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Process of Labor

Process of Labor

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Included In This Lesson

Study Tools
Outline
ADPIE Related Lessons
Transcript
Additional Lessons

Study Tools For Process of Labor

Process of Labor – Mom (Mnemonic)
Process of Labor – Baby (Mnemonic)
Right Occipitoanterior Presentation (Image)
Pelvic Girdle Pubic Symphysis (Image)
Left Occipitoanterior Presentation (Image)
Pelvic Girdle (Image)
Mechanism of Labor (Picmonic)
Induction of Labor (Picmonic)
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Outline

Overview

  1. The process of labor is comprised of both mom and fetus working together to have a successful delivery

Nursing Points

General

  1. Mom’s part in the process (4 P’s)
    1. Powers
    2. Passageway
    3. Passenger
    4. Psyche
  2. Baby’s part in the process (ALPPPS)
    1. Attitude
    2. Lie
    3. Presentation
    4. Presenting part
      1. Occiput (what we want)
      2. Scapula
      3. Mentum
      4. Fetal butt
      5. Leg, hand
    5. Position
      1. Right or left, presenting part, anterior or posterior
    6. Station
      1. Where the presenting part is located

Assessment

Mom’s part in the process → 4P’s: the 4P’s all work together and essential to facilitate a safe and successful delivery

  1. Powers
    1. Voluntary – pushing
    2. Involuntary – contractions
  2. Passageway
    1. The pathway the baby takes out of the mother’s body
    2. How much room?
  3. Essentially, the pelvis and related structures
    1. Passenger
    2. BABY!
  4. Placenta
  5. Psyche
    1. Mom’s emotional state
      1. Supportive, therapeutic environment will facilitate a smoother labor
      2. Fearful, angry, tense emotions will make labor much more

Baby’s part in the process → ALPPPS

  1. Attitude: relationship of fetal head position to maternal spine
    1. Flexion: normal attitude, head flexed down with chin to chest
    2. Extension: abnormal attitude, less commonly seen, head extended back
  2. Lie:  relationship of fetal spine to maternal spine
    1. Longitudinal / vertical: normal lie, both spines parallel
    2. Transverse: both spines form cross, c-section required
  3. Presentation:  This term is used to describe the way the baby is positioned while coming down the birth canal
    1. Which part is leading the way?
    2. Cephalic:  head
      1. Vertex: most common, head fully flexed down
      2. Brow:  head tipped back slightly, “eyebrows first”
      3. Face:  head tipped back fully, full face first
    3. Breech:  butt
      1. Frank: most common, hips flexed, knees extended
      2. Full / complete: both knees bent, bottom of feet closest to birth canal, cross-legged appearance
      3. Footling: when a foot presents first
    4. Shoulder: shoulder, side, arm, back abdomen
  4. Presenting part:  This term is used to describe which part of the baby will lead the way out of the birth canal
    1. Head, shoulder, side, foot, abdomen, etc.
  5. Position:  This term is used to describe the position of the baby in relation to mom’s pelvis  
    1. Must know landmark
      1. Occiput (most common, back of the head)- “O”
      2. Scapula- “Sc”
      3. Sacrum- “S”
      4. Mentum-”M”
    2. Look at where the landmark is in relation to mom’s pelvis
      1. Right vs. left
      2. Anterior vs. posterior
    3. Left occiput anterior is most common and where most babies naturally face.. It allows the widest part of the baby’s head to correspond with the widest part of mom’s pelvis
      1. ie:ROA
        1. Occiput is facing right side of pelvis and is towards the front of the pelvis
      2. Ie: LOA
        1. Occiput is facing the left side of pelvis and is anterior (towards the front)
  6. Station:  how far down the baby is in the birth canal in relation to mom’s ischial spine
    1. Mom’s ischial spine is the narrowest part of her pelvis, so when the baby is there, they are at 0 station
    2. Negative numbers mean the baby is farther inside/up (-1,-2,-3)
    3. Positive numbers mean the baby is farther out/closer to delivery (+1,+2,+3)
    4. Measured in centimeters

Therapeutic Management

  1. Help mother through labor process
    1. Focusing her powers
    2. Positioning
    3. Psyche
    4. Medications
      1. pitocin

Nursing Concepts

  1. Reproduction
  2. Comfort

Patient Education

  1. How to focus energy
    1. Into pelvis when pushing
    2. Conserve energy during labor
  2. How to push effectively
    1. Deep breath in, hold and push like they are having a bowel movement  for 10 seconds with each contraction
    2. Only push with contractions
      1. Increases the power
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Transcript

In this lesson I will be explaining the process of labor and your role in assisting this patient in the process.
In the process of labor mom and fetus work individually to be successful but also the effort is joint. Mom has a role and fetus plays a part in it too. So the mother’s role is known as the 4 P’s. This is powers, passageway, passenger, and psyche. The fetal role in the process is known as ALPPPS. This is attitude, lie, presentation, position, presenting part, and station. Each of these will be part of the assessment during labor so let’s look at that.

First our maternal assessment. We will be assessing our 4 Ps that were just mentioned. Our first is powers. Powers can be either voluntary or Involuntary. Voluntary are things that the mother has control over. This is her pushing for delivery. Involuntary are the things the mother can not control and this is contractions. Both contractions and pushing will be the “power” to deliver the baby. The passageway is the pathway the baby takes out of the mother’s body. So how much room is there? This is going to really be the pelvis and related structures. The passenger is the baby and the placenta. The last “P” is the psyche. It is her emotional state. If the mother feels supported and believes she can do it then it will facilitate a smoother labor. If she is fearful and tense then it will make labor much more difficult.

Now onto the fetal assessment. So remember ALPPPS. Attitude is the positioning of the fetal head. It is either in flexion or extension. Flexion is the normal and means the head is flexed down with chin to chest. Extension is when the head is extended back and is far less common, thankfully because it is not a good position for delivery. We want that head flexed with chin to chest to more easily get itself out. Lie is the relationship of the fetal spine to maternal spine. Longitudinal or vertica is expected and means both spines are parallel. Transverse is when both spines form cross and a c-section would be required. Presentation describes the way the baby is positioned while coming down the birth canal. What is the position of the presenting part? Which part is leading the way? Cephalic is head, breech is butt first, shoulder is the scapula or arm. The presenting part describes which part of the baby will lead the way out of the birth canal. It is going to be the head, shoulder, side, foot, abdomen? What is the presenting part?

Position is the term is used to describe the position of the baby in relation to mom’s pelvis. So first we have to assess what the presenting part is. So we will label this as “O” if it is the occiput, which is the most common and is the back of the head. Remember the head should be flexed with chin to chest so the occiput would be the presenting part. If it was the scapula then it is labeled as “Sc”. Sacrum is labeled“S” and the chin or mentum is labeled as”M”. Let’s use “O” the occiput for example. Then which way is it facing? In this image look at the presenting part. It Is the occiput. Which way is it facing? Is it towards the mother’s left pelvis or right side? So it’s left. So we label that as “L”. Next we need to know if it is anterior or posterior. The baby is towards the front of the pelvis then this is labeled as anterior. So this baby would be LOA. The station refers to how far down the baby is in the birth canal in relation to mom’s ischial spine. On cervical exam the mother’s ischial spines can be located. If the baby is at the ischial spines then it is at 0 station. If the baby is farther up then it is measured in centimeters and is either -1,-2,-3. As the fetus gets closer to delivery it is measured as positive. Think of it as a go thing that the baby is closer to deliver so it is a plus or positive so +1,+2,+3.

Therapeutic management will revolve around helping the mother through the labor process. We can help her in focusing her powers, repositioning for comfort, and psyche. We can help coach and encourage her to improve the psyche. Other management will involve medications that could help to move the labor process along. Medications such as pitocin will help increase contractions so that can help with the powers in the process.

Education is needed on how to focus energy. This will involve focusing energy into the pelvis when pushing as well as conserving energy during labor so she has energy to push well. She needs to be educated on how to push effectively. The patient should take a deep breath in, hold and push like they are having a bowel movement for 10 seconds with each contraction. She should also only push with contractions because this will increase the power.
The key points to just review are the maternal pieces for the process of labor. So the 4 P’s. This is powers, passageway, passenger, and psyche. The fetal role in the process is known as ALPPPS. This is attitude, presentation, lie, presenting part, and station.They each play individual roles in the labor process. These roles will unite to make them successful together.

Make sure you check out the resources attached to this lesson and review stations and presentation because these are big test questions. Now, go out and be your best selves today. And, as always, happy nursing.

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NCLEX

Concepts Covered:

  • Gastrointestinal
  • Newborn Complications
  • Pregnancy Risks
  • Labor Complications
  • Fetal Development
  • Terminology
  • Prenatal Concepts
  • Noninfectious Respiratory Disorder
  • Newborn Care
  • Labor and Delivery
  • Postpartum Care
  • Postpartum Complications
  • Medication Administration
  • Studying
  • Communication
  • Prefixes
  • Suffixes
  • Proteins
  • Statistics
  • Med Term Basic
  • Med Term Whole
  • Cardiovascular
  • Circulatory System
  • Nervous System
  • Skeletal System
  • Emergency Care of the Cardiac Patient
  • Neurological
  • Respiratory
  • Urinary System
  • Respiratory System
  • Endocrine System
  • Tissues and Glands
  • Hematologic System
  • Digestive System
  • Reproductive System
  • Endocrine and Metabolic Disorders
  • Preoperative Nursing
  • Integumentary Disorders
  • Urinary Disorders
  • Muscular System
  • Sensory System
  • Basics of Human Biology
  • Test Taking Strategies
  • Adult
  • Intraoperative Nursing
  • Microbiology
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Vascular Disorders
  • Upper GI Disorders
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Immunological Disorders
  • Fundamentals of Emergency Nursing
  • Dosage Calculations
  • Understanding Society
  • Concepts of Pharmacology
  • Hematologic Disorders
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Substance Abuse Disorders
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Learning Pharmacology
  • Psychotic Disorders

Study Plan Lessons

05.03 Jaundice for CCRN Review
Abortion in Nursing: Spontaneous, Induced, and Missed
Abruptio Placenta for Certified Emergency Nursing (CEN)
Abruptio Placentae (Placental abruption)
Acyclovir (Zovirax) Nursing Considerations
Addicted Newborn
Adult Vital Signs (VS)
Alpha-fetoprotein (AFP) Lab Values
Ampicillin (Omnipen) Nursing Considerations
Anemia in Pregnancy
Antepartum Testing
Antepartum Testing Case Study (45 min)
Anti-Infective – Aminoglycosides
Anti-Infective – Lincosamide
Aspiration for Certified Emergency Nursing (CEN)
Babies by Term
Behind The Red Line – Live Tutoring Archive
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Bicarbonate (HCO3) Lab Values
Blood Cultures
Blood Glucose Monitoring
Blood Transfusions (Administration)
Body System Assessments
Breastfeeding
Butorphanol (Stadol) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Certified Nurse Midwife
Chorioamnionitis
Clindamycin (Cleocin) Nursing Considerations
Congestive Heart Failure (CHF) Labs
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Dexamethasone (Decadron) Nursing Considerations
Direct Bilirubin (Conjugated) Lab Values
Discomforts of Pregnancy
Disseminated Intravascular Coagulation (DIC)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Dystocia
Ectopic Pregnancy
Ectopic Pregnancy Case Study (30 min)
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Emergent Delivery (OB) (30 min)
Emergent Delivery for Certified Emergency Nursing (CEN)
Epidural
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Erythroblastosis Fetalis
Eye Prophylaxis for Newborn
Eye Prophylaxis for Newborn (Erythromycin)
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Family Planning & Contraception
Family Planning & Signs of Pregnancy – Live Tutoring Archive
Fertilization and Implantation
Fetal Alcohol Syndrome (FAS)
Fetal Circulation
Fetal Development
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Environment
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Furosemide (Lasix) Nursing Considerations
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Gestational HTN (Hypertension)
Glucagon Lab Values
Glucose Tolerance Test (GTT) Lab Values
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hemodynamics
Hemoglobin A1c (HbA1C)
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Hepatitis B Vaccine for Newborns
Homocysteine (HCY) Lab Values
Hydatidiform Mole (Molar pregnancy)
Hydralazine (Apresoline) Nursing Considerations
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Hyperbilirubinemia (Jaundice)
Hyperemesis Gravidarum
Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)
Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)
Hypovolemic Shock Case Study (OB sim) (60 min)
Incompetent Cervix
Infections in Pregnancy
Initial Care of the Newborn (APGAR)
Inserting a Foley (Urinary Catheter) – Female
Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)
Isotonic Solutions (IV solutions)
Labor Progression Case Study (45 min)
Leopold Maneuvers
Lung Surfactant
Lung Surfactant for Newborns
Magnesium Sulfate
Magnesium Sulfate
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Menstrual Cycle
Methylergonovine (Methergine) Nursing Considerations
Newborn of HIV+ Mother
Newborn Physical Exam
Newborn Reflexes
Nifedipine (Procardia) Nursing Considerations
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Maternal Newborn
Nutrition Assessments
Nutrition in Pregnancy
Nutritional Requirements
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Course Introduction
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Obstetric Trauma for Certified Emergency Nursing (CEN)
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Physiological Changes
Phytonadione (Vitamin K)
Phytonadione (Vitamin K) for Newborn
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Process of Labor
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Process of Labor – Live Tutoring Archive
Process of Labor 2 – Live Tutoring Archive
Prolapsed Umbilical Cord
Promethazine (Phenergan) Nursing Considerations
Prostaglandins
Prostaglandins in Pregnancy
Protein (PROT) Lab Values
Retinopathy of Prematurity (ROP)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Signs of Pregnancy – Live Tutoring Archive
Signs of Pregnancy (Presumptive, Probable, Positive)
Spironolactone (Aldactone) Nursing Considerations
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tocolytics
Tocolytics
Top 5 Misunderstood OB Concepts – Live Tutoring Archive
Transient Tachypnea of Newborn
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
What the Heck is Antepartum Testing? – Live Tutoring Archive
54 Common Medication Prefixes and Suffixes
Alpha-fetoprotein (AFP) Lab Values
Carboxyhemoglobin Lab Values
Cardiac Terminology
Diagnostic Testing Course Introduction
Diagnostics Terminology
Digestive Terminology
Gamma Glutamyl Transferase (GGT) Lab Values
Growth Hormone (GH) Lab Values
Hematology Oncology & Immunology Terminology
Integumentary (Skin) Terminology
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Medical Terminology Course Introduction
MedTerm Basic Word Structure
MedTerm Body as a Whole
MedTerm Prefixes
MedTerm Suffixes
Metabolic & Endocrine Terminology
Methemoglobin (MHGB) Lab Values
Musculoskeletal Terminology
Myoglobin (MB) Lab Values
Neuro Terminology
Pharmacology Terminology
Prealbumin (PAB) Lab Values
Procedural Terminology
Psychiatry Terminology
Reproductive Terminology
Respiratory Terminology
Sensory Terminology
Urinary Terminology
02.03 Swan-Ganz Catheters for CCRN Review
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
02.05 Calculating PAWP on PEEP for CCRN Review
02.07 Reading “A, C, V Waves” & PAWP Waveforms for CCRN Review
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.11 12 Lead EKG- Injuries for CCRN Review
07.02 Neuro Anatomy for CCRN Review
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
10.02 Breath Sounds for CCRN Review
ABG Course (Arterial Blood Gas) Introduction
Adrenal Gland
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Anatomy & Physiology Course Introduction
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Arterial Blood Gases Nursing Mnemonic (ROME)
Arterial Pressure Monitoring
Atropine (Atropen) Nursing Considerations
Autonomic Nervous System (ANS)
Autonomic Nervous System (ANS)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Blood Grouping
Blood Plasma
Blood Pressure (BP) Control
Blood Vessels
Bone Structure
Bowel Elimination
Breathing Control
Breathing Movements
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Calculating Heart Rate
Cardiac (Heart) Physiology
Cardiac A&P Module Intro
Cardiac Cycle
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Connective Tissues
Cranial Nerves
Development of Bones
Digestion & Absorption
Digestive System Anatomy
Drawing Blood
Drawing Blood from the IV
EKG (ECG) Course Introduction
EKG (ECG) Waveforms
EKG Basics – Live Tutoring Archive
Electrical A&P of the Heart
Electrical Activity in the Heart
Electroencephalography (EEG)
Electrolyte Imbalances for Progressive Care Certified Nurse (PCCN)
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Electrolytes Involved in Cardiac (Heart) Conduction
Electromyography (EMG)
Epithelial (Skin) Tissues
Esophagus
Female Reproductive Anatomy (Anatomy and Physiology)
Fluid & Electrolytes Course Introduction
Fluid Volume Deficit
Formation & Excretion of Urine
Gastrointestinal (GI) Course Introduction
Glands
Health Assessment Course Introduction
Hygiene
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
Increase MAP Nursing Mnemonic (VAK)
Inserting a Foley (Urinary Catheter) – Male
Intro to Circulatory System
Intro to Health Assessment
Introduction to Health Assessment
Joints
Large Intestine
Liver & Gallbladder
Male Reproductive Anatomy (Anatomy and Physiology)
Membrane Potentials
Membranes
Mouth & Oropharynx
Muscle Anatomy (anatomy and physiology)
Muscle Contraction
Muscle Cytology
Muscle Physiology
Nerve Transmission
Nervous System Anatomy
Neuro Assessment Module Intro
Normal Sinus Rhythm
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Fluid Volume Deficit
Order of Lab Draws
Oxygen Delivery Module Intro
Pancreas
Parasympathomimetics (Cholinergics) Nursing Considerations
Pituitary Gland
Renal (Kidney) Acid-Base Balance
Renal (Kidney) Fluid & Electrolyte Balance
Renal (Kidney) Structure & Function
Renin Angiotensin Aldosterone System
Renin Angiotensin Aldosterone System (RAAS)
Respiratory A&P Module Intro
Respiratory Functions of Blood
Respiratory Structure & Function
Selecting THE vein
Sensory Basics
Skeletal Anatomy
Skeletal Muscle
Skin Structure & Function
Small Intestine
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Spinal Cord
Stomach Video
Tattoos IV Insertion
The EKG (ECG) Graph
The Heart
Thyroid Gland
Tonicity of Solutions – Live Tutoring Archive
Trach Care
Trach Suctioning
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Types of Epithelial (Skin) Tissue
Urinary Elimination
Urinary System Anatomy (Anatomy and Physiology)
12 Points to Answering Pharmacology Questions
6 Rights of Medication Administration
ACLS (Advanced cardiac life support) Drugs
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anesthetic Agents
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
Atenolol (Tenormin) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Barbiturates
Bariatric: IV Insertion
Basics of Calculations
Benztropine (Cogentin) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Combative: IV Insertion
Complex Calculations (Dosage Calculations/Med Math)
Cyclosporine (Sandimmune) Nursing Considerations
Dark Skin: IV Insertion
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Epoetin Alfa
Eye Prophylaxis for Newborn
Fentanyl (Duragesic) Nursing Considerations
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Hydralazine
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
IM Injections
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Infusions (Solutions)
IV Insertion Angle
IV Insertion Course Introduction
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Medications in Ampules
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Needle Safety
Neostigmine (Prostigmin) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Nitro Compounds
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Nystatin (Mycostatin) Nursing Considerations
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Olanzapine (Zyprexa) Nursing Considerations
Opioid Analgesics in Pregnancy
Oral Medications
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pediatric Dosage Calculations
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Pharmacology Course Introduction
Phenobarbital (Luminal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Pill Crushing & Cutting
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Sedatives-Hypnotics
Selecting THE vein
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Tips & Tricks
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations