Chapter 45 Universal Precautions
Chapter 46 Finger Puncture
Chapter 47 Venipuncture
Chapter 48 Inserting an Intravenous Catheter
Chapter 49 Giving Intravenous Medications
Chapter 50 Spin-Down Hematocrit
Chapter 51 Removal of Norplant
Chapter 52 Breast Examination
Relevant History
Physical Examination
Variations in Breast Examination and Findings for the Pregnant Woman
Variations in Breast Examination for the Postpartal Woman
Teaching Breast Self-Examination
References
Additional References
Chapter 53 Obstetric Abdominal Examination
Chapter 54 Checking for Costovertebral Angle Tenderness
Chapter 55 Checking for Deep Tendon Reflexes and Clonus
Deep Tendon Reflexes
Clonus
Bibliography
Chapter 56 Pelvic Examination
Chapter 57 Obtaining a Specimen for Papanicolaou (Pap) Diagnostic Evaluation
Chapter 58 Obtaining a Specimen for Gonococcal (GC) and Chlamydia Diagnostic Testing
Chapter 59 Making a Wet Smear Slide of Vaginal Secretions
Chapter 60 Using a Microscope
Chapter 61 Anatomy of the Pelvis, Pelvic Types, Evaluation of the Bony Pelvis, and Clinical Pelvimetry
Chapter 62 Breast Massage, Manual Expression, and Nipple Rolling
Procedure for Breast Massage
Procedure for Manual Expression
Procedure for Nipple Rolling
Reference
Additional Reference
Chapter 63 Injection of Intradermal Sterile Water Papules for Relief of Low Back Pain in Labor
Chapter 64 Inserting an Intrauterine Pressure Catheter; Amnioinfusion
Chapter 65 Attaching a Fetal Scalp Electrode
Chapter 66 Perineal Prep (Cleaning)
Chapter 67 Second Stage Pushing
Breath Control
Body Position
Arm Position and Action
Pubic Pressure
Vaginal Stimulation
Chapter 68 Pudendal Block
Chapter 69 Local Infiltration
Chapter 70 Hand Maneuvers for Birth with the Mother in Lithotomy or Modified Lithotomy Position
Chapter 71 Hand Maneuvers for Birth with the Mother in Dorsal Position
Chapter 72 Hand Maneuvers for Birth with the Mother in the Hands and Knees Position
Chapter 73 Hand Maneuvers for Birth with the Mother in the Squatting or Supported Squat Position
Chapter 74 Inspection of the Placenta, Membranes, and Cord
Database
Procedure
Bibliography
Chapter 75 Postbirth Inspection of the Cervix and Upper Vaginal Vault
Chapter 76 Manual Removal of the Placenta
Chapter 77 Fourth Stage Intrauterine Exploration
Chapter 78 Bimanual Compression
Chapter 79 Cutting an Episiotomy and Repairing Episiotomies and Lacerations
Relevant Anatomy
Cutting an Episiotomy
Aids to Wound Healing
Manipulation of Equipment
Knots and Suture Stitches
Principles of and Thoughts About Episiotomy and Laceration Repair
Repair of a Midline Episiotomy
Repair of First and Second Degree Lacerations and Sulcus Tears
Repair of Third Degree Lacerations
Repair of Fourth Degree Lacerations
Repair of Periurethral and Clitoral Lacerations
Repair of Cervical Lacerations
Defibulation and Repair
References
Chapter 80 Physical Examination of the Newborn
Chapter 81 Circumcision
Chapter 82 Endometrial Biopsy
Indications for Endometrial Biopsy
Contraindications and Precautions
Potential Side Effects/Complications and Preventive Measures
Procedure and Rationale
Results and Management
References
Additional References