Hb (Hepatitis) Vaccine

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Outline

Overview

  1. Hepatitis B vaccine
  2. Abbreviated as Hb vaccine or HBV (not to be confused with HPV)

Nursing Points

General

  1. Recommended by CDC to be given in first 12 hours of life
  2. IM injection
  3. If mother already has Hepatitis B, then Hep B immune globulin also needs to be given

Nursing Considerations

  1. Obtain consent
  2. Give IM injection in lateral side of middle 3rd of vastus lateralis muscle
  3. Document per policy
    1. Typically includes documenting in hospital chart and providing a card to the parents for their records

Patient Education

  1. Educate importance and need
  2. If they want to refuse; follow hospital policy and document appropriately

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Obstetrical Nursing

Concepts Covered:

  • Prenatal Concepts
  • Pregnancy Risks
  • Postpartum Complications
  • Fetal Development
  • Labor and Delivery
  • Labor Complications
  • Postpartum Care
  • Newborn Care
  • Newborn Complications
  • Integumentary Disorders
  • Liver & Gallbladder Disorders
  • Microbiology

Study Plan Lessons

OB Course Introduction
Menstrual Cycle
Family Planning & Contraception
Gestation & Nägele’s Rule: Estimating Due Dates
Gravidity and Parity (G&Ps, GTPAL)
Signs of Pregnancy (Presumptive, Probable, Positive)
Fundal Height Assessment for Nurses
Maternal Risk Factors
Physiological Changes
Discomforts of Pregnancy
Antepartum Testing
Nutrition in Pregnancy
Abortion in Nursing: Spontaneous, Induced, and Missed
Anemia in Pregnancy
Cardiac (Heart) Disease in Pregnancy
Chorioamnionitis
Gestational Diabetes (GDM)
Disseminated Intravascular Coagulation (DIC)
Ectopic Pregnancy
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hydatidiform Mole (Molar pregnancy)
Hyperemesis Gravidarum
Gestational HTN (Hypertension)
Incompetent Cervix
Infections in Pregnancy
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Fertilization and Implantation
Fetal Development
Fetal Environment
Fetal Circulation
Process of Labor
Mechanisms of Labor
Leopold Maneuvers
Fetal Heart Monitoring (FHM)
Obstetrical Procedures
Premature Rupture of the Membranes (PROM)
Prolapsed Umbilical Cord
Placenta Previa
Abruptio Placentae (Placental abruption)
Preterm Labor
Precipitous Labor
Dystocia
Postpartum Physiological Maternal Changes
Postpartum Interventions
Postpartum Discomforts
Breastfeeding
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Mastitis
Subinvolution
Postpartum Thrombophlebitis
Initial Care of the Newborn (APGAR)
Newborn Physical Exam
Body System Assessments
Newborn Reflexes
Babies by Term
Meconium Aspiration
Transient Tachypnea of Newborn
Retinopathy of Prematurity (ROP)
Hyperbilirubinemia (Jaundice)
Erythroblastosis Fetalis
Addicted Newborn
Fetal Alcohol Syndrome (FAS)
Newborn of HIV+ Mother
Tocolytics
Betamethasone and Dexamethasone
Magnesium Sulfate
Opioid Analgesics
Prostaglandins
Uterine Stimulants (Oxytocin, Pitocin)
Meds for PPH (postpartum hemorrhage)
Rh Immune Globulin (Rhogam)
Lung Surfactant
Eye Prophylaxis for Newborn (Erythromycin)
Phytonadione (Vitamin K)
Hb (Hepatitis) Vaccine