Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
Some time before the labor, the nurse should call on the patient and
establish a working acquaintance. It adds greatly to her authority and
to the patient’s confidence in her. Her advice will be sought on a
multitude of subjects, partly real and partly to try her out.
[Illustration: Fig. 31.—Abdominal binder with crosspiece to hold vulvar
pads.]
[Illustration: Fig. 32.—T-binder, used in all cases after the fifth day
post partum.]
=Sterilizing= may be done in a hospital, or, if this is not feasible,
the nurse should go to the house two or three weeks before the expected
labor and sterilize in an Arnold or Rochester sterilizer the following
articles:
½ doz. sheets.
3 doz. towels.
2 pillow slips.
3 abdominal binders of unbleached cotton, 16 in. wide and 36 in.
long, folded and hemmed.
4 T bandages.
3 breast binders.
2 jacket parts of pajama suits.
3 pairs of long white stockings.
3 packages of vulvar dressings (see Preparation of Supplies, p.
326).
2 obstetric pads 1 by 36 by 36 inches.
1 pillow slip full of cotton pledgets for sponges.
1 jar applicators (cotton twisted about toothpicks).
1 jar of gauze pledgets for perineorrhaphy and cord dressings.
Everything must be neatly wrapped and labeled.
[Illustration: Fig. 33.—Breast binder.]
[Illustration: Fig. 34.—Baby’s dress with winged sleeves.]
=Infant’s Outfit.=—
12 plain slips 27 inches long of dimity or nainsook (with winged
sleeves).
3 long sleeve shirts, silk and wool (size No. 2).
6 pinning blankets, made of outing flannel, if it is a winter
baby.
3 bands, 6 by 18 inches, clip or notch edges, do not hem.
3 petticoats, flannel bottoms and muslin waists, without sleeves
and with small button on shoulders.
3 outing flannel wrappers.
6 plain, soft muslin dresses.
3 (Arnold) knitted night gowns, light weight.
4 doz. light weight cotton diapers, 20 x 40 inches. Bird’s-eye
linen is the best. Wash and dry these in the air before using.
4 soft towels (linen preferred).
2 quilted pads.
4 soft wash cloths.
4 wool wrapping blankets.
1 pair scales that weigh ounces and fractions thereof.
4 oz. of olive oil or benzoated lard.
4 oz. of alcohol (95 per cent).
¼ lb. boric acid crystals.
½ lb. absorbent cotton.
1 cake of castile soap.
2 oz. solid albolene.
½ oz. subnitrate of bismuth powder and ½ oz. of powdered boric
acid mixed.
1 bed pan.
2 basins, holding 2 quarts each.
1 papier mache, rubber, or enamel ware bathtub.
=Anæsthetics.=—Excessive pain is destructive and disintegrating to the
vital forces. Many a woman who has passed through a particularly severe
labor remembers her experience with a horror that forever precludes its
repetition.
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