PDA by LaCharity, need help with OB chapter

BouBou · Mar 17, 2013

#12 question wants me to determine what a nursing assistant can do on the OB floor. i choose 3 and 5, but i'm wrong. cuz apparently an "experienced" nursing assistant can remove a foley cath. i'm like dafuq?! im here looking for skills only a nursing assistant can do. which is bathing, transferring, ambulating, feeding, toileting, obtaining VS, height, weight, I&O, housekeeping, transporting, and stocking supplies. (source: kaplan course book).
PDA, why you gon throw in what an experienced nursing assistant can do when you ain't ask that in the stem?!
#15 i was confused how to assign these patients. was i assigning two unstable or stable patients to the 1 RN? i guessed 2 and 4.. and guessed wrong.
#19 i didn't choose answer 4 because when turning a pregant pt on her side, i want to choose answers that specifically says to turn to a specific side, for instance the left side. bc the left side is the best side. turning the woman on her right would occlude the great veins (vena cava). correct answers for this SATA included 4, but i didn't choose it. was i not thinking critically?
#20 the rationale said to notify the anesthesiologist, as in answer 4, yet the correct answers for this SATA did not include 4. im confused. are the correct answers 2 and 3 or 2, 3, and 4? maybe it's a typo...
#25 you don't have thoughts of hurting your baby during postpartum depression (baby blues) do you? you're just really emotional, sad and crying a lot, feels of fatigue, difficulty concentrating, and have appetite and sleep disturbances, but no thoughts of hurting the baby right?

I will reply this evening because my children have taken over every computer in the house.

itsdebraanne, ASN, RN · Mar 17, 2013

I will reply this evening because my children have taken over every computer in the house.

Thank you!

BouBou · Mar 18, 2013

#12 question wants me to determine what a nursing assistant can do on the OB floor. i choose 3 and 5, but i'm wrong. cuz apparently an "experienced" nursing assistant can remove a foley cath. i'm like dafuq?! im here looking for skills only a nursing assistant can do. which is bathing, transferring, ambulating, feeding, toileting, obtaining VS, height, weight, I&O, housekeeping, transporting, and stocking supplies. (source: kaplan course book).
PDA, why you gon throw in what an experienced nursing assistant can do when you ain't ask that in the stem?

For this question I choose answers 3 and 5. I too was surprised that a nurse's assistant can Dx a foley. I spoke with a friend who works in telemetry and she confirmed that in her unit nursing assitant's dx foley's and do ostomy care. I really don't agree with this, but who I am. I agree that the word "experienced should have been included in the stem.

#15 i was confused how to assign these patients. was i assigning two unstable or stable patients to the 1 RN? i guessed 2 and 4.. and guessed wrong.

I picked 1 and 4. I picked stable pts because the stem said that unit was usually 1:1.

#19 i didn't choose answer 4 because when turning a pregant pt on her side, i want to choose answers that specifically says to turn to a specific side, for instance the left side. bc the left side is the best side. turning the woman on her right would occlude the great veins (vena cava). correct answers for this SATA included 4, but i didn't choose it. was i not thinking critically?

I picked 1, 4, and 5. The only thing correct was 4. Besides the reasons that PDA mentioned; Turning side to side after an epidural also prevents the pt from having the medication pool and pain relief only felt on one side of the body. I have been labor support for dozens of women and no one got a catheter after their epidural and many had their epidural turned off during the pushing phase. Alas, this is not the real world it is the crazy dimension of the NCLEX. I don't know what I was thinking with picking 5 though.

#20 the rationale said to notify the anesthesiologist, as in answer 4, yet the correct answers for this SATA did not include 4. im confused. are the correct answers 2 and 3 or 2, 3, and 4? maybe it's a typo...

I picked 2, 3, and 4 as well. That baby needs to get out of there.

#25 you don't have thoughts of hurting your baby during postpartum depression (baby blues) do you? you're just really emotional, sad and crying a lot, feels of fatigue, difficulty concentrating, and have appetite and sleep disturbances, but no thoughts of hurting the baby right?

I think you mean # 24 because 25 is about exercise. I picked 3. Post partum depression can include feelings of self harm and baby harm. THe baby harm is focused on the mother's feelings of incompetence in the care that she is giving the baby that would inadvertantly cause harm. Ex, bath water too hot or cold, diaper rash, thrush. I had a friend hysterical because the baby had hiccups.

I don't agree with all of the rationales in this book all of the time, but I am a mere mortal.

itsdebraanne, ASN, RN · Mar 18, 2013

thank you for feedback! yea some questions were kinda weird. and overall the nclex world is very diff than the real world but i guess you just have to smile and nod. agree with everything. lol. thanks again!

and sorry yea i meant #24 not #25 about the postpartum depressin

St_Claire, ADN, RN · Mar 18, 2013

Just one reminder, in NCLEX world your CNA is experienced unless the question says otherwise. In the real world CNAs do d/c (dx means diagnose, d/c means discharge or get rid of) foleys, it is not a sterile procedure to take them out. In the real world CNAs also change the disc for ostomies. This is also not a sterile procedure.