Biomedical subjects
M L Murray
Publications and source records attributed to M L Murray.
An effective off-the-job program brings tangible benefits.
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Nipple stimulation-contraction stress test for the high-risk patient.
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Computer versus lecture: strategies for teaching fetal monitoring.
The purpose of this study was to determine how well novice nurses learned basic fetal monitoring concepts from a computer-assisted instructional program and a scripted lecture with equivalent content. A pretest-posttest experimental design was conducted. Forty-eight junior baccalaureate nursing students beginning their first maternity rotation were recruited for the study from a southwestern university. Thirty-nine students provided complete data sets. None had prior experience or education in fetal monitoring. Two strategies were used to teach basic fetal monitoring concepts: a scripted lecture with black-and-white transparencies and an equivalent computer-assisted instructional program. Statistical significance was set at p = 0.05. There were no significant differences between the computer and lecture groups' learning on the basis of age, education, or vision. There was a positive, nonsignificant gain in mean scores from the pretest to the posttest for both groups. The greatest difference was in the program completion time with the computer-assisted instruction group completing the program 43.6% faster than the lecture group.
Hydatid mole with a coexisting pregnancy.
Hydatid mole with a coexisting pregnancy is rare and presents a high risk for maternal and fetal morbidity and mortality. A case of hydatid mole with coexisting pregnancy that progressed to 24 weeks' gestation is presented. Maternal religious beliefs regarding pregnancy termination affected the medical plan of care. Although the woman was aware of the potential complications, pregnancy termination and karyotype testing were refused. Because of uncontrollable hemorrhage, a cesarean delivery was done. The genotypically normal fetus died 10 hours after birth. After delivery, preeclampsia, pulmonary edema, and renal failure developed in the woman, which resolved within 4 days.