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Fetal Heart Monitoring (FHM)

Fetal Heart Monitoring (FHM)

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10 Fetal Heart Monitoring (FHM) NCLEX Questions

Question 1 of 10

Which of the following situations could lead to late decelerations on fetal heart monitoring? Select all that apply.

Placental Abruption

Maternal hypoxemia

Maternal hyperglycemia

Maternal dehydration

Anemia

Question 2 of 10

A nurse is caring for a client who is in labor. The client has an external fetal heart monitor in place and the nurse is watching the baby’s heart rate. The nurse notes that the infants heart rate increases to 180 beats per minute and stays elevated for 10 minutes before returning to 140 bpm again. Which of the following nursing actions is most appropriate?

Turn down the fluid rate on the IV

Administer the next dose of oxytocin through the IV

Administer oxygen to the mother

Continue to monitor as this is a reassuring sign

Question 3 of 10

A nurse is caring for a client who is in labor. The nurse has applied external fetal monitoring and notes that the baby’s heart rate is having late decelerations. Which of the following actions should the nurse perform? Select all that apply.

Monitor the mother's blood pressure for signs of hypotension

Decrease the rate of IV fluids

Give oxygen to the mother

Notify the provider

Turn the client on her left side

Question 4 of 10

The nurse is performing fetal heart monitoring (FHM) on a client who is 39 weeks along and has been in labor for 14 hours. Which of the following findings is the MOST concerning?

Accelerations noted

Variability noted

Late decelerations

Variable deceleration lasting 25 seconds

Question 5 of 10

A pregnant client arrives to labor and delivery unit and the nurse places a fetal monitor on her. The fetal heart rate is assessed to be 123. What is the most appropriate action by the nurse?

Reposition the client

Chart the findings

Notify the provider

Reposition the monitor

Question 6 of 10

A nurse is caring for a client who is 28 weeks pregnant and having a nonstress test. The result is an 8. What action should the nurse take next?

Inform the client that more testing is needed.

Contact the healthcare provider.

Ask the client is she wants the father contacted.

Document the result as a normal finding.

Question 7 of 10

A nurse is caring for a pregnant mother in labor and assessing the fetal heart monitor. Which of the following situations would require intervention?

FHR drops in the middle of a contraction

FHR increases in the middle of a contraction

FHR drops at the start of the contraction

FHR increases at the start of a contraction

Question 8 of 10

The nurse is performing fetal heart monitoring (FHM) on a client who is 39-weeks along and has been in labor for 14 hours. Which of the following findings is the LEAST concerning?

Fetal heart rate of 155-170 for 7 minutes

Late decelerations

Non-reactive stress test

Variable decelerations

Question 9 of 10

A nurse is caring for a client who is in labor at the hospital. The nurse prepares to apply an external fetal monitor but the client is morbidly obese and the monitor does not fit well. What should the nurse do? Select all that apply.

Remove the monitor if it does not fit and provide reliable readings

Apply an intrauterine pressure catheter

Perform a cervical check

Assist the client to lie on her side for monitoring

Increase the amount of oxytocin and monitor the mother's contractions

Question 10 of 10

A nurse caring for a pregnant client is checking fetal heart tones using a Doppler stethoscope. Which of the following interventions would the nurse employ during this process? Select all that apply.

Press firmly on the abdomen and maintain the Doppler in the same position

Attach the Doppler connection to the forehead to stabilize the piece

Perform Leopold’s maneuvers to determine fetal lie if the client is more than 32 weeks’ gestation

Apply water-soluble gel to the client’s abdomen

Place the Doppler to the right side of the client’s midline

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Additional Lessons

Study Tools For Fetal Heart Monitoring (FHM)

Fetal Accelerations and Decelerations (Mnemonic)

OB Non-Stress Test Results (Mnemonic)

Fetal Heart Rate Monitoring (Image)

Fetal Heart Rate Monitoring (Cheatsheet)

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Outline

Overview

Purpose: determine fetal well being by measuring FHR, fetal response to contractions.

Nursing Points

General

Two kinds of monitoring
1. External: noninvasive
  1. Monitor placed on mother’s abdomen over the fetal back
2. Internal: invasive
  1. Requires rupture of membranes and mother to be dilated 2-3 cm
  2. Electrode placed under fetal scalp
Reassuring vs. nonreassuring
1. Reassuring – good, healthy fetal response
2. Nonreassuring – Not okay, needs intervention and notify MD

Assessment

What we’re assessing for (VEAL-CHOP mnemonic)
1. Variability
  1. Variable decelerations→ Cord compression
    1. Abrupt decreases from cord compression
  2. Early decelerations→ Head compression
    1. Deceleration that occurs at the start of the contraction and returns to baseline at the end of the contraction, happens with head compression and is ok
  3. Accelerations→ oxygenated
    1. FHR increases, Oxygenated and good
  4. Late decelerations→ Placental insufficiency
    1. Deceleration that occurs after the start of the contraction, caused by fall in O2 to the fetus
Nonstress test → 20 minutes of noninvasive fetal monitoring
1. Reactive if there are 2+ accelerations in a 20 min period
  1. Desired outcome
2. Nonreactive if less than 2 accelerations in a 20 min period
FHR patterns to watch out for
1. Bradycardia (< 110 for 10+ min)
2. Tachycardia (> 160 for 10+ min)
3. Late decelerations ( issues with placenta)
4. Prolonged decelerations
5. Hypertonic uterine activity (uterus not resting in between contractions, which decreases uterine circulation and therefore O2 supply to fetus)
6. Absent or decreasing variability
7. Variable decelerations lasting longer than 1 minute with a FHR less than 70
We want accelerations and healthy variability
1. Not acidotic

Therapeutic Management

What to do when these abnormal FHR’s occur
1. ID cause
  1. Prolapsed cord
  2. Check mom’s vitals for hyper/hypotension, fever
2. Stop oxytocin, if infusing (this can worsen the nonreassuring pattern)
3. Change mother’s position (preferably to left side-lying if not already there)
4. Give oxygen at 8-10 L via face mask
5. Prepare to initiate appropriate monitoring (i.e. internal monitoring)
6. Notify provider of potential cause, interventions, mother and baby’s response and prepare for further potential intervention

Nursing Concepts

Perfusion
Safety
Clinical Judgment

Patient Education

Press button on the monitor when you feel the baby move during a NST
Signs of infection for internal monitor

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Transcript

In this lesson I will explain when fetal monitoring is used, how to perform, and your role in monitoring.

There are two kinds of monitoring. There is external and internal. External is noninvasive and a monitor is placed over the fetal back on the mother’s abdomen. You can see in this image the fetus in the uterus. So here on the fetal back side of the uterus is where the external monitor would be placed. An internal monitor is invasive is placed under fetal scalp. It is called a fetal scalp electrode. This is a little wire placed under the fetal skin on the sculpt. These monitoring tools are going to assess the fetal heart rate which should be 110-160.
Now let’s look at some of this monitoring. So first let’s talk about what is happening on these monitor strips.There is a mnemonic I want to share with you to help. This is something known as VEAL-CHOP. The V stands for variable decelerations. This is when there are abrupt decreases in the fetal heart rate and occurs because of cord compression. That is the “C”. Next are early decelerations and these are associated with a contractions that cause head compression as we are close to delivery. These are normal and ok. For this the fetal heart rate will decrease when the contraction starts and return to baseline at the end. It is a mirror image. Accelerations is the “A” and means there is Oxygenation so this is good. The “L” is late decelerations and are bad. The “P” is placental insufficiency”. So this is associated with a contraction, caused by fall in O2 level. The heart rate drops after the start of the contraction.

A test that can be used to assess is the Nonstress test. This is noninvasive and is 20 minutes of monitoring. The testing results are either reactive or nonreactive. The mother will hit a button every time she feels the fetus move. The fetal heart rate should increase or accel with movement. Reactive occurs if there are 2 or more accelerations in a 20 min period. Nonreactive is when there is less than 2 accelerations in a 20 min period. This is not a good thing and shows that the fetus is not living in a healthy environment.

So what do we do when there is an abnormal fetal heart rate. We first want to figure out the cause. Is it a prolapsed cord? That occurs when the cord is delivered prior to the fetus. Never good! So for this the patient should be put either in trendelenburg or knees to chest as she is rushed to the operating room for delivery. Or is the reason from mom. Check mom’s vitals for hyper or hypotension or fever. If the mom is getting pitocin then it needs to be stopped. The fetus isn’t responding well to labor so we need to stop adding to the contractions. We need to change the mother’s position preferably to left side-lying if not already there. This will increase blood flow into the placenta. Oxygen can be given at 8-10 L via face mask. Even if maternal oxygen level is ok. The extra oxygen will flow to the baby and increase the fetal heart rate. We had a patient once that the physician broke the patient’s bag of water and the fetal head was not well engaged in the pelvis. Because of this the cord prolapsed because the head wasn’t there to act as a “cork” so the physician said she had the cord in her hand and she stayed at the foot of the bed holding the head off of the cord while the nurse put the patient with her knees to chest and several nurses rolled her emergently to the OR. The labor nurse became what we call the “mole” and put a sterile glove and sleeve on and switched places with the physician. The labor nurse has to remain in this position in between the patient’s legs lifting the head off the cord until it is delivered. So the baby was delivered in this case in under 8 minutes. It is very quick because it is emergent! Patients also have decelerations all the time and it can seem like you are in and out of their room all day. So the patient has a late decelerations and you constantly stop the pitocin, turn the patient and put oxygen on her. All sort of at the same time. Constant battle flip flopping to hopefully make the baby happy and tolerate labor. Sometimes unfortunately all of the flip flopping still ends with a c-section because the fetus cannot tolerate labor but have to always try.

Our education for this patient will just revolve around telling the patient to press the button when she feels the baby move during a non stress test. And any signs of infection for internal monitor. Infection is a risk anytime something from outside is entering the uterus.

Perfusion, safety, and clinical Judgment will be concepts for fetal monitoring. A good fetal heart rate shows that there is good perfusion through the placenta and to the fetus. Safety is involved because we need to ensure that there is a good fetal heart rate meaning that the fetus is safe in the uterus. And nurses have to make good clinical judgement to act fast if the heart rate is not in good range or reacting well to labor.
Our key points for review are that the monitoring can be invasive with a fetal scalp electrode or, noninvasive with an internal monitor. A non stress test is a way to look at fetal status and the heart rate should increase with movement. We should see 2 accelerations in 20 mins and rise for 15 BPM. If the fetal heart rate is not responding well to labor then we can turn, reposition, give oxygen, and stop the pitocin. We want to see accelerations and good variability.

Make sure you check out the resources attached to this lesson and review the mnemonic VEAL-CHOP.. Now, go out and be your best selves today. And, as always, happy nursing.

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Ground Zero

Concepts Covered:

Study Plan Lessons

Communicating with Other Nurses

Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)

Day in the Life of a Labor Nurse

Day in the Life of a Med-surg Nurse

Day in the Life of a NICU Nurse

Day in the Life of a Postpartum Nurse

Day in the Life of an ICU (Intensive Care Unit) Nurse

Day in the Life of an Operating Room Nurse

Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)

Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)

HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)

Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)

Joint Commission

MSN (Masters) vs. DNP (Doctorate)

Patient Consent for Treatment for Certified Emergency Nursing (CEN)

Patient Education

Patient Satisfaction for Certified Emergency Nursing (CEN)

SBAR Practice Scenarios

Shift change and Patient handoff

The Medical Team

Time Management

Transition To Practice

Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)

Care of Vulnerable Populations

Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)

Communicable Diseases

Community Health Nursing Theories

Continuity of Care

Levels of Prevention

Giving the Best Patient Education

Health Promotion Assessments

Health Promotion & Disease Prevention

High-Risk Behaviors

High Risk Behavior Nursing Mnemonic (HEADSS)

Health Promotion Model

Patient Education

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

Technology & Informatics

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

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)

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)

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Injectable Medications

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

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

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

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

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

Streptokinase (Streptase) Nursing Considerations

Struggling with Dimensional Analysis? – Live Tutoring Archive

SubQ Injections

Supplies Needed

Tattoos IV Insertion

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 & Advice for Newborns (Neonatal IV Insertion)

Tips & Advice for Pediatric IV

Understanding All The IV Set Ports

Using Aseptic Technique

Verapamil (Calan) Nursing Considerations

Acids & Bases (acid base balance)

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)

Behind The Red Line – Live Tutoring Archive

Betamethasone and Dexamethasone

Betamethasone and Dexamethasone in Pregnancy

Bicarbonate (HCO3) Lab Values

Blood Glucose Monitoring

Blood Transfusions (Administration)

Body System Assessments

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)

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)

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 – Signs and Symptoms Nursing Mnemonic (HELLP)

Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care

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

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 Outcomes Nursing Mnemonic (GTPAL)

Preload and Afterload

Premature Rupture of the Membranes (PROM)

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 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)

Terbutaline (Brethine) Nursing Considerations

Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)

Tips & Advice for Newborns (Neonatal IV Insertion)

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

Abdomen (Abdominal) Assessment

ABG (Arterial Blood Gas) Interpretation-The Basics

ABG (Arterial Blood Gas) Oxygenation

ABGs Nursing Normal Lab Values

ABGs Tic-Tac-Toe interpretation Method

Acetaminophen (Tylenol) Nursing Considerations

Acute Bronchitis

Acute Otitis Media (AOM)

Airborne Precaution Diseases Nursing Mnemonic (MTV)

Albuterol (Ventolin) Nursing Considerations

Alveoli & Atelectasis

Amoxicillin (Amoxil) Nursing Considerations

Anti-Infective – Antivirals

Anti-Infective – Macrolides

Anti-Infective – Penicillins and Cephalosporins

Anti-Infective – Fluoroquinolones

Appendicitis – Assessment Nursing Mnemonic (PAINS)

Appendicitis Case Study (Peds) (30 min)

Appendicitis for Certified Emergency Nursing (CEN)

Assessment of a Burn Nursing Mnemonic (SCALD)

Asthma Concept Map

Asthma management Nursing Mnemonic (ASTHMA)

Attention Deficit Hyperactivity Disorder (ADHD)

Autism Spectrum Disorders

Base Excess & Deficit

Bisacodyl (Dulcolax) Nursing Considerations

Blood Brain Barrier (BBB)

Blood Type O Nursing Mnemonic (Universally Odd)

Bronchiolitis and Respiratory Syncytial Virus (RSV)

Bronchodilators

Bupropion (Wellbutrin) Nursing Considerations

Burn Injury Case Study (60 min)

Burns for Certified Emergency Nursing (CEN)

Cardiac Glycosides

Care of the Pediatric Patient

Casting & Splinting

Cefaclor (Ceclor) Nursing Considerations

Cerebral Palsy (CP)

Cimetidine (Tagamet) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Cleft Lip and Palate

Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)

Congenital Heart Defects (CHD)

Constipation and Encopresis (Incontinence)

Corticosteroids

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

Cystic Fibrosis (CF)

Day in the Life of a NICU Nurse

Day in the Life of a Peds (Pediatric) Nurse

Defects of Decreased Pulmonary Blood Flow

Defects of Increased Pulmonary Blood Flow

Diarrhea – Treatment Nursing Mnemonic (BRAT)

Digoxin (Lanoxin) Nursing Considerations

Diphenhydramine (Benadryl) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

EENT Assessment

Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

Epispadias and Hypospadias

Famotidine (Pepcid) Nursing Considerations

Fever Case Study (Pediatric) (30 min)

Flu Symptoms Nursing Mnemonic (FACTS)

Fluid Compartments

Fluid Pressures

Fluid Shifts (Ascites) (Pleural Effusion)

Fluid Volume Deficit

Fluticasone (Flonase) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Glucose Lab Values

Gluten Free Diet Nursing Mnemonic (BROW)

Guaifenesin (Mucinex) Nursing Considerations

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

Hematocrit (Hct) Lab Values

Hemoglobin (Hbg) Lab Values

Hierarchy of O2 Delivery

Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)

Ibuprofen (Motrin) Nursing Considerations

Immunizations (Vaccinations)

Imperforate Anus

Indomethacin (Indocin) Nursing Considerations

Influenza – Flu

Integumentary (Skin) Assessment

Intussusception

Intussusception for Certified Emergency Nursing (CEN)

Iron Deficiency Anemia

Isolation Precaution Types (PPE)

Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)

Lactulose (Generlac) Nursing Considerations

Levels of Consciousness (LOC)

Levetiracetam (Keppra) Nursing Considerations

Marfan Syndrome

Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)

Meningitis for Certified Emergency Nursing (CEN)

Methylphenidate (Concerta) Nursing Considerations

Mixed (Cardiac) Heart Defects

Nephrotic Syndrome

Nephrotic Syndrome Case Study (Peds) (45 min)

Neuro Assessment

Nursing Care Plan (NCP) for Acute Bronchitis

Nursing Care Plan (NCP) for Appendicitis

Nursing Care Plan (NCP) for Asthma

Nursing Care Plan (NCP) for Asthma / Childhood Asthma

Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)

Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)

Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)

Nursing Care Plan (NCP) for Celiac Disease

Nursing Care Plan (NCP) for Cerebral Palsy (CP)

Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate

Nursing Care Plan (NCP) for Clubfoot

Nursing Care Plan (NCP) for Congenital Heart Defects

Nursing Care Plan (NCP) for Constipation / Encopresis

Nursing Care Plan (NCP) for Cystic Fibrosis

Nursing Care Plan (NCP) for Decreased Cardiac Output

Nursing Care Plan (NCP) for Dehydration & Fever

Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis

Nursing Care Plan (NCP) for Enuresis / Bedwetting

Nursing Care Plan (NCP) for Epiglottitis

Nursing Care Plan (NCP) for Fluid Volume Deficit

Nursing Care Plan (NCP) for Hemophilia

Nursing Care Plan (NCP) for Hydrocephalus

Nursing Care Plan (NCP) for Impaired Gas Exchange

Nursing Care Plan (NCP) for Imperforate Anus

Nursing Care Plan (NCP) for Impetigo

Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye

Nursing Care Plan (NCP) for Influenza

Nursing Care Plan (NCP) for Intussusception

Nursing Care Plan (NCP) for Marfan Syndrome

Nursing Care Plan (NCP) for Meningitis

Nursing Care Plan (NCP) for Mumps

Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida

Nursing Care Plan (NCP) for Omphalocele

Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)

Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice

Nursing Care Plan (NCP) for Pertussis / Whooping Cough

Nursing Care Plan (NCP) for Phenylketonuria (PKU)

Nursing Care Plan (NCP) for Reye’s Syndrome

Nursing Care Plan (NCP) for Rheumatic Fever

Nursing Care Plan (NCP) for Rubeola – Measles

Nursing Care Plan (NCP) for Scoliosis

Nursing Care Plan (NCP) for Sickle Cell Anemia

Nursing Care Plan (NCP) for Tonsillitis

Nursing Care Plan (NCP) for Varicella / Chickenpox

Nursing Care Plan (NCP) for Vomiting / Diarrhea

Nursing Care Plan for (NCP) Autism Spectrum Disorder

Nursing Case Study for Pediatric Asthma

Obstructive Heart (Cardiac) Defects

Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)

Opioid Analgesics

Pancrelipase (Pancreaze) Nursing Considerations

Pediatric Bronchiolitis Labs

Pediatric Gastrointestinal Dysfunction – Diarrhea

Pediatric Oncology Basics

Pediatrics Course Introduction

Pediculosis Capitis

Pertussis – Whooping Cough

Phenylketonuria

Phenytoin (Dilantin) Nursing Considerations

Platelets (PLT) Lab Values

Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

Pulmonary Function Test

Red Blood Cell (RBC) Lab Values

Respiratory Acidosis (interpretation and nursing interventions)

Reye’s Syndrome

Reyes Syndrome Case Study (Peds) (45 min)

Rheumatic Fever

ROME – ABG (Arterial Blood Gas) Interpretation

Rubeola – Measles

Salmeterol (Serevent) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Sickle Cell Anemia

Spina Bifida – Neural Tube Defect (NTD)

Steroids – Side Effects Nursing Mnemonic (6 S’s)

Stoma Care (Colostomy bag)

Sudden Infant Death Syndrome (SIDS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Thorax and Lungs Assessment

Topical Medications

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)

Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)

Umbilical Hernia

Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)

Varicella – Chickenpox

Varicella Case Study (Peds) (30 min)

Vitals (VS) and Assessment

White Blood Cell (WBC) Lab Values

ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)

Emotions and Motivation

Growth & Development Theories

Maslow’s Hierarchy of Needs in Nursing

Psychological Disorders

State of Consciousness

Stress and Crisis

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