March 2008 NCLEX support group

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A thread for all those in March who are planning to take the NCLEX offering both support and any hints or tips that help

Good luck to all :D

ooops! I may have read the question wrong...my bad, it would be 2 tablets per dose if every dose should be 1000mg. For some reason I was thinking 1000mg/day. Sorry for the confusion.

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Specializes in OB/GYN/OR.

I made:bugeyes: the same mistake!!!!

ooops! I may have read the question wrong...my bad, it would be 2 tablets per dose if every dose should be 1000mg. For some reason I was thinking 1000mg/day. Sorry for the confusion.
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Specializes in Psychiatric Nursing.

yes its 2 tablets...desired dose/ available dose=# of tablets...1000/500=2

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Hi Guys,

I'm on Suzanne's 2nd tip. I can considered Saunders is good for content, KAPLAN is good for critical thinking and strategy. Based on my previous experience with NCLEX Exam . Content is very important without the solid background in content it is difficult to answer question. eventhough you know the strategy.

CONTENT + STRATEGY = NCLEX SUCCESS

I'll be taking my NCLEX this March. I'm trying to be calm as much as I can. Don't let any negative thoughts enter in you. Keep positive. Goodluck to all of MARCH test taker.:nuke:

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1 gram = 1000mg

_Desired_ x volume

Available

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I am taking my test March 4th since my ATT expires on the 10th, I am so nervous that I will start going on the pearson vue site to see if there are later dates b/w the 4th and the 10th, not much of a difference but I am going crazy right now :confused:

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More info on maternity… I’ll send more notes when I get a chance. btw, does anyone know where we left off? also, does anyone know if jan/feb test takers shared notes on their threads like what we're doing? i know i can never have too much info!!

Antepartum

Fetal Development:

First 8 wks: embryonic stage

4th wk: heart develops & beats

5th wk: legs & arms develops

6th wk: lungs develop

7th wk: GI/GU form

8th wk: circulatory to umbilical cord established; all organs

12th wk: face develops & tooth buds, kidneys develop & produce urine; genitals appear; by the end of 12th wk, sex of fetus can be determined

20th wk: scalp hair; lanugo covers body

24th wk: alveoli forms + surfactant

28th wk: adipose tissue; nails develop; eyes open & close

30-32nd wk: respond to sounds

35th wk: grasp firmly; if reaches this long, fetus has good chance of survival

38th wk: full term (min vernix & lanugo)

Intrapartum

Signs of IMPENDING labor:

1. Lightening

2 wks before labor fetus “drops” to pelvis

Urinary freq returns

2. Seepage (sudden outflow of fluid)

Aka “rupture of membranes”

Test w/ Nitrazine paper to check for amniotic fluid

Delivery should be 18-24 hrs after rupture of membranes

Amniotic sac ruptures after labor begins

3. Bloody show

Discharge from mucous plug during pregnancy

lady partsl exam of cervix: thins (effaces), softens, dilates (opens)

Postpartum

Interventions:

Monitor vital signs

Fundus: check fundal height, consistency, & location. At delivery, fundal height should be above the level of umbilicus; after delivery, fundal height should be at the level of the umbilicus. If fundal height is still above umbilicus after delivery, this indicates a blood clot in the uterus that must be relieved by fundal massage. If fundal height is to the right of the abdomen, this indicates a full bladder.

Lochia: monitor color, amt, & odor. If odor is offensive, may indicate uterine infection.

* Lochia color: 1. Rubra - bright red (delivery to 3rd day postpartum) ;

2. Serosa - brownish pink (4-10 day postpartum); 3. Alba - white (10-14 days

postpartum)

* Guidelines for assessment: 1. Scant - less thank 1 inch stain; 2. Light - 1 to 4 inch stains ; 3. Moderate- 4 to 6 inch stain; 4. Large - saturated in one hour (pad is (HEAVILY soaked)

Perineum: check for swelling or discoloration

Bowel status: did pt have a BM or void? Encourage freq voiding

**** CORRECTIONS FROM PREVIOUS POST***

“Process of Labor” (dilating, expulsion, etc.) should be “Mechanisms of Labor”. The process of labor are those “4 or 5 P’s” (passenger, passageway, etc). Mechanisms of Labor notes needed to be corrected. Here’s the correct info. from Saunders. SORRY!!!

Mechanisms of Labor:

Engagement: “lightening or dropping”; fetus nestles to pelvis

Descent: process of fetal head as it journeys to pelvis; continues from engagement until birth

Flexion: fetal head nodding fwd to fetal chest

Internal rotation: internal rotation of the fetus; commonly from occiput transverse position

Extension: enables head to emerge when the fetus is in a cephalic position; begins after head crowns; complete when head passes under symphysis pubis & other parts pass over the sacrum & coccyx & over the perineum.

Restitution: realignment of fetal head w/ body after the head emerges

External rotation: shoulders externally rotate after the head emerges & restitution occurs; this occurs so that shoulders are in anteroposterior diameter of the pelvis

Expulsion: birth of entire body

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Specializes in My first yr. as a LVN!.

=8 tabs total/ 2tabs each dose...

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Specializes in Pysch, SN, Med-Surg.
hey guys... i knoe suzanne is saying that we shouldn't do anything else while doing her plan... but i'm also considering doing kaplan just for test strategy info. i bought the kaplan book & when i did the practice questions, it made me feel so dumb & unmotivated! now i don't know if i want to buy those kaplan q bank questions online!! AUGH!! any suggestions? thanks!!

Omg...and i thought i was the only one...the kaplan q-bank is pretty hard, but i'm getting a teenie bit better at it, not enough for bragging rights of course. when i took it the first time and scored like a 50%, i literally right after broke out in tears. but hopefully with more practice there will be hope!!!

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Specializes in OB/GYN/OR.

Hi guys,

thanx to Mrsstip905 for the maternity notes!!

The following website gives all the non prescription and prescription drugs to avoid with Reye's syndrome...

http://www.reyessyndrome.org/aspirin.htm

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Specializes in OB/GYN/OR.

Just a doubt... Warfarin normal PT values=9.5-11...If a patient is on Warfarin and PT is 27---what would a nurse do ...give drug/not????...

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Specializes in Cardiac/Telemetry.
Just a doubt... Warfarin normal PT values=9.5-11...If a patient is on Warfarin and PT is 27---what would a nurse do ...give drug/not????...

I just did a practice question today similar to this, and the answer was to notify the physician, solely because the doc needs to re-evaluate the person's therapy. The person could be between the therapeutic range, so it's up to the doctor to decide to stop it altogether. I thought that it was to withhold the drug, but not according to NCLEX-RN MADE INCREDIBLY EASY. :s

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