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BSN 2 STUDY PLAN

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Emergent Delivery for Certified Emergency Nursing (CEN)

Emergent Delivery for Certified Emergency Nursing (CEN)

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Study Tools For Emergent Delivery for Certified Emergency Nursing (CEN)

C Section, Labor And Delivery, Cesarean Section (Image)

Forceps Assisted Delivery (Image)

Vacuum Assisted Delivery (Image)

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Outline

Emergent Delivery

Definition/Etiology:

Defined as delivery of a baby after rapid labor, usually less than 3 hours in an unexpected setting

Pathophysiology:

First stage of labor (Dilation): starts with cervical dilation and ends when cervix is dilated to 10cm
Second stage of labor (Expulsion): starts when cervix is dilated to 10cm and ends with the delivery of the neonate
Third stage of labor (Placental): starts with the delivery of the neonate and ends with delivery of the placenta.

Clinical Presentation:

Rapidly progressing stages of labor
Amniotic fluid rupture
Crowning
Desire to bear down

Collaborative Management:

Pelvic Exam
IV fluids
Pitocin
Lab work including a type and screen if time permits
Get ready to catch!

Evaluation | Patient Monitoring | Education:

Hemodynamic monitoring:
Signs of shock for mom. Evaluate for postpartum hemorrhage and don’t forget that fundal massage

Fetal/toco monitoring:

Don’t forget fetal heart rate should be between 110-160.
Less than 110 is fetal bradycardia (WE ARE WORRIED)
- Look for cause such as cord prolapse, maternal seizures, paracervical block

Keep that baby warm after delivery
APGAR Score at 1 and 5 minutes = intervention as indicated

Linchpins: (Key Points)

Emergent delivery is happening now, no time to transport to an OB facility
You have two patients (even when they are one) so make sure you are monitoring both
Happy moms and babies are clean, warm and dry.
Transport is key but both need to be stable prior to going.

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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

Barss, V. A., & Wolfson, A. B. (2011). Precipitous birth not occurring on a labor and delivery unit. Uptodate Inc. Editor: Ramin SM, Hockberger RS.
Hutchison, J., & Mahdy, H. (2019). Stages of labor.
Sheehy, S. B., Hammond, B. B., & Zimmermann, P. G. (2013). Sheehy’s manual of emergency care. 7th ed. / St. Louis, Mo., Elsevier/Mosby.
Von Steinburg, S. P., Boulesteix, A. L., Lederer, C., Grunow, S., Schiermeier, S., Hatzmann, W., … & Daumer, M. (2013). What is the “normal” fetal heart rate?. PeerJ, 1, e82.

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BSN 2 STUDY PLAN

Concepts Covered:

Study Plan Lessons

Community Health Course Introduction

Abruptio Placenta for Certified Emergency Nursing (CEN)

Antepartum Testing

Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)

Chorioamnionitis

Cleft Lip and Palate

Congenital Heart Defects (CHD)

Day in the Life of a Labor Nurse

Emergent Delivery for Certified Emergency Nursing (CEN)

Gestational Diabetes (GDM)

Growth & Development – Infants

Hydatidiform Mole (Molar pregnancy)

Infections in Pregnancy

Initial Care of the Newborn (APGAR)

Maternal Risk Factors

Newborn of HIV+ Mother

NRSNG Live | From Student to Real Nurse

Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage

Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption

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

Nursing Care Plan (NCP) for Chorioamnionitis

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 Dystocia

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 Hypothyroidism

Nursing Care Plan (NCP) for Imperforate Anus

Nursing Care Plan (NCP) for Incompetent Cervix

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 Neural Tube Defect, Spina Bifida

Nursing Care Plan (NCP) for Newborns

Nursing Care Plan (NCP) for Omphalocele

Nursing Care Plan (NCP) for Pertussis / Whooping Cough

Nursing Care Plan (NCP) for Placenta Previa

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) Autism Spectrum Disorder

Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)

Nursing Case Study for Maternal Newborn

Obstetric Trauma for Certified Emergency Nursing (CEN)

Oxytocin (Pitocin) Nursing Considerations

Placenta Previa for Certified Emergency Nursing (CEN)

Postpartum Discomforts

Postpartum Hemorrhage (PPH)

Postpartum Physiological Maternal Changes

Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)

Preterm Labor for Certified Emergency Nursing (CEN)

Process of Labor

Signs of Pregnancy (Presumptive, Probable, Positive)

Sudden Infant Death Syndrome (SIDS)

Terbutaline (Brethine) Nursing Considerations

Transfer and Stabilization for Certified Emergency Nursing (CEN)

Colorectal Cancer (colon rectal cancer)

Complications of Immobility

Constipation and Encopresis (Incontinence)

Cystic Fibrosis (CF)

Liver Function Tests

Nursing Care and Pathophysiology for Crohn’s Disease

Nursing Care and Pathophysiology for Parkinsons

Nursing Care and Pathophysiology for Ulcerative Colitis(UC)

Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)

Nursing Care Plan (NCP) for Acute Kidney Injury

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Nursing Care Plan (NCP) for Anemia

Nursing Care Plan (NCP) for Aspiration

Nursing Care Plan (NCP) for Bladder Cancer

Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)

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

Nursing Care Plan (NCP) for Cholecystitis

Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)

Nursing Care Plan (NCP) for Congenital Heart Defects

Nursing Care Plan (NCP) for Cystic Fibrosis

Nursing Care Plan (NCP) for Decreased Cardiac Output

Nursing Care Plan (NCP) for Dementia

Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)

Nursing Care Plan (NCP) for Emphysema

Nursing Care Plan (NCP) for Gout / Gouty Arthritis

Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis

Nursing Care Plan (NCP) for Hyperemesis Gravidarum

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care Plan (NCP) for Hypoparathyroidism

Nursing Care Plan (NCP) for Hypothyroidism

Nursing Care Plan (NCP) for Infection

Nursing Care Plan (NCP) for Leukemia

Nursing Care Plan (NCP) for Lung Cancer

Nursing Care Plan (NCP) for Marfan Syndrome

Nursing Care Plan (NCP) for Nephrotic Syndrome

Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease

Nursing Care Plan (NCP) for Osteoporosis

Nursing Care Plan (NCP) for Ovarian Cancer

Nursing Care Plan (NCP) for Parkinson’s Disease

Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)

Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)

Nursing Care Plan (NCP) for Preterm Labor / Premature Labor

Nursing Care Plan (NCP) for Renal Calculi

Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)

Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)

Nursing Care Plan (NCP) for Stroke (CVA)

Nursing Care Plan (NCP) for Vomiting / Diarrhea

Nursing Care Plan for (NCP) Autism Spectrum Disorder

Nursing Care Plan for Endometriosis

Nursing Care Plan for Fibromyalgia

Nursing Care Plan for Scleroderma

Nursing Case Study for Diabetic Foot Ulcer

Nutrition Assessments

Stomach Cancer (Gastric Cancer)

The Medical Team

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