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Obstetrical Procedures

Obstetrical Procedures

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10 Obstetrical Procedures NCLEX Questions

Question 1 of 10

A postpartum client is recovering from a cesarean section in which she had an epidural placed for pain control. Following removal of the epidural, the client develops a severe headache when she sits up in bed. The provider has instructed the client that she will need a blood patch. Which best describes this procedure?

Placement of a large bandage over the site of the epidural insertion

Placement of a nerve block in the spinal column at the location of the affected epidural space

Removing blood from a vein in the client and injecting it into the epidural space in the back

Administering one unit of blood to replace the volume lost from the C-section

Question 2 of 10

A pregnant client who is in labor has an epidural placed because she will be undergoing a cesarean section. The epidural remains in place for the next 24 hours after delivery. Which of the listed side effects is most commonly associated with an epidural following cesarean section?

Pulmonary embolism

Pruritus

Abdominal pain

Fever

Question 3 of 10

A nurse is performing a postpartum assessment on a client who underwent a forceps delivery. Which of the following findings is the most concerning?

Fatigue

Swelling in the perineum

Abdominal pain requiring medication

Peri pad saturated in 1 hour

Question 4 of 10

A nurse is assessing the results of a non-stress test on a pregnant client. During the test, the infant had a baseline heart rate of 120, which rose to 125 for 15 seconds on the 3 fetal movements. How should the result be documented?

Non reassuring

Reassuring

Reactive

Non-reactive

Question 5 of 10

A nurse is caring for a mother and baby delivered today at 39 weeks gestation in a forcep-assisted delivery. What possible complications should the nurse be looking out for? Select all that apply.

Swelling to the top of the newborn’s scalp

Newborn has trouble moving the right arm

Postpartum hemorrhage

Postpartum hypertension

A circular bruise on the newborn’s scalp

Question 6 of 10

A nurse who works on the postpartum unit is caring for a client who delivered a baby by cesarean section three hours ago. The mother has an epidural in place and is unable to get out of bed. Which information must be reinforced to this parent that would protect the safety of both the mother and the baby in this situation?

Do not leave the baby in her crib when she is out of arm's reach

Avoid getting out of bed when the baby is not in the room

Do not change the baby's diaper unless the nurse is present

Avoid using pain medications while the baby is in the room

Question 7 of 10

A nurse is caring for a client who underwent an episiotomy during a vaginal delivery. What is the most important nursing intervention?

Frequent toileting

Positioning

Pain control

Applying ice

Question 8 of 10

A nurse is caring for a client who had an episiotomy during her vaginal delivery. Which intervention would be most appropriate when caring for a client with this condition?

Use clean technique for perineal care

Apply a heating pad to the perineum for comfort

Help the client to sit on a donut pillow

Administer an enema to prevent constipation

Question 9 of 10

A nurse is performing a newborn assessment on a baby born by a vacuum-assisted vaginal delivery. Which of the following findings would be the most concerning?

Head circumference of 35 cm

Crying that stops when swaddled

Swelling behind the ears

Bruising on the scalp

Question 10 of 10

A pregnant client is preparing to have a cesarean section to deliver her baby. The provider ordered for placement of an epidural for the procedure. What information should the nurse include about this type of anesthesia when teaching this client? Select all that apply.

The medication is delivered into the space outside the spinal cord

The epidural will relieve contraction pain and numb the perineum

The epidural catheter is usually discontinued immediately following surgery

The client will be unconscious during the procedure

The epidural may cause hypertension

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Study Tools For Obstetrical Procedures

Vacuum Assisted Delivery (Image)

Forceps Assisted Delivery (Image)

Episiotomy (Image)

Cesarean Section (Image)

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Outline

Overview

Various procedures are utilized to facilitate and assist the safe delivery of the fetus and prevent injury to the mother

Nursing Points

General

Procedures can include the use of medications or tools to facilitate and assist in delivery
1. Induction of Labor
2. Amniotomy
3. Episiotomy
4. Forceps-Assisted Delivery
5. Vacuum-Assisted Delivery
6. External version
7. Caesarean Section

Assessment

Fetal heart rate
1. Is the fetus safe in its environment
Does delivery need to happen now?
1. Induction
2. C-section
Is there enough room for the baby to fit?
1. Episiotomy

Therapeutic Management

Induction
1. Artificial initiation of labor by stimulating contractions
  1. Oxytocin (Pitocin) typically used
  2. D/C Pit if contractions are less than 2 min apart, longer than 1.5 minutes, or if fetal distress is apparent
Amniotomy
1. When amniotic sac is intentionally ruptured to stimulate labor
  1. Baby must be at 0+ station
  2. Watch for meconium stained amniotic fluid, which is associated with fetal distress
  3. Note if amniotic fluid is malodorous, which can indicate infection
External version
1. Moves baby from an abnormal position to a normal position, much more favorable for a successful vaginal delivery
2. Monitor appropriately
3. Tocolytics given
Episiotomy
1. An incision made in the vagina to make the outlet larger for delivery
  1. Nurses are responsible for assessment and care
  2. Ice for first 24 hr, sitz bath after
  3. Prevent infection, educate on s/s infection to watch for
Forceps
1. Use of forceps to help deliver the baby’s head
2. Check for injury, assist with repair of any lacerations on mom/baby
3. Risk for Postpartum Hemorrhage
Vacuum
1. Suction device applied to baby’s head to aid in delivery of head
2. Should not have more than 3 “pop offs”
3. Assess newborn’s scalp immediately after birth and routinely after for signs of trauma/hematoma and report as needed
4. Watch for caput succedaneum (edema of scalp from prolonged pressure from cervix, vacuum)
  1. Typically resolves in 24 hours
Caesarean Section
1. Insert foley
2. Typically spinal block used unless emergent/no time, then they’ll use general anesthesia
3. Monitor, administer meds as appropriate
  1. Antibiotic prior to c-section-prophylactic
4. Post op, watch for:
  1. Tender uterus, malodorous lochia (endometritis)
  2. Painful urination (bladder or urinary tract infection)
  3. Pain, edema, redness of an extremity (thrombophlebitis)
  4. Surgical site – REEDA

Nursing Concepts

Safety
Reproduction

Patient Education

Risks of forceps, vacuum
Sitz baths
S/S of infection
Hand hygiene

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Transcript

In this lesson I will explain the various obstetrical procedures and your role in this care.

Procedures are done to ensure a healthy, safe delivery of the baby. We need to ensure mom is kept safe too. These procedures can include the medications or tools to facilitate and assist in delivery. These procedures include Induction of Labor, amniotomy, episiotomy, forcep-assisted delivery, vacuum-Assisted delivery, and a caesarean section.

Let’s talk about our assessment and management. So several different things. How is the fetal heart rate? Is the fetus stressed or in a safe in its environment. So if the fetus was stressed we would see signs based on the fetal heart rate. The heart rate could be low or high. Does delivery need to happen now? If the baby needs to be delivered we can induce labor either with medications or foley bulb, which is a balloon placed in the cervix to get it to start to dilate. It could also mean a c-section for delivery. Is there enough room for the baby to fit? An episiotomy can be done to make more room at delivery.

Let’s look at these procedures in more detail. Induction is done by stimulating contractions and getting the body to go into labor. This can be done with Oxytocin or Pitocin. Induction can also be done with cytotec or foley bulb. Both of these go into the cervix to help cause dilation to occur. An amniotomy is done to intentionally rupture the sac to stimulate labor. This will cause the head to drop lower into pelvis on the cervix to cause contractions and dilation. When the water is broken we need to watch for meconium stained amniotic fluid, which is associated with fetal distress, it should be clear and no odor. An external version is done to move the baby from an abnormal position to a normal position, much more favorable for a successful vaginal delivery. This is a painful procedure because it is manually turning a large fetus and pushing and turning on the large uterine muscle. The fetus needs to be monitored appropriately. Tocolytics will be given to relax the uterus and prevent contractions. An episiotomy is an incision made in the vagina to make the space larger for delivery. You can see in this image where the cut is made. It will allow room but also cause swelling. These patients will need ice to their perineum for the first 24 hr. Sitz baths can also be given.

Forceps are a tool to help deliver the baby’s head. In this image you can see they look like salad tongs. They go on either side of the head and the physician pulls as mom pushes. The fetus will need to be checked for injury from this to the face. Sometimes have some brachial plexus also. The mother will be at risk for postpartum hemorrhage so this needs to be monitored. A vacuum is an instrument applied to the fetal head. It is a way for the physician to steer the infant as the mom pushes. You can see in this image the vacuum is applied to guide the head out. Sometimes suction is lust and the vacuum pops off. There should not be more than 3 pop offs of the vacuum. So each pop off should be documented and you need to mention to the doctor “that is the third pop off”. So this is where it can get a little intense. We need have a plan.You have to advocate for that patient and ensure the physician doesn’t try again. If they choose to then this must be well documented that you told the doctor or doctor aware and that the vacuum was reapplied. Usually now the OR has been opened, which means everything is set and ready. If 3 pop offs occur the physician will either have a come to Jesus moment with the patient she has to push hard and deliver this baby or we have to go to the OR. This is never good because the fetus is so low that a nurse is going to have to push the fetus back up as the physician pulls up through a cesarean opening. I’ve been in a few of these deliveries and it is hard not to feel panicked! Everyone sort of holds their breath but it is a lot of stressed on the fetal head to be manipulated with a vacuum and then being pushed up when it’s head is so well applied! The baby should be assessed on the scalp immediately after birth and routinely after for signs of any trauma. Caput succedaneum needs to be watched for. This is edema of scalp from prolonged pressure from the vacuum. A caesarean section might be necessary for a breach delivery or if the fetus is not handling labor or labor isn’t progressing.This patients are more at risk for blood clots because they aren’t moving as much and their incision also needs to be watched.

The nursing concepts for this patient will be safety and reproduction. We need to ensure the safety of the mother and the fetus.
Now we can review the main points. Obstetrical procedures are interventions to facilitate a safe delivery for mom and baby. There are several but the main ones are episiotomy, which is a cut at the perineum that will make more room for the baby to deliver. This patient will need ice for 24 hours to her perineum. A vacuum-assisted delivery is a suction placed on the fetal head and the physician will guide the baby out as the mom pushes. No more than 3 pop offs for this. A forcep-assisted delivery look like salad tongs that go on the sides of the head and the baby is pulled down and out. This is a risk for facial injury. And an, external version which is done to turn the baby to vertex position. The mother is given tocolytics to stop contractions and relax the uterus during the procedure. The mom and fetus will be monitored.

Make sure you check out the resources attached to this lesson and review the different procedures and signs and symptoms to watch for after they are done. 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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