APGAR - Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Woman in labor (un-reassuring FHR) - (late decels, decreased variability, fetal bradycardia, etc) Turn
pt on Left side, give O2, stop pitocin, Increase IV fluids!
Infant with Spina Bifida - Prone so that sac does not rupture
Prolapsed cord - Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip - position on back or in infant seat to prevent trauma to the suture line. while feeding hold
in upright position.
FHR patterns for OB - Think VEAL CHOP!
V-variable decels; C- cord compression caused
E-early decels; H- head compression caused
A-accels; O-okay, no problem
L- late decels; P- placental insufficiency, can't fill
what to check with pregnancy - Never check the monitor or machine as a first action. Always assess
the patient first. Ex.. listen to fetal heart tones with stethoscope.
Position of the baby by fetal heart sounds - Posterior --heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
, Heroin withdrawal neonate - irritable, poor sucking
lead poisoning - test at 12 months of age
pt with leukemia may have - epistaxis due to low platelets
when a pt comes in and is in active labor - first action of nurse is to listen to fetal heart tones/rate
NCLEX answer tips - choose assessment first! (assess, collect, auscultate, monitor, palpate) only
choose intervention in an emergency or stress situation. If the answer has an absolute, discard it.
Give priority to the answers that deal with the patient's body, not machines, or equipment.
1 tsp - 5 mL
1 oz - 30 mL
1 cup - 8 oz
1 quart - 2 pints
1 pint - 2 cups
1 g (gram) - 1000 mg
1 kg - 2.2 lbs
I lb - 16 oz
centigrade to Fahrenheit conversion - F= C+40 multiply 5/9 and subtract 40
C=F+40 multiply 9/5 and subtract 40