Dr. Foy is an Associate Professor at Hondros College. He has been teaching Microbiology and Anatomy and Physiology both at the Practical Nursing and the Associate Diploma in Nursing programs. He earned his BSc. Degree in Microbiology from the University of Buea, Cameroon, his MSc. Degree in Molecular Biology from Umea University, Sweden and in Microbiology from The Ohio State University before subsequently getting his PhD in Microbiology from the same institution. He is published in several peer-reviewed journals in areas of Cancer Vaccines and Immunotherapy. He later joined the Graduate Entry Program in Nursing and the Breast Cancer Disparities Research Training Program at OSU. He is a Registered Nurse and a Susan G Komen Breast Cancer Trainee and his main practice areas of interest are Family medicine and Oncology.
Foy's RN Licensure Review Handbook
by Dr. Kevin Chu Foy
Foy's RN Licensure Review Handbook
by Dr. Kevin Chu Foy
Published Sep 29, 2016
351 Pages
Genre: MEDICAL / Nursing / Test Preparation & Review (see also STUDY AIDS / NCLEX)
Book Details
A Must-have Review Handbook with Important Facts and Exam Tips for the NCLEX-RN Board Exam
The Foy’s RN Licensure Review Handbook is divided into eight sections each with exam specific tips to place emphasis on key testable content areas. Some of the content is presented in the form of tables that make the material easy to read and remember. This handbook also contains mnemonics and other easy ways to easily remember the content and key nursing interventions. At the end of section VIII, general testing strategies are provided besides the illustrations that are included throughout the handbook. The handbook ends with 170 NCLEX-RN type questions and answers with rationales that have been prepared meticulously by the author to demonstrate the importance of some key content areas. Most of the questions are prioritization and select all that apply questions that are highly represented in the board exam. A must-have review handbook for all candidates preparing for the NCLEX-RN exam and students while in nursing school. Highly resourceful and fits even in your scrub pockets or lab coat with an easy to use index for quick referencing and content look up while intensively reviewing the content areas that constantly appear in the exam is exactly what every student need. I wish you the very best in the NCLEX-RN examination and in your future nursing careers!
Book Excerpt
B: PRENATAL VISITS AND NAEGELE’S RULE
Prenatal visits are required:
• Monthly until week 28 • Biweekly from week 28 till week 36 • Weekly from week 36 till week 42 or until delivery • Labor is usually induced at week 42 or a C-section is scheduled. During the first prenatal visit, Naegele’s rule is used to calculate the estimated due date (EDD), also known as the estimated date of confinement (EDC). The EDD is calculated by adding and subtracting the following to the first day of the last menstrual period (LMP): -Add 1 year and 7 days to the first day of the LMP. -Subtract 3 months. -For example, if the last menstrual period was from December 6–11, 2015, adding 1 year, 7 days to Dec. 6 will give December 13, 2016, and subtracting 3 months will give an EDD of September 13, 2016. - An easier way of calculating this is by simply adding 9 months and 7 days to the first day of LMP, which gives the same September 13, 2016 date.The following physical assessments, tests, or analysis should be performed during the prenatal visits:
- Measuring weight gain during pregnancy. Recommended weight gain in pregnancy is 25–33 pounds, or 29 ± 4 pounds. The weight gain is distributed as follows: • First trimester: 1 pound every month, total 3 pounds. • Second and third trimester: 1 pound every week, total 30 pounds. Weight gain for a 42 weeks pregnancy should be 33 pounds. • Weight gain = Number of weeks – 9.Pregnancy week: 12 15 18 21 30 40 42
Weight in pounds: 3 6 9 12 21 31 33
-The fetal heart rate is also measured during the prenatal visits and can only be auscultated after 10 weeks of pregnancy.
-Another measurement obtained during the prenatal visit is the fundal height that is only palpable after week 12 when the weight gain is at least 3 pounds. -A detailed urinalysis for presence of proteins and glucose is also performed in addition to any signs of complications or troubles the pregnancy may be causing.EXAM TIPS
Know how to calculate the EDD using Naegele’s rule. Know the expected weight gain during pregnancy, and this can be gotten from the formula weight gain = Number of weeks-9. And note there is a ±4 pounds threshold. For example, the nurse in a prenatal client is assessing a client who is 28 weeks pregnant with a weight gain of 24 pounds. Which of the following conclusion by the nurse is correct? A. The client is gaining weight properly, so there is no risk to the fetus. B. The client is gaining more weight than normal. C. The client is underweight for her gestational age. D. The client is an increased risk of having a small-for-gestational-age baby. The right answer is B which is the client is overweight because the normal weight for a 28 weeks gestation should be 19±4. Excessive weight gain during pregnancy causes increased risk of complications and also increases the metabolic demands of the heart during pregnancy. Know the schedule of prenatal visits during pregnancy