{"id":109811,"date":"2023-07-24T22:15:13","date_gmt":"2023-07-24T22:15:13","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=109811"},"modified":"2023-07-24T22:15:16","modified_gmt":"2023-07-24T22:15:16","slug":"nclex-review-2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/24\/nclex-review-2023\/","title":{"rendered":"NCLEX REVIEW  2023"},"content":{"rendered":"\n<p>Pitocin: Indication? Adverse Effects\/Monitoring?<br>Given to strengthen contractions and labor.<br>Can cause uterine hyperstimulation. Contractions should be NO LONGER than 90 seconds and no closer than 2 minutes apart.<br>If they are any more than that; slow pitocin<\/p>\n\n\n\n<p>How to Mix insulins (step 1-5)<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Draw up the total amount of (AIR)<\/li>\n\n\n\n<li>Air into N<\/li>\n\n\n\n<li>Air into R<\/li>\n\n\n\n<li>Draw up R<\/li>\n\n\n\n<li>Draw up N<\/li>\n<\/ol>\n\n\n\n<p>IM injection &#8211; Needle size + length? Sub-Q Size + length?<br>IM: 21g 1 inch needle<br>Memory clue: I looks like 1<\/p>\n\n\n\n<p>Sub-Q: 25g 0.5 inch<br>Memory clue: S looks like 5<\/p>\n\n\n\n<p>Cephalohematoma vs Caput Succedaneum<br>Cephalohematoma: bleeding in brain of newborn. Does not cross suture line and is asymmetrical<\/p>\n\n\n\n<p>Caput Succedaneum: Crosses suture line and is symmetrical.<br>Memory clue: think CS = crosses suture, CS = Caput symmetrical<\/p>\n\n\n\n<p>Terbutaline: Indications? Nursing considerations? Contraindication?<br>Used to slow down birth and contractions<br>Contraindicated: in mothers with heart disease due to its common side effect of tachycardia<\/p>\n\n\n\n<p>Fundal Height &#8211; Postpartum: Height right after birth? Everyday after that?<br>Fundal height right after birth is at the umbilicus<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Every day after birth it will go down by 1, height correlates with the day postpartum<\/li>\n<\/ul>\n\n\n\n<p>Put the following tracheostomy care steps in order:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Remove old dressing<\/li>\n\n\n\n<li>clean around stoma w\/ sterile water or saline then replace gauze<\/li>\n\n\n\n<li>Don sterile gloves, remove old disposable inner cannula and replace with new one<\/li>\n\n\n\n<li>Collect supplies and position patient<\/li>\n\n\n\n<li>Don PPE<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Collect supplies and position patient<\/li>\n\n\n\n<li>Don PPE<\/li>\n\n\n\n<li>Remove old dressing<\/li>\n\n\n\n<li>DON sterile gloves and remove old disposable inner cannula then replace with new one<\/li>\n\n\n\n<li>Clean around stoma with sterile water or saline then replace gauz<\/li>\n<\/ol>\n\n\n\n<p>Second stage of labor (delivery): Place steps in order for delivering BB.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Make sure baby has an ID before leaving delivery area<\/li>\n\n\n\n<li>Suction babies mouth then nose<\/li>\n\n\n\n<li>Deliver shoulder then body<\/li>\n\n\n\n<li>Check for nuchal cord<\/li>\n\n\n\n<li>Deliver babies head then tell mom to stop pushing<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Deliver babies head and tell mom to stop pushing<\/li>\n\n\n\n<li>Suctions babies mouth then nose<\/li>\n\n\n\n<li>Check for nuchal (cord around neck) around neck<\/li>\n\n\n\n<li>Deliver shoulders then body<\/li>\n\n\n\n<li>Make sure BB has ID before leaving delivery area<\/li>\n<\/ol>\n\n\n\n<p>After the delivery of the placental: What are the nursing interventions and assessments?<br>Ensure placenta is intact and check for vessels in the cord should be AVA<\/p>\n\n\n\n<p>Fourth stage of labor: what is it? what are we assessing? What are nursing Interventions?<br>Fourth stage is recovery.<br>NOTE: assess 4 things during the 4th stage of labor four times an hour (every 15 minutes)<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Assess V\/S q15 to monitor for shock plus S\/S cool, pale, clammy skin, tachycardia, hypotension<\/li>\n\n\n\n<li>Monitor fundus: If boggy massage it, if displaced catheterize<\/li>\n\n\n\n<li>Monitor Lochia: Pt is bleeding too much if she is saturating a pad every 15 minutes. report ASAP.<\/li>\n\n\n\n<li>Monitor for Thrombophlebitis: measure bilat calf circumference!!<\/li>\n<\/ol>\n\n\n\n<p>Medical Battery &#8211; What is it?<br>The intentional touching of a patient without consent<\/p>\n\n\n\n<p>ex: doing a procedure that the patient denied, lying about the medication you&#8217;re giving<\/p>\n\n\n\n<p>Hirschsprung&#8217;s Dz S\/S? Critical findings that must be reported ASAP?<br>S\/S: failure to pass meconium, abdominal distention, bilious vomit<br>Critical finding that should be reported: fever and diarrhea<\/p>\n\n\n\n<p>Normal weight gain for pregnancy?<br>28 + or &#8211; 3lb<\/p>\n\n\n\n<p>How to calculate what weight gain should be in pregnancy? What to do if Shes overweight or underweigt<\/p>\n\n\n\n<p>can range -\/+ 1-2 lbs = normal<\/p>\n\n\n\n<p>If +\/- 3 = assess the patient<br>If +\/- 4 = trouble perform biophysical profile on the baby<\/p>\n\n\n\n<p>When is the fundus palpable?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Not until 12 weeks<br>NOT palpable in first trimester!<\/li>\n<\/ul>\n\n\n\n<p>When is the fundus at umbilicus?<br>20-22 weeks gestation<\/p>\n\n\n\n<p>When can you first detect FHR and quickening?<br>FHR: 8wks<br>Quickening: 16 weeks<\/p>\n\n\n\n<p>When would you most likely detect FHR and quickening?<br>FHR: 10 weeks<br>Quickening: 18 weeks<\/p>\n\n\n\n<p>When should you be able to detect FHR and quickening?<br>FHR: 12 wks<br>Quickening: 20wks<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pitocin: Indication? Adverse Effects\/Monitoring?Given to strengthen contractions and labor.Can cause uterine hyperstimulation. Contractions should be NO LONGER than 90 seconds and no closer than 2 minutes apart.If they are any more than that; slow pitocin How to Mix insulins (step 1-5) IM injection &#8211; Needle size + length? Sub-Q Size + length?IM: 21g 1 inch [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-109811","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/109811","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=109811"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/109811\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=109811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=109811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=109811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}