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

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Study Tools For Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage

Spontaneous Abortion (Picmonic)
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Outline

Lesson Objective for Nursing Care of Abortion (Spontaneous/Miscarriage)

  • Understanding the Types of Abortion:
    • Define and differentiate between spontaneous abortion (miscarriage) and induced abortion. Understand the physiological and emotional implications of each type.
  • Recognizing Signs and Symptoms:
    • Identify the signs and symptoms of spontaneous abortion, including vaginal bleeding, abdominal pain, and passage of tissue. Recognize the potential emotional distress experienced by the patient.
  • Providing Emotional Support:
    • Develop skills to provide empathetic and compassionate care to individuals experiencing a miscarriage. Address the emotional impact, grief, and psychological aspects associated with pregnancy loss.
  • Ensuring Physical Well-being:
    • Focus on monitoring the physical health of the patient, including assessing vital signs, managing bleeding, and identifying signs of complications. Collaborate with the healthcare team to ensure appropriate medical interventions.
  • Facilitating Grief Support and Coping:
    • Equip nurses with tools to support patients and their families in coping with grief after a spontaneous abortion. Provide resources for grief counseling and support groups.

Pathophysiology of Spontaneous Abortion (Miscarriage)

  • Chromosomal Abnormalities:
    • The most common cause of spontaneous abortion is chromosomal abnormalities in the developing fetus. These abnormalities may lead to developmental issues incompatible with life, resulting in natural termination.
  • Maternal Health Conditions:
    • Certain maternal health conditions, such as diabetes, thyroid disorders, autoimmune diseases, and infections, can contribute to an increased risk of spontaneous abortion by affecting fetal development or the maternal-fetal interface.
  • Uterine Abnormalities:
    • Structural abnormalities of the uterus, such as fibroids or congenital malformations, may interfere with the implantation of the embryo or provide an inhospitable environment for fetal development, leading to miscarriage.
  • Hormonal Imbalances:
    • Hormonal imbalances, particularly disruptions in the production of progesterone, which is crucial for maintaining pregnancy, can contribute to the inability to sustain a viable pregnancy, resulting in spontaneous abortion.
  • Infections and Environmental Factors:
    • Infections, exposure to environmental toxins, or certain medications during pregnancy can adversely affect fetal development and increase the risk of miscarriage. Infections such as rubella or cytomegalovirus are examples.

Etiology of Spontaneous Abortion (Miscarriage)

  • Genetic Factors:
    • Genetic abnormalities in the developing fetus, often arising from errors during cell division, are a primary cause of spontaneous abortion. These abnormalities may prevent normal fetal development.
  • Advanced Maternal Age:
    • The risk of miscarriage increases with maternal age, particularly in women over the age of 35. Advanced maternal age is associated with a higher incidence of chromosomal abnormalities in the ova, leading to spontaneous abortion.
  • Trauma or Injury:
    • Trauma or injury to the abdomen, such as from accidents or falls, can result in spontaneous abortion. Physical trauma may disrupt the developing embryo or fetus, leading to termination.
  • Infections:
    • Certain infections, including intrauterine infections, sexually transmitted infections, and systemic infections, can pose a risk to the developing fetus and contribute to miscarriage.
  • Hormonal Factors:
    • Imbalances in hormones critical for maintaining pregnancy, such as progesterone, can lead to a hostile uterine environment or the inability to support the ongoing pregnancy, resulting in spontaneous abortion.

Desired Outcome for Abortion (Spontaneous Abortion/Miscarriage)

  • Physical Recovery and Stability:
    • The primary goal is to support the woman’s physical recovery following a spontaneous abortion. This includes monitoring vital signs, managing pain, and addressing any complications to ensure the restoration of physiological stability.
  • Emotional and Psychological Support:
    • Provide emotional support to help the woman cope with the grief and emotional distress associated with a spontaneous abortion. Encourage open communication, offer counseling services, and involve mental health professionals as needed to assist in the healing process.
  • Prevention of Complications:
    • Focus on preventing and promptly managing any potential complications that may arise during or after the abortion. This involves close monitoring for signs of infection, excessive bleeding, or other complications, and taking appropriate interventions to mitigate risks.
  • Education on Future Reproductive Health:
    • Offer education and information regarding future reproductive health, including family planning options, contraception methods, and strategies to optimize the chances of a healthy pregnancy in the future. Empower the woman with knowledge to make informed decisions about her reproductive well-being.
  • Follow-up Care and Monitoring:
    • Establish a plan for follow-up care to monitor the woman’s physical and emotional well-being. Schedule regular check-ups to assess recovery progress, address any ongoing concerns, and provide additional support as needed. This ongoing care is crucial for promoting overall health and preventing potential complications.

Subjective Data:

  • Pain in lower back
  • Abdominal cramping

Objective Data:

  • Vaginal bleeding or spotting
  • Fluid or tissue passing through the vagina

Nursing Assessment for Abortion (Spontaneous Abortion/Miscarriage)

 

  • Physical Assessment:
    • Conduct a thorough physical assessment to evaluate the woman’s overall health, including vital signs, general appearance, and any signs of distress or discomfort. Monitor for symptoms of excessive bleeding, infection, or other complications.
  • Gynecological Examination:
    • Perform a gynecological examination to assess the condition of the uterus and cervix. Evaluate for any retained products of conception, signs of infection, or abnormalities that may require intervention.
  • Pain Assessment:
    • Assess the woman’s pain level and location. Use a pain scale to quantify pain intensity and identify any factors contributing to discomfort. Tailor pain management strategies accordingly.
  • Emotional and Psychological Assessment:
    • Conduct a sensitive and empathetic assessment of the woman’s emotional and psychological well-being. Inquire about her feelings, concerns, and coping mechanisms. Identify any signs of grief, anxiety, or depression that may require additional support.
  • Bleeding Assessment:
    • Monitor and quantify vaginal bleeding, assessing the color, amount, and consistency. Document any changes in bleeding patterns and intervene promptly if there are signs of excessive bleeding.
  • Infection Risk Assessment:
    • Evaluate for signs of infection, including fever, chills, foul-smelling discharge, or abdominal tenderness. Promptly address any indications of infection to prevent complications.
  • Social Support and Resources:
    • Assess the woman’s social support system and identify available resources. Determine the level of support from family, friends, or partners and offer additional resources such as counseling services or support groups.
  • Educational Needs Assessment:
    • Identify the woman’s educational needs regarding the abortion process, potential complications, and post-abortion care. Provide clear and comprehensive information about recovery, contraception options, and when to seek further medical attention.

 

Implementation for Abortion (Spontaneous Abortion/Miscarriage)

 

  • Physical Comfort Measures:
    • Provide pain relief measures, such as analgesics, as prescribed, to alleviate discomfort. Implement non-pharmacological interventions, such as heat therapy or relaxation techniques, to enhance physical comfort.
  • Emotional Support:
    • Offer empathetic and compassionate emotional support. Create a safe space for the woman to express her emotions, and provide information about the grieving process. Refer to counseling services if needed.
  • Monitoring and Documentation:
    • Continuously monitor vital signs, bleeding patterns, and emotional well-being. Document all assessments, interventions, and the woman’s response to treatment. Regularly update healthcare providers on changes in the woman’s condition.
  • Educational Guidance:
    • Provide clear and concise education about post-abortion care, including instructions on monitoring bleeding, signs of infection, and when to seek medical attention. Discuss contraceptive options and family planning based on the woman’s preferences and health status.
  • Collaborative Care:
    • Collaborate with a multidisciplinary team, including physicians, counselors, and social workers, to ensure comprehensive care. Facilitate referrals to appropriate services, such as mental health support or community resources, as needed.

Nursing Interventions and Rationales

 

Nursing Intervention (ADPIE) Rationale
Obtain information about pregnancy from patient including estimated due date Note any chronic health conditions, previous miscarriages or events and risk factors that may have led up to the onset of symptoms.

Note: due date to determine gestational age and viability of fetus.

Assess patient for bleeding, amniotic fluid and passage of pregnancy tissue Weigh or count number of saturated pads each hour

Note amniotic fluid or tissue being expelled from the vagina that indicates spontaneous abortion

Perform assessment of fundal height; note if abdomen is firm or rigid Note any contractions that may indicate impending expulsion of fetus

Rigidity of the uterus may be a sign of infection

Assess for fetal heart rate Determine if there is a viable fetus; determines course of treatment
Assist with ultrasound or amniocentesis Helps to determine fetal maturity and viability in the presence of fetal heart rate
Initiate IV fluids and administer blood products as appropriate Replacement of fluid and blood loss
Assess and manage pain Contractions, low back pain and cramping are symptoms that require management.

Assist with non-pharmacological interventions as necessary.

Place patient in lateral position on strict bed rest This position helps relieve pressure on the vena cava and helps reduce bleeding

Bed rest is required to limit blood loss and help with pain management

Monitor vital signs Excessive blood loss can result in hypovolemia, especially in the case of placenta abruption.

Monitor for hyper/hypotension, tachycardia and shortness of breath.

Note if fever is present which may indicate infection.

Assess patient’s psychological status and offer support and resources Unexpected loss of pregnancy may cause emotional distress.

Offer emotional support and provide resources for counseling, religious contacts and support groups to help develop coping techniques.

 

Evaluation for Abortion (Spontaneous Abortion/Miscarriage)

 

  • Physical Recovery:
    • Assess the woman’s physical recovery by monitoring vital signs, reviewing laboratory results, and evaluating any signs of complications, such as infection or excessive bleeding. Ensure that her physical health is stabilizing.
  • Emotional Well-being:
    • Evaluate the woman’s emotional well-being by assessing her coping mechanisms, mood, and overall mental health. Monitor for signs of grief, anxiety, or depression. Assess the effectiveness of emotional support interventions provided.
  • Understanding and Adherence:
    • Evaluate the woman’s understanding of post-abortion care instructions and her adherence to prescribed medications and follow-up appointments. Address any misconceptions or concerns to enhance her compliance with the recommended care plan.
  • Contraceptive Planning:
    • Assess the woman’s readiness for future family planning and contraceptive use. Ensure that she has received appropriate education about contraceptive options and has made informed decisions based on her preferences and health considerations.
  • Feedback and Adjustment:
    • Seek feedback from the woman regarding her satisfaction with the care received. Use this feedback to make any necessary adjustments to the care plan or interventions. Continuous communication ensures that the woman’s evolving needs are addressed.


References

  • https://my.clevelandclinic.org/health/diseases/9688-miscarriage
  • https://www.plannedparenthood.org/learn/pregnancy/miscarriage
  • https://americanpregnancy.org/healthy-pregnancy/pregnancy-complications/signs-of-miscarriage/
  • https://kidshealth.org/en/parents/miscarriage.html

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Transcript

Hey everyone, today, we’re going to be creating a nursing care plan for abortion, spontaneous abortion, and miscarriage. So, let’s get started. First, we’re going to be going over the pathophysiology. So, this is the termination of a pregnancy before the fetus is able to live outside the womb. Typically, it’s prior to 20 to 24 weeks, they may be spontaneous miscarriage in which there is no outside intervention or induced either electively or therapeutic reasons. Nursing considerations: you want to assess vital signs, pregnancy history, assess for bleeding, monitor fetal heart rate, initiate IV fluids, or blood, manage pain, and offer patient support Desired outcome: the patient will experience minimal blood loss and be free from infection. The Patient will develop coping skills to effectively manage emotional loss of pregnancy. 

So, we’re going to go ahead and write out our care plan. We’re going to be having some subjective data and some objective data. So, we’re going to see what, what is it that we’re going to see in the patient? Subjective. They’ll have some pain in the lower back and they may also have some abdominal cramping Objective data that you’ll see. They’ll have some vaginal bleeding or spotting. And they also have fluid tissue that is passing through the vagina. 

So, interventions we’re going to be doing, we’re going to want to monitor their vital signs. Excessive blood loss can result in hypovolemia, especially in the case of placenta abruption. You want to monitor for hyper or hypotension, tachycardia, and some shortness of breath. Note, though, if there’s a fever present, it may indicate an infection. Okay, next intervention. We’re going to obtain information about pregnancy from the patient, including an estimated due date. So, we want to note any sort of chronic health conditions, any previous miscarriages, or events and risk factors that may have led up to the onset of symptoms. We also want to make sure the due date to determine gestational age and viability of the fetus. So, we’re going to be checking out the patient history. The next intervention we want to assess is for bleeding, amniotic fluid, and passage of pregnancy tissue. We want to weigh or count the number of saturated pads each hour to note the amount of blood loss. Note that amniotic fluid or tissue being expelled from the vagina indicates a spontaneous abortion. We want to assess the fetal heart rate. We want to determine if there is a viable fetus and determine that course of treatment. You want to assess and manage pain. The contractions, the low back pain and the cramping are symptoms that require management for the patient. We can assist with some non-pharmacological interventions as necessary or by giving oral medication. We also want to make sure that we’re going to initiate any sort of IV fluids and administer blood products as appropriate. We want to make sure we’re replacing that fluid and blood loss, and we want to make sure that we’re assessing a patient’s psychological status and offering support and resources. Unfortunately, unexpected loss of a pregnancy may cause emotional distress; offer emotional support and provide resources for counseling, religious contacts, and some support groups for the patient. 

Okay. Now we’re going to move on to the key points. So, pathophysiology of abortion is the termination of a pregnancy before the fetus is able to live outside the wound it’s caused by a genetic complication or unintentional. Some subjective and objective data. They’re going to have some pain in the lower back, abdominal cramping, vaginal bleeding, or even spotting fluid or tissue passing through the vagina. We’re going to monitor vital signs, obtain pregnancy history, assess for bleeding, make sure we’re going to monitor the fetal heart rate, initiate any IV fluids or possible blood, manage the patient’s pain, and offer any sort of support through resources or counseling or even support groups. And that’s the end of the care plan you guys did amazing. 

We love you guys. Go out and be your best self today and as always happy nursing.

 

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Ground Zero

Concepts Covered:

  • Communication
  • Fundamentals of Emergency Nursing
  • Intraoperative Nursing
  • Documentation and Communication
  • Legal and Ethical Issues
  • Emergency Care of the Cardiac Patient
  • Delegation
  • Perioperative Nursing Roles
  • Preoperative Nursing
  • Community Health Overview
  • Prioritization
  • Studying
  • Factors Influencing Community Health
  • Concepts of Population Health
  • Understanding Society
  • Test Taking Strategies
  • Medication Administration
  • Adult
  • Microbiology
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Vascular Disorders
  • Nervous System
  • Upper GI Disorders
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Immunological Disorders
  • Dosage Calculations
  • Circulatory System
  • Concepts of Pharmacology
  • Hematologic Disorders
  • Newborn Care
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Postpartum Complications
  • Substance Abuse Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Prenatal Concepts
  • Tissues and Glands
  • Basics of Chemistry
  • Gastrointestinal
  • Newborn Complications
  • Labor Complications
  • Fetal Development
  • Terminology
  • Labor and Delivery
  • Postpartum Care
  • EENT Disorders
  • Infectious Disease Disorders
  • Lower GI Disorders
  • Integumentary Disorders
  • Neurologic and Cognitive Disorders
  • Hematologic Disorders
  • Integumentary Disorders
  • Cardiovascular Disorders
  • Musculoskeletal Disorders
  • Endocrine and Metabolic Disorders
  • Renal and Urinary Disorders
  • Urinary System
  • Oncologic Disorders
  • Renal Disorders
  • Infectious Respiratory Disorder
  • Urinary Disorders
  • Sexually Transmitted Infections
  • EENT Disorders
  • Behavior
  • Emotions and Motivation
  • Growth & Development
  • Psychological Disorders
  • State of Consciousness
  • Health & Stress

Study Plan Lessons

Communicating with Other Nurses
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
CRNA
Daily Charting
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)
Oncology nurse
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Education
Patient Satisfaction for Certified Emergency Nursing (CEN)
Safety Checks
SBAR Practice Scenarios
Shift change and Patient handoff
The Medical Team
Time Management
Transition To Practice
Access to Care
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
Epidemiology
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
Barbiturates
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)
Epoetin Alfa
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)
Hydralazine
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
IM Injections
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
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
MAOIs
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
Needle Safety
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
Positioning
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
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
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 & Tricks
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)
Babies by Term
Behind The Red Line – Live Tutoring Archive
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Bicarbonate (HCO3) Lab Values
Blood Cultures
Blood Glucose Monitoring
Blood Transfusions (Administration)
Body System Assessments
Breastfeeding
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)
Dystocia
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)
Epidural
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
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hemodynamics
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
Mastitis
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 Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
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
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)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tocolytics
Tocolytics
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
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
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 Injuries
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
Celiac Disease
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)
Clubfoot
Congenital Heart Defects (CHD)
Conjunctivitis
Constipation and Encopresis (Incontinence)
Corticosteroids
Coumarins
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
Dehydration
Diarrhea – Treatment Nursing Mnemonic (BRAT)
Digoxin (Lanoxin) Nursing Considerations
Diphenhydramine (Benadryl) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Eczema
EENT Assessment
Enuresis
Epiglottitis
Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)
Epispadias and Hypospadias
Famotidine (Pepcid) Nursing Considerations
Fever
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
Gas Exchange
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
Hemophilia
Hierarchy of O2 Delivery
Hydrocephalus
Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)
Ibuprofen (Motrin) Nursing Considerations
Immunizations (Vaccinations)
Imperforate Anus
Impetigo
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
Leukemia
Levels of Consciousness (LOC)
Levetiracetam (Keppra) Nursing Considerations
Lung Sounds
Marfan Syndrome
Meningitis
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meningitis for Certified Emergency Nursing (CEN)
Methylphenidate (Concerta) Nursing Considerations
Mixed (Cardiac) Heart Defects
Mumps
Nephroblastoma
Nephrotic Syndrome
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro Assessment
NSAIDs
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)
Omphalocele
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
Pneumonia
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
Scoliosis
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)
Strabismus
Sudden Infant Death Syndrome (SIDS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Thorax and Lungs Assessment
Tonsillitis
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
Vomiting
White Blood Cell (WBC) Lab Values
X-Ray (Xray)
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