NRS 4114 - Maternal Child and Family Health

This video looks at pre-existing conditions that make pregnancies high-risk. It explores and explains older maternal age, infertility, multiple fetuses, diabetes, and the impact on pregnancy of all these factors. A part of the series High-Risk OB.

This video looks at common risk factors during pregnancy. It explores co-morbidities including obesity, hypertension, young maternal age, and substance abuse. A part of the series High-Risk OB.

This video looks at pre-existing conditions and high risk pregnancies. It focuses on how maternal age, infertility, multiple fetuses, diabetes, hypertension, obesity, young maternal age, and substance abuse can affect the fetus. It also shows how assessments such as ultrasounds, T-ACE screenings, triple screen genetics tests, fetal kick counts, and non-stress tests are used to evaluate the babies’ well­being. It also explores the diagnostic process for pre­eclampsia, HELLP Syndrome, and eclampsia. A part of the series High-Risk OB.

This video examines pre-existing conditions and complications. It explores the challenges and risks of premature delivery versus continuing a tenuous pregnancy and the use of medications to induce labor. It also addresses the choice of cesarean section or vaginal delivery, based on the clinical state of both the mother and fetus, while covering pain control techniques for each. A part of the series High-Risk OB.

This video discusses the use of medications to slow down labor and those given to the mother if premature birth is imminent. It addresses the choice of cesarean section or vaginal delivery, based on the clinical state of both the mother and fetus. The video also describes various tracings on an electronic fetal monitor with emphasis on their identification, causes, and significance. A part of the series High-Risk OB.

This video discusses the terms viability, pre-term, post-term, and term as they relate to the fetus and looks at the expectant mother's physiology throughout the pregnancy and the changing nutritional needs of the mother. It shows how to record a mother's obstetrical history using the GTPAL system, demonstrates physical assessment of the mother, and explains what screening tests are performed.

This video considers pre-term labor risk factors and symptoms, shows ways to control pre-term labor through non-pharmacological means as well as through the use of tocolytics. It considers sources of bleeding during pregnancy and interventions for each and discusses four categories of hypertensive disorders during pregnancy and their risks and treatments.

Showing how to apply the ultrasound and toco transducers to the mother's abdomen, This video differentiates between fetal heart rate and uterine activity on the monitor strip. It demonstrates how to take and record the assessment of a labor patient; discusses frequency, intensity, and duration of contractions; lists factors that interfere with fetal oxygenation during labor; and discusses when cord compression becomes a concern. It also gives parameters for normal, brachycardia, and tachycardia fetal heart rates; discusses baseline variability; and considers early and late decelerations.

Examining the types and causes of pain during labor, this video discusses such non-pharmacological interventions as hydration, breathing techniques, massage, and warm water and explores the types of pharmacological approaches, such as opioids, barbiturates, tranquilizers, and regional anesthetics and their side effects. It looks at the effects of maternal positioning and differentiates between epidurals and intrathecal blocks.

This video differentiates between forceps and vacuum extraction, considering the pros and cons of each. It defines dystocia, explains when a cesarean section may become necessary, and looks at who should be present and what actions should be taken in case of a cesarean birth.

This video shows the series of physiological events that occur during labor, examines factors that can affect the duration of labor, and looks at the four stages of labor. Explaining the role of the nurse and other healthcare professionals during the stages of labor, it differentiates between closed and open glottis breathing and considers the importance of maternal positioning during labor and birth.

Looking at the role of the healthcare team during the post-partum period, This video discusses involution, lochia, hormonal changes immediately following birth, changes in the breast at the onset of lactation, and possible changes in urinary and intestinal function. It teaches the steps of a post-partum exam, explaining how to detect emotional changes and differentiate "baby blues" from post-partum depression.

Listing the physiologic changes that must occur for a fetus to make a successful transition to neonate, this video shows the preparations the nursing team must make for receiving the neonate, the initial assessments that are performed, and APGAR assessments. It considers normal ranges for heart and respiratory rates, indicators for resuscitation, the effects of cold stress on the newborn, and disorders that can be diagnosed during routine screenings. It also demonstrates eye and cord care, administration of vitamin K, and drawing of blood for screening.