Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Nov 1991
Randomized Controlled Trial Comparative Study Clinical TrialInfant responses to saline instillations and endotracheal suctioning.
The study examined the effects of endotracheal suction with and without saline instillation on neonates with respiratory distress. In a completely counterbalanced factorial-within-subjects design, 27 intubated neonates were randomly assigned to two orders of presentation of treatment conditions. ⋯ Results indicated that clinically stable newborns tolerated instillations of 0.25-0.5 ml. The suctioning protocol used in this study minimized changes in infants' heart rates and blood pressures.
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While major trauma during pregnancy is usually managed in intensive-care units by critical-care nurses, obstetric nurses often care for patients who have experienced minor trauma. Obstetric nurses must understand the mechanisms of traumatic injury and the potential deleterious effects on mother and fetus. Nursing care of the pregnant victim of minor trauma is the focus of this article.
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A neonatal nurse practitioner (NNP) serves as the primary-care provider for in-hospital neonates. These practitioners receive different education and formal training than other nurse practitioners. ⋯ Career stressors, job satisfaction, and salaries vary among NNPs. The authors describe the variation in education and roles in this expanded nursing practice.
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J Obstet Gynecol Neonatal Nurs · Sep 1990
Extracorporeal membrane oxygenation and indications for cardiopulmonary bypass in the neonate.
Extracorporeal membrane oxygenation (ECMO) is a rescue technique used for term and near-term neonates who have respiratory failure that is unresponsive to conventional therapy. The complexity of the equipment necessitates intensive training of a specialized team before setting up an ECMO unit. An understanding of the physiology underlying ECMO and the criteria used for patient selection assists the nurse in identifying neonates who might benefit from the technique.
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J Obstet Gynecol Neonatal Nurs · May 1989
ReviewEthical principles: application to an obstetric case.
This article focuses on the application of the ethical principles of double effect versus consequentialism, autonomy, beneficence, utility, and justice. An obstetrical case study is presented and discussion of each ethical principle is used to resolve the conflict. The intents of the article are to promote ethical awareness; provide topic areas to facilitate ethical discussion; enhance nurses' knowledge of the discipline of ethics; and support the necessity of interdisciplinary ethics committees.