer.
_Pads for the Vulva._—Unroll a whole bale of common cotton and cover it
with a ½ inch thickness of absorbent cotton. Cut in lengths of 12 in. by
4 in. wide. Cover with gauze cut 12 by 14 inches, and fold the ends of
gauze over absorbent cotton. Roll from the end, wrap in paper, seal, and
sterilize.
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