Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Male Nursing Student Forum /

Good Lord



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,141 members! Join today to network with other nurses, laugh, share, and much more.

Nov 06, 2009 11:26 AM

Good Lord


hey guys, I'm 27 years old and a Paramedic transitioning to RN. So I go in the other day to take this ATI transition test, Fundamentals- fine, Child-no problem, Maternal newborn- BOMB. Jeez louise, despite not having a uterus or kids I managed to do fine on the interventions, foundation and all that. I did terrible on the Comfort portion during labor. They had questions about rhythmic stroking of the lower back for pain and there was one i was particularly confounded by:

Which statement shows that your client understands the amnio procedure

1. bs
2. bs
3. I understand i will have to drink 3-5 glasses of water prior to the procedure......hmmmm
4. I understand my bladder will need to be empty for this procedure

I know that most places prefer their bladder to be full while doing the ultrasound to find the bladder but then want it to be empty during the actual amnio to prevent puncture. So what do they want to hear? It didn't specify at what point the client was making these statements.

Beyond that I had trouble with the episiotomy care, etc. I went in thinking that i was going to receive questions about how to manage emclampsia, breech presentations, etc and instead it was waaaaaay more touchy feely than I had expected. Anyone else ever have this problem? How did you resolve it?


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
9 Comments
No. 1
from DuluthMike
Old Nov 06, 2009, 03:07 PM

Default Re: Good Lord
A full bladder is required for the ultra sound that will guide the needle. If we empty the bladder we cannot have an ultra sound and cannot guide the needle.
Top
 
No. 2
from Medic1982
Old Nov 06, 2009, 03:10 PM

Default Re: Good Lord
and i understand the logic behind that. But unfortunately ATI disagrees and that's the test I'm taking. I answered that she should have a full bladder and I was wrong. ATI says it should be empty to prevent puncturing it. Again, that's not my answer, that's ATI's
Top
 
No. 3
from DuluthMike
Old Nov 06, 2009, 03:42 PM

Default Re: Good Lord
They would be wrong.

From Mayoclinic.com

Before the amniocentesis, you can eat and drink as usual. Your bladder must be full before the procedure, however, so drink plenty of fluids before your appointment. Your health care provider may ask you to sign a consent form before the procedure begins. You may want to ask your partner or another close contact to accompany you to the appointment for emotional support or to drive you home afterward.
Top
 
No. 4
from Medic1982
Old Nov 06, 2009, 03:52 PM

Default Re: Good Lord
again, I agree. But what am I supposed to do? I mean, one question isn't going to pass or fail anybody but what if there are more like that? Shoot man, i can show you in the book where it says it. Its in the ATI Maternal-Newborn book page 290- Critical Thinking Exercises. If its an ATI test and the ATI book says so, then I guess I have to answer that way. Idk, this is all pretty ridiculous. "you have a pregnant female who's exhibiting tachycardia, hypertension, and swelling of the hands and face; What phase of coping is her partner likely to be in?" I'm sorry, maybe its the paramedic in me, but WHO CARES? Wouldn't your first priority be to make sure homegirl doesn't scramble her brains seizing from eclampsia first??? And then, ya know, maybe we can give whoever a little pep talk later? I just don't understand any of these questions. Its like they could care less how to treat patients, its all about how their "social support group" is feeling. Again, way too touchy feely with little emphasis on actual care. I just dont get it.
Top
 
No. 5
Old Nov 06, 2009, 04:34 PM

Default Re: Good Lord
Good lord. Where do you need to take this? Im a first semester student and I dread flowery ambiguous stuff like this.
Top
 
No. 6
Old Nov 06, 2009, 09:39 PM

Default Re: Good Lord
Full bladder for an ultrasound, empty bladder for an amnio to prevent bladder perforation... Thats what I always learned
Top
 
No. 7
from DuluthMike
Old Nov 07, 2009, 12:45 AM

Default Re: Good Lord
Originally Posted by HumptyDumpty View Post
Full bladder for an ultrasound, empty bladder for an amnio to prevent bladder perforation... Thats what I always learned
How does one guide the amnio needle with no ultrasound?
Top
 
No. 8
Old Nov 13, 2009, 11:19 PM

Default Re: Good Lord
I hate hearing that. I'm tempted to enroll in nurse school with a B.S. in other stuff and having previously worked as a paramedic. When I was in medic school I hated OB. It's just not interesting to me. I guess nurse school involves more weirdness.

Originally Posted by Medic1982 View Post
hey guys, I'm 27 years old and a Paramedic transitioning to RN. So I go in the other day to take this ATI transition test, Fundamentals- fine, Child-no problem, Maternal newborn- BOMB. Jeez louise, despite not having a uterus or kids I managed to do fine on the interventions, foundation and all that. I did terrible on the Comfort portion during labor. They had questions about rhythmic stroking of the lower back for pain and there was one i was particularly confounded by:

Which statement shows that your client understands the amnio procedure

1. bs
2. bs
3. I understand i will have to drink 3-5 glasses of water prior to the procedure......hmmmm
4. I understand my bladder will need to be empty for this procedure

I know that most places prefer their bladder to be full while doing the ultrasound to find the bladder but then want it to be empty during the actual amnio to prevent puncture. So what do they want to hear? It didn't specify at what point the client was making these statements.

Beyond that I had trouble with the episiotomy care, etc. I went in thinking that i was going to receive questions about how to manage emclampsia, breech presentations, etc and instead it was waaaaaay more touchy feely than I had expected. Anyone else ever have this problem? How did you resolve it?
Top
 
No. 9
from K.P.A.
Old Nov 14, 2009, 08:25 AM

Default Re: Good Lord
Our program has plus minus grading. A+ is 97+ percent. It's like winning the lottery because that top 3% of the grade is buried in the noise of error and opinion. It's not worth the stress of worrying about.
Top
 
Reply




Thread Tools


Who's Online
82 members
1,186 guests
1,268

6

California Imposes Stricter Rules Regarding Drug Abuse In...

19

Are older nurses being forced out of the profession?

3

An outlook in California?

8

Australian surgeons successfully separate conjoined twins

41

Disruptive behavior by doctors, nurses persists a year...

31

Woman sues after police tackle her in ER during premature...

5

Beyond The Last Lecture -For Randy & Jai Pausch nurses...

18

WHO: Give at-risk groups anti-flu drugs early

21

Nursing, medical schools should work together, experts say

6

Army nurse honored after 100th birthday



1

Society Needs Care Too

11

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

14

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: