The long wait is over... NEW NURSES marching in the red carpet. (Click below for the complete list of new nurses)
CONGRATULATIONS TO ALL OF YOU!
With the number of nurses who took the board exam last November, it is bit sad to know that less than half of the examinees passed the nursing board exam.
Personally as an academician, it makes me think what really happened in the nursing education. Must it be because of the students, the instructors, the curriculum, or the passion for nursing itself.
A colleague told me, "I hope that would serve as an encouragement to continue inspiring and motivating students to exert effort and take their studies seriously.." May this message reminds us that every success is a joint effort. We can never attain success on our own nor by the help of other people only. We have to strive, reach the top and use whatever resources we have to attain what we want to achieve.
With a total of 94,462 examinees, only 37, 527 nursing graduates passed the November 2009 licensure examination. Again, a failure for many or success for some. But then, what is important is that, may it be a challenge for each and everyone that whether, you passed or you failed this examination, this is the start of a challenge... for those who failed the licensure exam, it is a challenge to take the exam again and conquer it and for those who passed the examination, it is a challenge to prove that truly you are a registered nurse.
To my students, I am so proud of you and I am overwhelmed to be part of your success! Continue to carve your way to your chosen field and you will surely be a good nurse.
Let's continue to uplift our profession! CONGRATULATIONS NURSES! :)
For the complete list of passers, Click here:
List of November Nursing Board Exam Passers
Sunday, January 31, 2010
Saturday, January 30, 2010
November 2010 Exam Results
The long wait is over... NEW NURSES marching in the red carpet. (Click below for the complete list of new nurses)
With the number of nurses who took the board exam last November, it is bit sad to know that less than half of the examinees passed the nursing board exam.
Personally as an academician, it makes me think what really happened in the nursing education. Must it be because of the students, the instructors, the curriculum, or the passion for nursing itself.
A colleague told me, "I hope that would serve as an encouragement to continue inspiring and motivating students to exert effort and take their studies seriously.." May this message reminds us that every success is a joint effort. We can never attain success on our own nor by the help of other people only. We have to strive, reach the top and use whatever resources we have to attain what we want to achieve.
With a total of 94,462 examinees, only 37, 527 nursing graduates passed the November 2009 licensure examination. Again, a failure for many or success for some. But then, what is important is that, may it be a challenge for each and everyone that whether, you passed or you failed this examination, this is the start of a challenge... for those who failed the licensure exam, it is a challenge to take the exam again and conquer it and for those who passed the examination, it is a challenge to prove that truly you are a registered nurse.
To my students, I am so proud of you and I am overwhelmed to be part of your success! Continue to carve your way to your chosen field and you will surely be a good nurse.
Let's continue to uplift our profession! CONGRATULATIONS NURSES! :)
CONGRATULATIONS TO ALL OF YOU!
With the number of nurses who took the board exam last November, it is bit sad to know that less than half of the examinees passed the nursing board exam.
Personally as an academician, it makes me think what really happened in the nursing education. Must it be because of the students, the instructors, the curriculum, or the passion for nursing itself.
A colleague told me, "I hope that would serve as an encouragement to continue inspiring and motivating students to exert effort and take their studies seriously.." May this message reminds us that every success is a joint effort. We can never attain success on our own nor by the help of other people only. We have to strive, reach the top and use whatever resources we have to attain what we want to achieve.
With a total of 94,462 examinees, only 37, 527 nursing graduates passed the November 2009 licensure examination. Again, a failure for many or success for some. But then, what is important is that, may it be a challenge for each and everyone that whether, you passed or you failed this examination, this is the start of a challenge... for those who failed the licensure exam, it is a challenge to take the exam again and conquer it and for those who passed the examination, it is a challenge to prove that truly you are a registered nurse.
To my students, I am so proud of you and I am overwhelmed to be part of your success! Continue to carve your way to your chosen field and you will surely be a good nurse.
Let's continue to uplift our profession! CONGRATULATIONS NURSES! :)
*Do want to receive updates via email? Subscribe now by entering your email in the subscription link!
Friday, January 15, 2010
ONGOING TUTORIAL SCHEDULES FOR JANUARY
BATCH 1: Psychiatric Nursing
Mondays 6:30 pm to 7:30 pm
Tuesday 6:30 pm to 7:30 pm
Wednesdays 1:00 pm to 2:00 pm
Thursdays 1:00 pm to 2:00 pm
Fridays 10:00 am to 11:00am
Saturdays 5:30 pm to 6:30 pm
Every other Sundays 9:00am to 10:00 am
BATCH 2: Medical Surgical Nursing
Mondays 11:30am to 12:30 pm
Tuesdays 11:30am to 12:30 pm
Wednesdays 11:30am to 12:30 pm
Thursdays 11:30am to 12:30 pm
Fridays 11:30am to 12:30 pm
Saturdays 8:00 pm to 9:00 pm
Every other Sundays 8:00am to 9:00am
*Full slots for January. No requests for extensions at the moment :( Sorry...
**Enrollees who wish to extend their tutorials should register again for scheduling. Thank you.
***Kindly update your modules. Modules are already sent via email. Follow instructions. See you! :)
NEW SCHEDULE FOR OTHER BOARD SUBJECTS UPON REQUEST.
Email: academic.advancement.institute@gmail.com for details
Mondays 6:30 pm to 7:30 pm
Tuesday 6:30 pm to 7:30 pm
Wednesdays 1:00 pm to 2:00 pm
Thursdays 1:00 pm to 2:00 pm
Fridays 10:00 am to 11:00am
Saturdays 5:30 pm to 6:30 pm
Every other Sundays 9:00am to 10:00 am
BATCH 2: Medical Surgical Nursing
Mondays 11:30am to 12:30 pm
Tuesdays 11:30am to 12:30 pm
Wednesdays 11:30am to 12:30 pm
Thursdays 11:30am to 12:30 pm
Fridays 11:30am to 12:30 pm
Saturdays 8:00 pm to 9:00 pm
Every other Sundays 8:00am to 9:00am
*Full slots for January. No requests for extensions at the moment :( Sorry...
**Enrollees who wish to extend their tutorials should register again for scheduling. Thank you.
***Kindly update your modules. Modules are already sent via email. Follow instructions. See you! :)
NEW SCHEDULE FOR OTHER BOARD SUBJECTS UPON REQUEST.
Email: academic.advancement.institute@gmail.com for details
Thursday, January 14, 2010
MATERNAL ASSESSMENT
NOTES IN MATERNAL AND CHILD NURSING
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN, MAN(c)
MATERNAL ASSESSMENT
Signs of Labor
Preliminary signs
- Lightening
- ↑ in level of activity
- Braxton hicks contractions
- Ripening of the cervix
Signs of True Labor
- Uterine contractions
- Show or bloody show
- Rupture of the membranes
Maternal assessment
- initial interview: EDC
: Duration, intensity, frequency of contractions
: amt & character of show
: Rupture of membranes
: vital signs, time of last meal
: drug allergies
: past pregnancy history
- Physical Exam
- Abdominal Assessment
: Fundic height
: Leopolds maneuver
- Laboratory analysis
Fetal assessment
a. FHR
- Auscultation
- Electronic monitoring
- Acid-base assessment
: pressure application on fetal scalp in dilated cervix
: absence of fetal acceleration suggests fetal distress
- Fetal reactivity
b. Fetal blood
- Blood sampling
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN, MAN(c)
MATERNAL ASSESSMENT
Signs of Labor
Preliminary signs
- Lightening
- ↑ in level of activity
- Braxton hicks contractions
- Ripening of the cervix
Signs of True Labor
- Uterine contractions
- Show or bloody show
- Rupture of the membranes
Maternal assessment
- initial interview: EDC
: Duration, intensity, frequency of contractions
: amt & character of show
: Rupture of membranes
: vital signs, time of last meal
: drug allergies
: past pregnancy history
- Physical Exam
- Abdominal Assessment
: Fundic height
: Leopolds maneuver
- Laboratory analysis
Fetal assessment
a. FHR
- Auscultation
- Electronic monitoring
- Acid-base assessment
: pressure application on fetal scalp in dilated cervix
: absence of fetal acceleration suggests fetal distress
- Fetal reactivity
b. Fetal blood
- Blood sampling
MATERNAL ANESTHESIA
NOTES IN MATERNAL AND CHILD NURSING
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN, MAN(c)
Maternal Regional Anesthesia
Spinal
Subarachnoid
L3-L5
Side effect on the lower extremities and spinal headache
Epidural
L3-L4
Involves the vagina and perineum
No postpartum headache side effect
Pudendal
Transvaginal route
Takes effect for 30 minutes
Local Infiltration
No side effect
Given just before giving birth
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN, MAN(c)
Maternal Regional Anesthesia
Spinal
Subarachnoid
L3-L5
Side effect on the lower extremities and spinal headache
Epidural
L3-L4
Involves the vagina and perineum
No postpartum headache side effect
Pudendal
Transvaginal route
Takes effect for 30 minutes
Local Infiltration
No side effect
Given just before giving birth
NURSING CARE DURING THE STAGES OF LABOR
NOTES IN MATERNAL AND CHILD NURSING
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN, MAN(c)
Nursing Care of the Mother
1. Care of the Woman During the First Stage
Stage Profile: Marked by duration and stress of labor
Nursing interventions:
- Reduce anxiety and offer assistance
- Do not interrupt breathing during contractions
- Promote change of positions
- Encourage voiding and promote bladder care
- Encourage client to suck on hard candy, ice chips
- Apply cream on dry lips of client
- Administer IV solution in case of DHN
- When hyperventilating, keep paper bag nearby and teach on how to use it
2. Care of the Woman During the Second Stage
Stage Profile: Marked by intense contractions
Nursing Interventions:
- Provide client support
- Assess and record v/s, FHR, uterine contractions
- Prepare place of birth in advance
- Convert the labor room to birth room
- Make the client select positioning for birth
- Promote second stage pushing
- Clean perineum with warm antiseptic before birth
As soon as head is about 8cm across:
Perform the Ritgen’s maneuver
Encourage the woman to continue pushing until the occiput of fetal head is firmly a the pubic arch
Once head is delivered
Note time of birth, announce sex of infant
Cut and clamp the cord
Introduce infant to initiate parent child relationship
3. Care of the Woman in the Third and Fourth Stages of Labor
Stage Profile: Placental separation and delivery
Nursing interventions:
- Administer oxytocin (IM or IV
- Inspect delivered placenta
- Monitor vital signs (q 15 minutes)
- Palpate fundus
- Observe character and amount of lochia
Non Pharmacologic Pain relief
Relaxation
Focusing on imagery
Support from a doula or coach
Breathing techniques
Bathing/ hydrotherapy : C/I in ruptured membranes
Therapeutic touch and massage
Hypnosis: deep form of relaxation
Biofeedback: based on belief that people can control and
regulate internal events like HR and pain response
Acupressure and acupuncture
Heat or cold application
Pharmacologic pain relief
Local infiltration
Pudendal nerve block
Spinal anesthesia
Epidural anesthesia
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN, MAN(c)
Nursing Care of the Mother
1. Care of the Woman During the First Stage
Stage Profile: Marked by duration and stress of labor
Nursing interventions:
- Reduce anxiety and offer assistance
- Do not interrupt breathing during contractions
- Promote change of positions
- Encourage voiding and promote bladder care
- Encourage client to suck on hard candy, ice chips
- Apply cream on dry lips of client
- Administer IV solution in case of DHN
- When hyperventilating, keep paper bag nearby and teach on how to use it
2. Care of the Woman During the Second Stage
Stage Profile: Marked by intense contractions
Nursing Interventions:
- Provide client support
- Assess and record v/s, FHR, uterine contractions
- Prepare place of birth in advance
- Convert the labor room to birth room
- Make the client select positioning for birth
- Promote second stage pushing
- Clean perineum with warm antiseptic before birth
As soon as head is about 8cm across:
Perform the Ritgen’s maneuver
Encourage the woman to continue pushing until the occiput of fetal head is firmly a the pubic arch
Once head is delivered
Note time of birth, announce sex of infant
Cut and clamp the cord
Introduce infant to initiate parent child relationship
3. Care of the Woman in the Third and Fourth Stages of Labor
Stage Profile: Placental separation and delivery
Nursing interventions:
- Administer oxytocin (IM or IV
- Inspect delivered placenta
- Monitor vital signs (q 15 minutes)
- Palpate fundus
- Observe character and amount of lochia
Non Pharmacologic Pain relief
Relaxation
Focusing on imagery
Support from a doula or coach
Breathing techniques
Bathing/ hydrotherapy : C/I in ruptured membranes
Therapeutic touch and massage
Hypnosis: deep form of relaxation
Biofeedback: based on belief that people can control and
regulate internal events like HR and pain response
Acupressure and acupuncture
Heat or cold application
Pharmacologic pain relief
Local infiltration
Pudendal nerve block
Spinal anesthesia
Epidural anesthesia
LANDMARKS OF THE FETAL SKULL
NOTES IN MATERNAL AND CHILD NURSING
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN
LANDMARKS OF THE FETAL SKULL
FETAL POSITIONS
OCCIPUT ANTERIOR
Usually the easiest position for the fetal head to traverse the maternal pelvis.
Shown here is the "direct OA" position. While some fetuses deliver in this position, others deliver slightly rotated clockwise (LOA) or counterclockwise (ROA). Either way, the fetus is still considered to be an "anterior" position.
RIGHT OCCIPUT ANTERIOR (ROA)
The fetal occiput is directed towards the mother's left, anterior side.
LEFT OCCIPUT ANTERIOR
normal and usually are the easiest way for the fetus to traverse the birth canal.
LEFT OCCIPUT TRANSVERSE
This LOT position and its' mirror image, ROT, are common in early labor.
RIGHT OCCIPUT TRANSVERSE
OCCIPUT POSTERIOR
Occiput posterior positions, including direct OP, LOP (Left Occiput Posterior) and
ROP (Right Occiput Posterior) are positions favored by certain internal pelvic shapes. This position has some obstetrical significance.
LEFT OCCIPUT POSTERIOR
RIGHT OCCIPUT POSTERIOR
RIGHT SACRUM POSTERIOR
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN
LANDMARKS OF THE FETAL SKULL
FETAL POSITIONS
OCCIPUT ANTERIOR
Usually the easiest position for the fetal head to traverse the maternal pelvis.
Shown here is the "direct OA" position. While some fetuses deliver in this position, others deliver slightly rotated clockwise (LOA) or counterclockwise (ROA). Either way, the fetus is still considered to be an "anterior" position.
RIGHT OCCIPUT ANTERIOR (ROA)
The fetal occiput is directed towards the mother's left, anterior side.
LEFT OCCIPUT ANTERIOR
normal and usually are the easiest way for the fetus to traverse the birth canal.
LEFT OCCIPUT TRANSVERSE
This LOT position and its' mirror image, ROT, are common in early labor.
RIGHT OCCIPUT TRANSVERSE
OCCIPUT POSTERIOR
Occiput posterior positions, including direct OP, LOP (Left Occiput Posterior) and
ROP (Right Occiput Posterior) are positions favored by certain internal pelvic shapes. This position has some obstetrical significance.
LEFT OCCIPUT POSTERIOR
RIGHT OCCIPUT POSTERIOR
RIGHT SACRUM POSTERIOR
LABOR PROCESS
NOTES IN MATERNAL AND CHILD NURSING
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN
INTRAPARTUM AND POSTPARTUM
LABOR PROCESS
Components of labor
a. Passage
b. Passenger
c. Powers of Labor (uterine factors)
Passage
Fetal Presentation: Cephalic
Attitude
Vertex Sinciput Brow Face
Complete Moderate Partial Poor
flexion flexion extension flexion
Presentation: Breech
POSITION
Position
Refers to the relation of a chosen portion of the presenting part to the right or left side of the maternal birth canal
Positions (side of the mother)
Right
Left
Determining points (in the fetus)
Occiput
Mentum (chin)
Sacrum
Reference: NURSE’S NOTES: MATERNAL and CHILD NURSING
Maritess Manalang-Quinto, RN
INTRAPARTUM AND POSTPARTUM
LABOR PROCESS
Components of labor
a. Passage
b. Passenger
c. Powers of Labor (uterine factors)
Passage
Fetal Presentation: Cephalic
Attitude
Vertex Sinciput Brow Face
Complete Moderate Partial Poor
flexion flexion extension flexion
Presentation: Breech
POSITION
Position
Refers to the relation of a chosen portion of the presenting part to the right or left side of the maternal birth canal
Positions (side of the mother)
Right
Left
Determining points (in the fetus)
Occiput
Mentum (chin)
Sacrum
Subscribe to:
Posts (Atom)