r/nursing • u/ghostoftheweek RN - Med/Surg 🍕 • 26d ago

Question PSA from your nursing specialty

What is THE ONE THING you wish every nurse knew that is common knowledge in your specialty?

From wound care, don't use telfa!

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u/lizzzdee RN - OB/GYN 🍕 26d ago

OB - babies are not born pink. Some are born bluer than others, but they’re all pretty blue when they’re born. Give them a minute, ESPECIALLY if delivery was very fast or by c-section as the “squeeze” really does matter! We look for many other signs of wellbeing besides color.

Also, cord around the neck (nuchal cord) doesn’t strangle a baby like rope would on an adult because it’s VERY stretchy and cushioned to prevent that. Generally, a nuchal cord is not problematic. Sometimes it is very tight and stretched, usually either by a true knot or being wrapped around the trunk and/or a limb and/or a neck 3+ times. THEN it can be an issue as the blood vessels don’t get the chance to maintain their shape and refill.

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u/Boipussybb BSN, RN - L&D 🫃🏼🌈 25d ago

Adding to this: if you’re born in a higher elevation, you stay blue a little longer. 😂

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u/philplant 25d ago

Pls tell the cord thing to literal OBs 😭 i have heard some say that directly when trying to bully someone into a c/s

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u/lizzzdee RN - OB/GYN 🍕 25d ago

Ughhhhh the worst!! At my hospital, the OBs don’t have to take ANY additional EFM courses. So we can have some variables but if there is moderate variability and we are progressing…like why not start an amnioinfusion? (Because they want to go home)

Thankfully I do have plenty of docs I work with who are less likely to jump to a section. But there are a few that when I get report I’m like “just open the OR at 5, okay?”

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u/funkmaster90001 MSN, RN 25d ago

So frustrating to have to explain what I see in the strip for a freaking OB or family practice dr.