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Hyperbilirubinemia (Jaundice)

Hyperbilirubinemia (Jaundice)

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10 Hyperbilirubinemia (Jaundice) NCLEX Questions

Question 1 of 10

Which order would a nurse expect for an infant that is jaundiced on the face and sclera at 22 hours of life?

Start phototherapy

Notify if yellowing progresses to the diaper area

Increase feedings

Stat bilirubin level

Question 2 of 10

A nursery nurse is caring for a neonate who is receiving phototherapy. During the assessment, the nurse turns off the phototherapy light and checks the newborn. The nurse notes that the newborn’s skin appears orange-yellow in color and he is sleepy. What is the next step the nurse should take?

Contact the provider right away

Check a serum bilirubin level

Check in with the newborn's mother to ask about the last diaper change

Continue with the assessment and monitor the newborn's progress

Question 3 of 10

A newborn is recieving phototherapy for hyperbilirubinemia. Which of the following is the priority nursing intervention?

Inserting a central line

Meticulous skin assessment and care

Ensuring the baby remains NPO

Starting TPN

Question 4 of 10

A 3-day-old infant requires phototherapy for elevated bilirubin levels. Which of the following is part of nursing care for an infant undergoing phototherapy? Select all that apply.

Expose as much of the infant's skin to the lights as possible

Monitor the infant's skin temperature

Apply a lubricant such as Vaseline to the skin after a bath

Provide eye protection for the infant whenever the lights are on

Provide IV fluids and feed the infant twice daily

Question 5 of 10

A nurse is caring for a 2-day-old infant who requires phototherapy for treatment of jaundice. Which information would be included as part of the nurse’s subjective assessment?

The parent had jaundice as a newborn

The infant's weight at birth

The most recent bilirubin level

The amount of the infant's last feeding

Question 6 of 10

The parents of a newborn with jaundice are being instructed in home use of a phototherapy blanket to treat the condition. Which information would the nurse most likely give this family for instructions on home phototherapy?

Put the baby's clothes on first and then cover them with the phototherapy blanket

You may notice that your baby has changes in his bowel movements but this should stop when the phototherapy is discontinued

You should continue to feed your baby every 4 to 6 hours, even with the phototherapy

You will most likely need to use the phototherapy blanket for about 6 months

Question 7 of 10

The nurse is caring for a two-day-old baby who requires phototherapy for a bilirubin level of 13 mg/dL. During phototherapy, the nurse should monitor for which of the following? Select all that apply.

Constipation

Fluid intake

Bleeding

Skin color

Skin temperature

Question 8 of 10

A nurse enters the room after receiving report that a newborn is on overhead phototherapy. Which finding would be most concerning?

The infant has had 3 stools in 2 hours

Yellowing around the skin of the eyes

Skin blanches yellow

The infant has a shirt on

Question 9 of 10

The nurse is working in a postpartum unit caring for 4 mothers and 5 babies. Which of the following newborn bilirubin levels are MOST concerning? Select all that apply.

11 mg/dL

7 mg/dL

3 mg/dL

31 mg/dL

13 mg/dL

Question 10 of 10

A nurse notes a high risk bilirubin level on a newborn. After notifying the provider, which provider order should be questioned?

Check infant’s temperature every 3 hours

Recheck the bilirubin in 8 hours

Feed formula every 4 hours

Start phototherapy

What email should we send your results to?

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Newborn Hyperbilirubinemia Pathochart (Cheatsheet)

Hyperbilirubinemia (Image)

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Outline

Overview

Definition: an elevated total bilirubin compared to the newborns age in hours
1. Graphed: Bilirubin level compared to hours of age

Nursing Points

General

Bilirubin explanation
1. Formed in the liver when old RBC’s are broken down (a natural, normal process) → excreted into bile and urine
2. When it’s needed, it is released from the gallbladder and goes to the small intestines to get to work, helping digest fats
3. We then excrete it in our feces and it is what makes feces brown
Why is this commonly seen in newborns?
1. In utero, the placenta removes the bilirubin from the baby’s body because they don’t excrete it in their feces until after they are birth
2. Some newborn’s will have a liver that is immature or takes longer to work efficiently
Pathological vs. physiological
1. Physiological jaundice- starts 2nd or 3rd day of life can be expected as this normal transition from placenta doing the work to the baby’s liver.
  1. Breastfeeding
  2. Broken down RBCs (bruising)
  3. Prematurity
2. Pathological:Jaundice that appears within the first 24 hours of life indicates that there is a pathological process going on. Something else other than this normal process, and requires further investigation/assessment.
  1. Blood incompatibility
  2. Problem with liver
Concern
1. Kernicterus-brain damage that can occur If hyperbilirubinemia is sustained

Assessment

Jaundice
1. Definition: Accumulation of bilirubin, resulting in yellowing of skin, sclera
2. Assess skin in natural light
3. Assess skin head to extremities, usually starts in forehead or face
4. Jaundice in first 24 hours is a red flag for PATHOLOGICAL issues – notify MD!
Elevated bilirubin levels
1. Plotted on graph as low risk, high-intermediate risk, or high risk
  1. High risk needs phototherapy
2. Some variant but a total level of 12 at day 2 to 3 is usually high risk with critical being greater than 15 mg/dl

Therapeutic Management

Frequent feeding→ hydration and nutrition
Phototherapy

Nursing Concepts

Human Development
Gastrointestinal/Liver Metabolism
Nutrition

Patient Education

Feeding frequently
Keeping them under the light
Goggles
Importance of phototherapy

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ADPIE Related Lessons

Related Nursing Process (ADPIE) Lessons for Hyperbilirubinemia (Jaundice)

Pediatric Vital Signs (VS)

Newborn Physical Exam

Body System Assessments

Diagnose Lessons

Total Bilirubin (T. Billi) Lab Values

Diagnose Lessons

Direct Bilirubin (Conjugated) Lab Values

Supplemental Lessons

Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia

Transcript

In this lesson I will talk about hyperbilirubinemia and your role in care of this patient.

So what is hyperbilirubinemia? It is high bilirubin. Ok what is bilirubin? Bilirubin is form in the liver from broken down red blood cells. The bilirubin is then excreted into the feces. Why is this a common problem in newborns? Well a few things, the newborns didn’t have to worry about doing this when they were in utero and now they sometimes have an immature liver that is trying to do its job. They might have bruising from delivery which means more broken down red blood cells. They might not be feeding great which means they aren’t stooling alot and excreting the bilirubin. There are two classifications, pathological and physiological jaundice to understand.

So our pathological versus physiological. Pathological jaundice appears within the first 24 hours of life and it indicates that there is a pathological process going on. This means something else other than this normal process. So this could be a blood incompatibility between mom and baby and blood mixture has occurred. If the baby has maternal blood that doesn’t match then he is going to work hard to break down those red blood cells which means there will be more broken down red blood cells. Another cause could be a diseased liver. It is working properly. So pathological jaundice will requires further investigation and assessment. Physiological jaundice starts the 2nd or 3rd day of life and can be expected as this normal transition from placenta doing the work to the baby’s liver. Causes of this are bruising from delivery. So bruising is broken down red blood cells so if we have extra of these it is adding to the work of the liver and the baby can not excrete it quick enough. Prematurity because the liver is just immature and not able to keep up. Breastfeeding is another cause because the baby isn’t getting enough to stool enough and get the bilirubin excreted. Our concern for anytime of jaundice is if it goes untreated and levels rise to dangerous levels then kernicterus could occur which is brain damage.

This newborn is going to be assessed like normal with the head to toe assessment but you will observe jaundice on a patient with hyperbilirubinemia. So yellowing of the skin and sclera. This starts at the head usually and as it builds the yellow color spreads from head to extremities. So they might be a touch yellow on face and then as you see it move down to the diaper area it is rising. You need to have good lighting and really assess the skin. If jaundice coloring happens in first 24 hours it is a red flag that we have pathological problems so notify the doctor to draw a bilirubin. Once you have your bilirubin level from the lab you can graph it. This is how you will assess if phototherapy is needed. So let me draw this graph for you. On one side we have the bilirubin level on the other it is the hours of life. And you plot your number and it will either fall in the low risk, ow intermediate, high-intermediate, or high risk. High risk levels needs phototherapy. You do need a physician order for phototherapy but at least you will know to expect that we need to light the kid up. There is some variant based on different labs or if it is a pathological issue but a total level of 12 mg/dl at day 2 to 3 is usually high risk with critical being greater than 15 mg/dl.

Management is going to be frequent feeding. We need the baby to stay hydrated and get enough volume so that the baby will stool more. The more they eat the more they excrete, right? We will initiate phototherapy treatment if levels are high enough. Education is important if the lights are started. The baby needs to wear protective goggles over their eyes and stay under the light. So you can see in this image the goggles on the eyes. I just wanted you to have an idea of what that was and have a visual. The googles protect their eyes from the light and it is funny because when you take them out from the light to assess them or draw labs you remove the goggles and can see a yellow ring around their eyes like a racoon. That is always a good sign that the bilirubin is coming down. The babies hate being under this light because they have no clothes on, they are un-swaddled and can’t be held. So it can be quite miserable for them and the parents. But if they don’t stay under this light it will get worse.

Human development is a concept because if this is pathological then it is related to development, liver metabolism because it is working to excrete the bilirubin and nutrition because we need the baby well fed and hydrated to excrete the bilirubin.
So on to the important facts. Remember these and you will have a good grasp of what this is. We have high bilirubin levels in the blood. The bilirubin comes from broken down red blood cells. It is secreted by the liver so if we have anything that causes a lot of broken down red blood cells like bruising or blood incompatibility and an immature liver then the bilirubin can’t be excreted fast enough. This will cause jaundice to occur and our treatment is phototherapy to reduce the bilirubin.

Make sure you check out the resources attached to this lesson and review the differences between physiological and pathological. Now, go out and be your best selves today. And, as always, happy nursing.

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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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