NCLEX REVIEW - 2023!

NCLEX REVIEW - 2023!

abby5777Top creator on Quizlet Save Obstetrics 410 terms maddyauiPreview Physiology Final Exam 67 terms Salem_Cartner5 Preview Ch 11 Other medical complications o...14 terms elo1195Preview OB & O 130 term

Tah 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)

• Draw up the total amount of (AIR)
• Air into N
• Air into R
• Draw up R
• Draw up N

IM injection - Needle size + length? Sub-Q Size + length?

IM: 21g 1 inch needle

Memory clue: I looks like 1

Sub-Q: 25g 0.5 inch

Memory clue: S looks like 5

Cephalohematoma vs Caput Succedaneum Cephalohematoma: bleeding in brain of newborn. Does not cross suture line and is asymmetrical

Caput Succedaneum: Crosses suture line and is symmetrical.

Memory clue: think CS = crosses suture, CS = Caput symmetrical

Terbutaline: Indications? Nursing considerations? Contraindication?

Used to slow down birth and contractions Contraindicated: in mothers with heart disease due to its common side effect of tachycardia

Fundal Height - Postpartum: Height right after birth? Everyday after that?

Fundal height right after birth is at the umbilicus

• Every day after birth it will go down by 1, height correlates with the day postpartum

Put the following tracheostomy care steps in order:

• Remove old dressing
• clean around stoma w/ sterile water or saline then replace gauze
• Don sterile gloves, remove old disposable inner cannula and replace with new one
• Collect supplies and position patient
• Don PPE
• Collect supplies and position patient
• Don PPE
• Remove old dressing
• DON sterile gloves and remove old disposable inner cannula then replace with new one
• Clean around stoma with sterile water or saline then replace gauz

Second stage of labor (delivery): Place steps in order for delivering BB.

• Make sure baby has an ID before leaving delivery area
• Suction babies mouth then nose
• Deliver shoulder then body
• Check for nuchal cord
• Deliver babies head then tell mom to stop pushing
• Deliver babies head and tell mom to stop pushing
• Suctions babies mouth then nose
• Check for nuchal (cord around neck) around neck
• Deliver shoulders then body
• Make sure BB has ID before leaving delivery area

After the delivery of the placental: What are the nursing interventions and assessments?Ensure placenta is intact and check for vessels in the cord should be AVA Fourth stage of labor: what is it? what are we assessing? What are nursing Interventions?Fourth stage is recovery.NOTE: assess 4 things during the 4th stage of labor four times an hour (every 15 minutes)

• Assess V/S q15 to monitor for shock plus S/S cool, pale, clammy skin, tachycardia, hypotension

2. Monitor fundus: If boggy massage it, if displaced catheterize

• Monitor Lochia: Pt is bleeding too much if she is saturating a pad every 15 minutes. report ASAP.

4. Monitor for Thrombophlebitis: measure bilat calf circumference!!

Medical Battery - What is it?The intentional touching of a patient without consent ex: doing a procedure that the patient denied, lying about the medication you're giving Hirschsprung's Dz S/S? Critical findings that must be reported ASAP?

S/S: failure to pass meconium, abdominal distention, bilious vomit

Critical finding that should be reported: fever and diarrhea

Normal weight gain for pregnancy?28 + or - 3lb How to calculate what weight gain should be in pregnancy? What to do if Shes overweight or underweight?# of week pregnant - 9 can range -/+ 1-2 lbs = normal If +/- 3 = assess the patient If +/- 4 = trouble perform biophysical profile on the baby When is the fundus palpable?

• Not until 12 weeks

NOT palpable in first trimester!When is the fundus at umbilicus?20-22 weeks gestation When can you first detect FHR and quickening?

FHR: 8wks

Quickening: 16 weeks

When would you most likely detect FHR and quickening?

FHR: 10 weeks

Quickening: 18 weeks

When should you be able to detect FHR and quickening?

FHR: 12 wks

Quickening: 20wks Terms (19)

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