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OB question

NCLEX   (1,960 Views | 11 Replies)

1,093 Profile Views; 41 Posts

I just have a question. In case nclex asks this if late deceleration is noted what does the nurse do first? Stop the pitocin or position mother on left side? On some sites I see stop the oxytocin and others to change position or give o2. I'm testing for nclex tomorrow I was want to make sure

Edited by iwannabeanursee

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17 Posts; 368 Profile Views

We learned this in nursing school, hopefully it helps.

On the left is the type of FHR strip, and the right the reason of nurses action.

Variable - Cord compression

Early - Head compression

Acceleration- OK (as in this is ok)

Late - Placental insufficiency

For your question, I remember having this as a VATI test prep question. The answer was stop the Pitocin as its effect on the body increases oxygen consumption.

Second action is oxygen application.

Hope that helps!

Best of luck tomorrow!

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4 Posts; 220 Profile Views

I've always seen that "stop the Pitocin" is first. In my view, giving oxygen wouldn't do much if the main offender of the issue (the Pitocin) is still on. Its the same thing as with a blood transfusion reaction. Anything you do won't help much until you stop the main cause of the problem!

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41 Posts; 1,093 Profile Views

Okay thank you both! I test at 3 and I'm having doubts about the whole thing :wtf:

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17 Posts; 368 Profile Views

Don't!! Just read every question twice, and I with your gut! You'll be fine!

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RNNPICU has 13 years experience as a BSN, RN and specializes in PICU.

1,149 Posts; 12,715 Profile Views

The key in the questions is what would the nurse do FIRST! First stop the pit, it did not say patient was having a decrease in oxygen levels. It is looking at how would you respond to changes in a patient

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41 Posts; 1,093 Profile Views

Well I finished my exam at 4:30. I definitely bombed it again. This is PN btw. It shutoff at 85. I'm pissed I wanted it to keep going cuz that means I did really poorly that they shut me off. There's no way I passed. The first two times it shutoff at 205q. Well I'm done with nursing. It's not for me.

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202 Posts; 3,814 Profile Views

That doesn't automatically mean you failed if it shut off at 85. My RN shut of at 75 and I passed so it could mean that you did well enough that they shut it off at 85 for you. Keep your head up! Good luck.

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RNNPICU has 13 years experience as a BSN, RN and specializes in PICU.

1,149 Posts; 12,715 Profile Views

Just wait for your official results before making any rush decisions.

Sending you well wishes

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41 Posts; 1,093 Profile Views

I did the pvt yesterday and today and still got the our records indicate... I've read this is the good popup. My last attempt I had a credit card declined message the bad popup. I really hope I passed this time or else I'm done. :unsure:

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