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Antepartum Testing

Antepartum Testing

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Miriam Wahrman
MSN/Ed,RNC-MNN
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Included In This Lesson

Study Tools
Outline
Transcript
Additional Lessons

Study Tools For Antepartum Testing

Fetal Wellbeing Assessment Tests (Mnemonic)
OB Non-Stress Test Results (Mnemonic)
Amniocentesis (Image)
Fetal Heart Rate Monitoring (Image)
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Outline

Overview

  1. Many routine diagnostic exams are done during prenatal visits during various stages of pregnancy
  2. All pregnancies are different and dynamic, therefore not every pregnant woman will have the same experience every time
  3. Goal is to properly screen prophylactically to detect issues/complications early and then appropriately address and support any issues that are found

Nursing Points

General

  1. Baseline routine exams will be completed on everyone
    1. No complications detected→ continue with routine prenatal care
    2. Complications detected → Further diagnostic exams might be needed
  2. Complete appropriate tests as they’re required
    1. Don’t perform procedures that could potentially harm mother or baby if they are not necessary

Assessment

  1. Routine diagnostics
    1. Blood type and Rh Factor
    2. Rubella titer
      1. Determine immunity
      2. Cannot give rubella vaccine during pregnancy due to it potentially crossing placenta because it is a live vaccine
    3. Complete blood count
      1. H/H
      2. Platelets
    4. STI testing
      1. Mandated in some states
      2. Pap smear with cultures
      3. May test for: HIV, HPV, herpes, gonorrhea, syphilis, chlamydia, trichomoniasis
    5. Hep B screening
    6. Glucose challenge
      1. Done around 28 weeks
      2. OGTT
        1. Patient drinks 50 g oral glucose
        2. Check 1 hour BG
        3. If they fail they do a 3 hour glucose test
      3. 3 hour glucola
        1. Fasting sugar
        2. Drink 100g glucose
        3. Check at 1 hr, 2 hr, 3hr
        4. If fail then gestational diabetic and need referral
    7. UA with culture
      1. Urine dip for glucose (diabetes) and protein (preeclampsia) at every prenatal visit
    8. Ultrasound
      1. Abdominal (may also be transvaginal if early in gestation)
      2. A full bladder pushes up the uterus, making structures easier to visualize
      3. Checking anatomy of baby and maternal structures (cervix, placenta)
      4. Helps confirm the estimated gestational age and that structures are forming appropriately and at the appropriate rate
      5. Can also assess the blood flow of placenta and baby
      6. Used at guidance in some testing such as amniocentesis, Chorionic villus sampling
    9. Nonstress test (NST)
      1. Noninvasive, not painful, completed outpatient
      2. 2 transducers: one for baby, one for contractions
      3. Assess fetal well-being, changes in their heart rate with movement (accelerates, decelerates), also how the placenta is functioning and its oxygenation
      4. We want a reactive NST (when the fetus moves, the heart rate increases appropriately, approx. 15 beats above baseline at least twice in 20 min)
      5. Baseline maternal BP and HR before
      6. Patient to press button when they feel fetal movement, examiner can note if it correlates with tracing
      7. We DO NOT want a nonreactive NST.  Further testing will be required if this is noted.
    10. Group Beta Strep
      1. Vaginal swab at 34-36 weeks.
      2. Looks for beta strep bacteria that could cause infant to be sick/septic
    11. Kick counts
      1. Mother counts number of kicks during 2 hour period while lying on side
      2. Notify if less than 10 in 2 hrs
  2. Not routine (only done if previous diagnostics or physical exam warrants them)
    1. Contraction stress (only performed if NST is non-reactive)
      1. Induce contractions either with pitocin or nipple stimulation to see if the baby shows signs of stress.
      2. If there is stress we see a decrease in FHR because of the contraction
    2. Percutaneous umbilical blood sampling
      1. Transducer used to detect position of fetus
      2. Sample is obtained from fetal blood from the umbilical cord
      3. Blood is tested→ usually detects for fetal anemia
    3. Alpha-fetoprotein screening
      1. Blood sample from mom btwn 16-18 weeks
      2. Protein is released by liver and detected in maternal blood supply
      3. If Down’s Syndrome or spina bifida suspected
      4. Not 100% effective. Can miss anomalies or be detected without anomaly
    4. Chorionic villus sample
      1. Invasive!
      2. Checking genetic issues by sampling chorionic villus (fetal placental tissue)
      3. Done early in gestation (11-14 weeks)
      4. Mother must call if she has contractions, cramping, fever, chills, leaking fluid
    5. Amniocentesis
      1. Invasive!
      2. Checking amniotic fluid for genetic and metabolic issues, fetal lung issues
      3. After this mother must be instructed to call MD with any sign of decreased fetal movement, uterine contractions, cramping, fever, chills, fluid leaking from site
    6. Nitrazine test
      1. Checking for amniotic fluid in vaginal secretions
      2. Water broke vs. urine
      3. Turns swab blue if it’s amniotic fluid, measures the pH
      4. Not 100% accurate

Therapeutic Management

  1. Position patient comfortably for procedures

Nursing Concepts

  1. Comfort
  2. Reproduction
  3. Human Development

Patient Education

  1. Education will vary by the test
  2. Educate on the procedure and what is being looked for
  3. Education on whether the testing is fasting, nonfasting, or if they need a full bladder
  4. Educate on any signs and symptoms that need to be watched for and when to call MD
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Transcript

In this lesson I will explain antepartum testing in detail and when each is used.

Many routine diagnostic exams are done throughout the pregnancy at various stages. Testing starts early in the prenatal period and is usually noninvasive. Routine tests might become more frequent or invasive if anything is detected that needs to be assessed further. Each pregnancy is different, no two pregnancies are the same so a patient could have 3 pregnancies and each be different and require different testing. Some women will have it easy while others will need more attention. The goal is to properly screen to detect issues/complications early and then appropriately address and support any issues that are found. Think of it as prophylactic and then it will go further if needed.
Let’s talk about the routine testing. This is not all of the tests, we’re just going to talk about the most common and most important ones, but in your outline we’ve covered quite a few others that you can see in more detail. This is standard testing done on everyone. Besides basic lab work that is done there are a few other routine exams. Titers will also be drawn to see what the mother’s Rubella status is as well as Hep B. If mom is rubella non-immune she can not review the vaccine until after delivery. This will be important for you to remember. The rubella vaccine is live and could cross the placenta. We need to get her the vaccine after deliver to protect her in future pregnancies.STI testing will also be done because a lot of STIs can be harmful to the baby once born. The major STIs that are checked are HIV, HPV, herpes, gonorrhea, syphilis, chlamydia. Others might be tests or are obviously detected such as trichamonois, but whatever is found needs to be treated and followed up and passed on at delivery for further baby monitoring. Each patient will have a glucose challenge done at 28 weeks gestation. The first test is a one hour test. The patient drinks 50g oral glucose and a one hour glucose is taken. If they fail, meaning above 130-140 they need to have their 3 hour glucola done. The lab numbers will vary based on the facilities lab so refer to your book or class notes on what your specific numbers are. For the three hour glucola a fasting blood sugar is taken and the patient drinks 100g glucose. Her blood sugar is then checked at 1 hr, 2 hr, 3hr. If she fails 2 or more readings she is gestational diabetic.

.Other routine tests will be a urinalysis at each appointment. This will be used to detect protein for preeclampsia, glucose and bacteria. Nonstress test (NST) are noninvasive and not painful. A tocometer is placed to detect contractions and another for fetal heart rate. The patient will hit a button when she feels baby move and the nurse will assess what the heart rate does with movement. We want to see 15 beats above baseline at least twice in 20 min. If this happens it is reactive. We want reactive. This looks at overall fetal well being. Group beta strep also known as GBS is a test on every woman close to delivery. It is a vaginal swab taken at 34-37 weeks and it detects how much beta strep bacteria is present. The patient will either be positive or negative.
The contraction stress is performed if the patient’s NST is non-reactive. So it is done to assess the fetal well being better. Contractions will be induced either with pitocin or also nipple stimulation can cause a release of natural oxytocin for contractions to start. So using the breast pump can help. The fetal heart rate will be monitored for signs of stress to the contraction. If there is stress we see a decrease in FHR because of the contraction. Usually it will be late decelerations which is a fetal heart rate that drops after the start of the contraction. We want to have 3 contractions with no decelerations. This is a negative result which is what we want. It means negative for decelerations. Chorionic villus sample is very invasive and looks at genetics of the fetus. The testing is done early in gestation (11-14 weeks) and ultrasound guides as the chorionic villi from the placental tissue are taken for sample. The mother must call if she has contractions, cramping, fever, child, or leaking of fluid. This patient would not be calling for decreased fetal movement because it is done so early in gestation that movement isn’t felt. This is sometimes tricky on a test so I wanted to point that out. An amniocentesis is a similar test. An ultrasound guides as a large needle taken amniotic fluid. It is used to check for genetic and metabolic issues as well as fetal lung maturity. This patient would be instructed to call MD with any sign of decreased fetal movement, uterine contractions, cramping, fever, chills, and fluid leaking from site. It is the same as the chorionic villus sampling accept this test can be done later in gestation when movement is felt so this mother would notify for decreased fetal movement.
Education will vary by the test because they are all looking at different things. Education should be done on the procedure and what is being looked for so the patient understands. Education on whether the testing is fasting or nonfasting is needed so the patient can be prepared and the test can be done right. The patient might need to have a full bladder for some ultrasounds if she is early on so that the full bladder will push the uterus up out of the pelvis. Education on any signs and symptoms that need to be watched for and when to call MD is really important. Some of these invasive tests could lead to major complications so we need the patient to be aware what to watch for and when to call.

Comfort is an important concept because we need to keep mom comfortable during any of these procedures. Reproduction is a concept because we are performing these tests because she is reproducing and human development is one because we are ensuring that development is happening properly with these tests.
Antepartum testing are mostly noninvasive labs, ultrasounds, non stress tests, glucose tolerance tests. They can be invasive in times of needing further studies. The screening are used to check for complications that can be maternal or fetal.

Make sure you check out the resources attached to this lesson and compare and contrast the various tests and education to be given. Now, go out and be your best selves today. And, as always, happy nursing.

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Lab Panels – The Basics and What YOU Need to Know 2 – Live Tutoring Archive
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Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
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Signs of Pregnancy – Live Tutoring Archive
Signs of Pregnancy (Presumptive, Probable, Positive)
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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
Abortion in Nursing: Spontaneous, Induced, and Missed
05.03 Jaundice for CCRN Review
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Behavioral Genetics
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Intro to Psychology Course Introduction
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Maslow’s Hierarchy of Needs in Nursing
Not Settling
Psychological Disorders
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01.01 CCRN Test Overview for CCRN Review
12 Points to Answering Pharmacology Questions
5 Rules for Powerpoint
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9 Easy Steps to Passing Every Nursing School Test | With Jon Haws, BSN, RN, Founder of NURSING.com
Absolute Words
Acute vs Chronic
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Advanced Critical Thinking
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Anatomy of an NCLEX Question
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Arterial Blood Gases Nursing Mnemonic (ROME)
Ask Questions
Avoiding Alarm Fatigue
Backwards and Forwards
Be a Mix Tape (Rewind and Fast-Forward)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Bloom’s Taxonomy
C – Content
Can You Draw It
Care Plan Review (Addresses Patient Considerations) for Certified Perioperative Nurse (CNOR)
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Chance’s Story on His Personal Journey
Cheatsheets
Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)
CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Clinical Inquiry for Progressive Care Certified Nurse (PCCN)
Community Health Tool Nursing Mnemonic (MAP-IT)
Concept Map Course Introduction
Connections
Course Introduction to Nursing School Preparation
Critical Thinking
Critical Thinking
Degree Restrictions in Career Growth
Denying Feelings
Dig for the Why
Diploma vs ADN vs BSN vs Bridge
Drawing Pictures
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Duplicate Facts
E – Engagement
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Emergency Drugs Nursing Mnemonic (LEAN)
Environmental Health Assessment Nursing Mnemonic (I PREPARE)
Evaluating Patient Response to Plan of Care for Certified Perioperative Nurse (CNOR)
Exercise Guidelines Nursing Mnemonic (FIT)
Explaining the “Why”
Exporting and Uploading to Frame.io
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fire Safety 1 Nursing Mnemonic (PASS)
Fire Safety 2 Nursing Mnemonic (RACE)
Getting Access to frame.io
Getting Started with Tech
Gluten Free Diet Nursing Mnemonic (BROW)
Goal Setting
HESI® Prep Course Introduction
High Risk Behavior Nursing Mnemonic (HEADSS)
How to Write a Nursing Care Plan
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Identifying Measurable Patient Outcomes for Certified Perioperative Nurse (CNOR)
Increase MAP Nursing Mnemonic (VAK)
Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)
Interviewing for Nursing School
Introduction to CCMM
Jon’s Story on His Personal Journey
Keep it Short
Lesson Elements
MAO Inhibitors Nursing Mnemonic (TIPS)
Marie’s Story on Her Personal Nursing Journey
Miriam’s Story on Her Personal Journey
Mnemonic for Organ Systems (MR DICE RUNS)
MSN (Masters) vs. DNP (Doctorate)
NCLEX Question Traps! – Live Tutoring Archive
NCLEX® Question Traps
Need Help Making A Study Plan? – Live Tutoring Archive
NRSNG | Closing Thoughts
NRSNG Live | 5 Things You Never Knew About NCLEX Questions
NRSNG Live | AMA (Ask Me Anything) Nursing Success Roundtable
NRSNG Live | AMA Student Panel – How I Survive (Barely) Nursing School
NRSNG Live | How I Went From Nursing School Dropout to Passing NCLEX in 75 and Teaching 18 Million Nurses
NRSNG Live | How to Get the Most out of NRSNG
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
NRSNG Live | The Core Content Mastery Method and How to Use it Throughout Your Nursing Journey
NRSNG Live | The Successful State of Mind
NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t
Nursing Care Plans Course Introduction
Nursing Case Study Introduction
Nursing Process
Nursing Process – Assess
Nursing Process – Diagnose
Nursing Process – Evaluate
Nursing Process – Implement
Nursing Process – Plan
Nursing School Application Essay
NURSING.com Assessment & Skills Checks
NURSING.com Introduction
O – Origins
OLD CARTS Mnemonic (OLD CARTS)
Online vs Brick-and-Mortar
Opposite or the Same – Live Tutoring Archive
Opposites
Our Goals for Teaching
Our Mission
Outline Question Method (Note taking)
Overview of the Nursing Process
Paying for Nursing School
Pharmacokinetics Nursing Mnemonic (ADME)
Pictures
Plan of Care Updates for Certified Perioperative Nurse (CNOR)
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Prioritization
Prioritizing Assessments
Priority
Purpose of Nursing Care Plans
Questions To Ask Before Applying To A Nursing Program
R – Real-Life
Real Life
Real-Life Experiences
Recording
Repeating Words
Resources for Lesson Creation
RN to MSN
Safety Check Nursing Mnemonic (MADLE)
Same
SATA
SATA like a BOSS – Live Tutoring Archive
SATA like a BOSS 2 – Live Tutoring Archive
SBAR Communication Nursing Mnemonic (SBAR)
Screencastify Setup
Share the Wealth
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
Start and End with the Linchpin
Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)
Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)
Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)
Study Setting
Study Tips for Success
Systems Thinking for Progressive Care Certified Nurse (PCCN)
TEAS® Prep Course Introduction
Tenet 1 Filet Mignon
Tenet 2 Linchpins & Connections
Tenet 3 Why Behind the What
Tenet 4 Learner-Centered Talkabouts
Test Taking Course Introduction
The Academy
The CARPET Methods of Teaching
The Nurse Routine
The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive
The Outline is the Foundation
Thinking Like a Nurse
Time Management
Time Management
To The Point
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Triage Nursing Mnemonic (START)
Trusting your Gut
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Using Nursing Care Plans in Clinicals
Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)
Vitamins – Water Soluble Nursing Mnemonic (Birth Control)
Walkers Nursing Mnemonic (Wandering Wilma Always Late)
Welcome to NURSING.com
Welcome to NURSING.com
What Are the Absolutes
What are the NCLEX Categories? – Live Tutoring Archive
What do you want me to know?
What is CCMM?
What is Pedagogy
What is the NCLEX?
What Should They Learn
What to Expect In Clinical
Where To Start
Why NURSING.com?
Working night shift
Your Role
Citations
Evidence Based Research
Nurse Educator
Page Sections, Footnotes & Headers
Page Set-Up
Research Nurse
Title Page
Why CEs (Continuing education) matter
Aging and Socialization
Crime in Society
Dark Skin: IV Insertion
Gender Equity (Inclusion, Gender Transition) for Certified Emergency Nursing (CEN)
Gender Inequality
Global Inequalities
High-Risk Behaviors
Human Trafficking for Certified Emergency Nursing (CEN)
Introduction to Sociology
Lab Panels
Lab Panels – The Basics and What YOU Need to Know – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 2 – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 3 – Live Tutoring Archive
Lab Values Course Introduction
Race, Ethnicity, and Migration in Society
Shorthand Lab Values
Social Effects on Health, Illness, and Disability
Social Groups
Social Interactions in Life
Sociological Perspectives
Sociology and Culture
Sociology and Education
Sociology Course Introduction
Sociology Research
Citations
Evidence Based Research
Nurse Educator
Page Sections, Footnotes & Headers
Page Set-Up
Research Nurse
Title Page
Why CEs (Continuing education) matter
01.01 CCRN Test Overview for CCRN Review
12 Points to Answering Pharmacology Questions
5 Rules for Powerpoint
5 Things You Never Knew About The NCLEX – Live Tutoring Archive
9 Easy Steps to Passing Every Nursing School Test | With Jon Haws, BSN, RN, Founder of NURSING.com
Absolute Words
Acute vs Chronic
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Advanced Critical Thinking
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Anatomy of an NCLEX Question
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Arterial Blood Gases Nursing Mnemonic (ROME)
Ask Questions
Avoiding Alarm Fatigue
Backwards and Forwards
Be a Mix Tape (Rewind and Fast-Forward)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Bloom’s Taxonomy
C – Content
Can You Draw It
Care Plan Review (Addresses Patient Considerations) for Certified Perioperative Nurse (CNOR)
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Chance’s Story on His Personal Journey
Cheatsheets
Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)
CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Clinical Inquiry for Progressive Care Certified Nurse (PCCN)
Community Health Tool Nursing Mnemonic (MAP-IT)
Concept Map Course Introduction
Connections
Course Introduction to Nursing School Preparation
Critical Thinking
Critical Thinking
Degree Restrictions in Career Growth
Denying Feelings
Dig for the Why
Diploma vs ADN vs BSN vs Bridge
Drawing Pictures
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Duplicate Facts
E – Engagement
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Emergency Drugs Nursing Mnemonic (LEAN)
Environmental Health Assessment Nursing Mnemonic (I PREPARE)
Evaluating Patient Response to Plan of Care for Certified Perioperative Nurse (CNOR)
Exercise Guidelines Nursing Mnemonic (FIT)
Explaining the “Why”
Exporting and Uploading to Frame.io
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fire Safety 1 Nursing Mnemonic (PASS)
Fire Safety 2 Nursing Mnemonic (RACE)
Getting Access to frame.io
Getting Started with Tech
Gluten Free Diet Nursing Mnemonic (BROW)
Goal Setting
HESI® Prep Course Introduction
High Risk Behavior Nursing Mnemonic (HEADSS)
How to Write a Nursing Care Plan
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Identifying Measurable Patient Outcomes for Certified Perioperative Nurse (CNOR)
Increase MAP Nursing Mnemonic (VAK)
Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)
Interviewing for Nursing School
Introduction to CCMM
Jon’s Story on His Personal Journey
Keep it Short
Lesson Elements
MAO Inhibitors Nursing Mnemonic (TIPS)
Marie’s Story on Her Personal Nursing Journey
Miriam’s Story on Her Personal Journey
Mnemonic for Organ Systems (MR DICE RUNS)
MSN (Masters) vs. DNP (Doctorate)
NCLEX Question Traps! – Live Tutoring Archive
NCLEX® Question Traps
Need Help Making A Study Plan? – Live Tutoring Archive
NRSNG | Closing Thoughts
NRSNG Live | 5 Things You Never Knew About NCLEX Questions
NRSNG Live | AMA (Ask Me Anything) Nursing Success Roundtable
NRSNG Live | AMA Student Panel – How I Survive (Barely) Nursing School
NRSNG Live | How I Went From Nursing School Dropout to Passing NCLEX in 75 and Teaching 18 Million Nurses
NRSNG Live | How to Get the Most out of NRSNG
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
NRSNG Live | The Core Content Mastery Method and How to Use it Throughout Your Nursing Journey
NRSNG Live | The Successful State of Mind
NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t
Nursing Care Plans Course Introduction
Nursing Case Study Introduction
Nursing Process
Nursing Process – Assess
Nursing Process – Diagnose
Nursing Process – Evaluate
Nursing Process – Implement
Nursing Process – Plan
Nursing School Application Essay
NURSING.com Assessment & Skills Checks
NURSING.com Introduction
O – Origins
OLD CARTS Mnemonic (OLD CARTS)
Online vs Brick-and-Mortar
Opposite or the Same – Live Tutoring Archive
Opposites
Our Goals for Teaching
Our Mission
Outline Question Method (Note taking)
Overview of the Nursing Process
Paying for Nursing School
Pharmacokinetics Nursing Mnemonic (ADME)
Pictures
Plan of Care Updates for Certified Perioperative Nurse (CNOR)
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Prioritization
Prioritizing Assessments
Priority
Purpose of Nursing Care Plans
Questions To Ask Before Applying To A Nursing Program
R – Real-Life
Real Life
Real-Life Experiences
Recording
Repeating Words
Resources for Lesson Creation
RN to MSN
Safety Check Nursing Mnemonic (MADLE)
Same
SATA
SATA like a BOSS – Live Tutoring Archive
SATA like a BOSS 2 – Live Tutoring Archive
SBAR Communication Nursing Mnemonic (SBAR)
Screencastify Setup
Share the Wealth
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
Start and End with the Linchpin
Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)
Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)
Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)
Study Setting
Study Tips for Success
Systems Thinking for Progressive Care Certified Nurse (PCCN)
TEAS® Prep Course Introduction
Tenet 1 Filet Mignon
Tenet 2 Linchpins & Connections
Tenet 3 Why Behind the What
Tenet 4 Learner-Centered Talkabouts
Test Taking Course Introduction
The Academy
The CARPET Methods of Teaching
The Nurse Routine
The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive
The Outline is the Foundation
Thinking Like a Nurse
Time Management
Time Management
To The Point
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Triage Nursing Mnemonic (START)
Trusting your Gut
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Using Nursing Care Plans in Clinicals
Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)
Vitamins – Water Soluble Nursing Mnemonic (Birth Control)
Walkers Nursing Mnemonic (Wandering Wilma Always Late)
Welcome to NURSING.com
Welcome to NURSING.com
What Are the Absolutes
What are the NCLEX Categories? – Live Tutoring Archive
What do you want me to know?
What is CCMM?
What is Pedagogy
What is the NCLEX?
What Should They Learn
What to Expect In Clinical
Where To Start
Why NURSING.com?
Working night shift
Your Role
08.01 Psychological Review for CCRN Review
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
Albumin Lab Values
Alcohol Withdrawal (Addiction)
Alcohol Withdrawal Case Study (45 min)
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alprazolam (Xanax) Nursing Considerations
Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)
Ammonia (NH3) Lab Values
Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)
Antianxiety Meds
Antianxiety Meds
Antidepressants
Antidepressants
Antipsychotics
Antipsychotics
Anxiety
Anxiety Disorders (PTSD, Anxiety, Panic Attack) for Certified Emergency Nursing (CEN)
Atypical Antipsychotics
Benzodiazepines
Benzodiazepines Nursing Mnemonic (Donuts and TLC)
Blood Urea Nitrogen (BUN) Lab Values
Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)
Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)
Buspirone (Buspar) Nursing Considerations
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Carbamazepine (Tegretol) Nursing Considerations
Chloride-Cl (Hyperchloremia, Hypochloremia)
Chlorpromazine (Thorazine) Nursing Considerations
Cholesterol (Chol) Lab Values
Cognitive Impairment Disorders
Creatinine (Cr) Lab Values
Day in the Life of a Hospice, Palliative Care Nurse
Day in the Life of a Mental Health Nurse
Defense Mechanisms
Defense Mechanisms
Dementia Nursing Mnemonic (DEMENTIA)
Depression
Depression Assessment Nursing Mnemonic (SIGNS)
Depression Concept Map
Diazepam (Valium) Nursing Considerations
Disruptive Behaviors, Aggression, Violence for Progressive Care Certified Nurse (PCCN)
Dissociative Disorders
Divalproex (Depakote) Nursing Considerations
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Encephalopathy Case Study (45 min)
End of Life for Progressive Care Certified Nurse (PCCN)
End-of-Life and Palliative Care (Organ and Tissue Donation, Advance Directives, Care Withholding, Family Presence) for Certified Emergency Nursing (CEN)
Escitalopram (Lexapro) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Generalized Anxiety Disorder
Glomerular Filtration Rate (GFR)
Grief and Loss
Grief and Loss
Haloperidol (Haldol) Nursing Considerations
Handling Death and Dying
Head to Toe Nursing Assessment (Physical Exam)
Homicidal and Suicidal Ideation for Certified Emergency Nursing (CEN)
Hypochondriasis (Hypochondriac)
Lamotrigine (Lamictal) Nursing Considerations
Lithium (Lithonate) Nursing Considerations
Lithium Lab Values
Liver Function Tests
Lorazepam (Ativan) Nursing Considerations
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Manic Attack – Signs and Symptoms Nursing Mnemonic (DIG FAST)
MAO Inhibitors Nursing Mnemonic (TIPS)
MAOIs
Meds for Alzheimers
Mental Health Course Introduction
Metabolic Alkalosis
Methadone (Methadose) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Mood Disorders (Bipolar, Depression) for Certified Emergency Nursing (CEN)
Mood Disorders (Bipolar)
Mood Stabilizers
Mood Stabilizers
Nurse-Patient Relationship
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Dissociative Disorders
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
Nursing Care Plan (NCP) for Paranoid Disorders
Nursing Care Plan (NCP) for Personality Disorders
Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Case Study for (PTSD) Post Traumatic Stress Disorder
Nursing Case Study for Bipolar Disorder
Nursing Case Study for Mania (Manic Syndrome)
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Palliative Care for Progressive Care Certified Nurse (PCCN)
Paranoid Disorders
Paroxetine (Paxil) Nursing Considerations
Personality Disorders
Phases of Nurse-Client Relationship
Phosphorus-Phos
Post-Traumatic Stress Disorder (PTSD)
Postmortem Care
Potassium-K (Hyperkalemia, Hypokalemia)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Quetiapine (Seroquel) Nursing Considerations
Schizophrenia
Schizophrenia Case Study (45 min)
Self Concept
Senile Dementia – Assess for Changes Nursing Mnemonic (JAMCO)
Sertraline (Zoloft) Nursing Considerations
Sodium-Na (Hypernatremia, Hyponatremia)
Somatoform
Somatoform Disorder Case Study (30 min)
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
SSRIs
Substance Abuse (Alcohol, Drug Withdrawal) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Chronic Alcohol Abuse, Chronic Drug Abuse) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Drug-Seeking Behavior) for Progressive Care Certified Nurse (PCCN)
Suicidal Behavior
TCAs
Therapeutic Communication
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Thought Disorders (Psychosis, Schizophrenia) for Certified Emergency Nursing (CEN)
Total Bilirubin (T. Billi) Lab Values
Types of Schizophrenia
Urinalysis (UA)
Vitamin B12 Lab Values
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Canes Nursing Mnemonic (COAL)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Interventions for Aphasia Nursing Mnemonic (PROP)
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Aspiration for Certified Emergency Nursing (CEN)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Bleeding for Certified Emergency Nursing (CEN)
Canes Nursing Mnemonic (COAL)
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Discharge Planning for Certified Emergency Nursing (CEN)
Dysrhythmias for Certified Emergency Nursing (CEN)
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Fundamentals Course Introduction
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension for Certified Emergency Nursing (CEN)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Interventions for Aphasia Nursing Mnemonic (PROP)
Ischemic (CVA) Stroke Labs
Lacerations for Certified Emergency Nursing (CEN)
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Maxillofacial Trauma for Certified Emergency Nursing (CEN)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Seizures
Patient and Healthcare Team Safety (Disasters, Environmental Hazards) for Certified Perioperative Nurse (CNOR)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Trauma for Certified Emergency Nursing (CEN)
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Sinus Bradycardia
Sinus Tachycardia
Stroke (CVA) Module Intro
Stroke Case Study (45 min)
Supraventricular Tachycardia (SVT)
Trauma Nursing Interventions for Certified Perioperative Nurse (CNOR)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
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
Basic Algebra
Basic Geometry
Basic Operations
Basic Statistics
Common Stat tests
Covariance and Causality
Decimals & Percentages
Distributions
Gamma Glutamyl Transferase (GGT) Lab Values
Graphing Equations
Growth Hormone (GH) Lab Values
Interpreting Trends
Lab Panels
Lab Panels – The Basics and What YOU Need to Know – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 2 – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 3 – Live Tutoring Archive
Lab Values Course Introduction
Mathematics Course Introduction
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Measure of Spread
Normal distribution curve
Prealbumin (PAB) Lab Values
Ratios & Proportions
Response Variable vs. Explanatory variable
Shorthand Lab Values
Working with Fractions
ACLS (Advanced cardiac life support) Drugs
Advanced Cardiovascular Life Support (ACLS)
Brief CPR (Cardiopulmonary Resuscitation) Overview
CPR-BLS (Basic Life Support)
Life Support Review Course Introduction
Neonatal Resuscitation Program (NRP)
Pediatric Advanced Life Support (PALS)
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values