EKG, fetal monitoring, and immunizations

nascentRN · Sep 24, 2009

One of my classmates recalled a few questions on scheduled immunizations, so I would try to memorize them all. Super tedious and I did it but didn't see any of it on the exam. Neither did I see EKG or fetal monitoring. What, specifically, do you feel you are unprepared for relative to this stuff?

xooxhjlxoox · Sep 24, 2009

For the NCLEX-PN, I had 1 EKG and 1 immunization

jyrah6 · Sep 24, 2009

i feel unprepared for ekg strips differentiating between heart blocks. i know what meds to get them and when to defib and what not, but reading and naming the strip is a challenge for me. Of course Vtach and anything Sinus and atrial flutter are easy to me because of how they look, but as far getting in depth with p waves and widened qrs or whatever is tricky.

I just reviewed the fetal heart monitoring and got it down so thats not an issue anymore.

Immunizations is just like growth and development to me. It is unnecessary information one must know because there are charts for that while in real life practice. Also, G&D varies for each child so to learn that is ridiculous.

nascentRN · Sep 24, 2009

Someone can correct me if I'm wrong, but I doubt they'll have you counting those damn little boxes to determine intervals or whatever. I seriously doubt they are going to ask you to identify heart block either. If they ever do, I would bet 10 to 1 that it is only complete heart block, so know that. First degree, second, etc, you'll be tested on that if you ever get certified for EKG. If you know the rest of the basic rhythms I think you'll do fine. If you need to know anything about a wide bizarre QRS, it is probably just that these are found in PVCs or Vtach and that they represent an ectopic beat. i.e. a beat that starts in the wrong place in the heart - that is, not the SA node. That's why it gets so wide, because the electrical impulse is traveling through a wacky winding abnormal path. As far as P waves, I think you'll be fine knowing that they are absent in Afib and such. St elevations. Peaked Ts or inversions. Other than refreshing up on basics like this, I wouldn't spend too much time on EKG, if any time at all.