BSN-346 HESI
caput succedaneum - ✔️✔️diffuse edema of the fetal scalp that crosses the suture
lines. reabsorbs within 1 to 3 days
Oxytocin (Pitocin) - ✔️✔️Stimulates smooth muscle to contract. .Not contraindicated for
Asthma
40-70mm - ✔️✔️contractions in first stage of labor
over 80mm - ✔️✔️contractions in second stage of labor
peak at less than 50mm - ✔️✔️mild contractions
peak at over 50mm - ✔️✔️moderate or strong contractions
10mm - ✔️✔️average resting tone during labor
MVUs usually range from 100-250 - ✔️✔️in the first stage of labor
MVUs ; may rise to 300-400 - ✔️✔️in second stage of labor
MVUs are used only with - ✔️✔️internal monitoring of contractions.
post delivery perineal care - ✔️✔️spray warm water from front to back with squeeze
bottle
what assessment finding requires immediate intervention after a chorionic villi sampling
CVS - ✔️✔️uterine cramping
What interventions are needed for a gravida that develops hypotension after regional
anesthesia - ✔️✔️*Administer O2
*increase IV fluids
*place the client in lateral position
*monitor fetal status
Magnesium sulfate administration gives postpartum patient a high risk for -
✔️✔️potpartum hemorrhaging
pulse increases - ✔️✔️during the second trimester, a decrease in pulse needs further
assessment
,Systolic and diastolic pressure does what in the second trimester - ✔️✔️decreases
To prevent conductive heat loss in a newborn - ✔️✔️place a blanket on scale when
weighing the infant
what is the major risk after a molar pregnancy - ✔️✔️choriocarcinoma
choriocarcinoma - ✔️✔️malignant tumor of the placenta
How is choriocarcinoma detected - ✔️✔️elevated HCG levels
what technique shouldthe nurse use to obtain a newborns heart rate - ✔️✔️count the
heart rate for atleast one full min
what intervention should the nurse implment for a macrosomic infant - ✔️✔️evaluate
the newborns glucose levels frequently to assess for hypoglycemia
The apnea monitor alarms for the 3rd time during a shift, what is the first action of the
nurse - ✔️✔️monitor newborns colorand respirations
fetal heart rate accelerations for 15-20 senconds are a sign of - ✔️✔️fetal well-being
Encourage early initation of feeding - ✔️✔️Nursing intervention that best enhances
maturnal infant bonding
Cannied Sardines - ✔️✔️a good source of calcium
changes in FHR patterns - ✔️✔️indicate inturnal hemorrhage after blunt ABD trauma
The fetus can respond to sounds by how many weeks gestation - ✔️✔️24 weeks
What should the nurse do when caring for a infant immediately after birth - ✔️✔️keep
airway open
Squatting - ✔️✔️the best position for gravity during delivery
What immunizations can be given during pregnancy - ✔️✔️*Tetnus
*Diphtheria
*Hep B
Vitamin K - ✔️✔️perscription given to infant to reduce complications from birth trama
Signs of respiratory distress in newborns - ✔️✔️* nasal flaring
, *diaphragmatic breathing with chest retraction
* grunting
erythemia toxicum - ✔️✔️rash, small pustules, normal, will go away
when a newborn is born with anencephaly - ✔️✔️prepare the family for imminent death
when does the heart of the fetus develope - ✔️✔️between 3rd and 5th week
Hard like board ABD - ✔️✔️concealed hemorrhage in abruptio plecenta
ultrasonography - ✔️✔️what test is done to check for placental insufficiency
Pin point spots are begin and will disapear ina few days - ✔️✔️petechiae over the face
and neck of a newborn delivered with a nuchal cord
IUP reading for effective labor - ✔️✔️40-90mm
if patient is receiving oxytocin during labor and the IUP reaches over 100mm -
✔️✔️require further action, stop infusion
Methergine - ✔️✔️used in postpartum to prevent hemorrhage (may cause HTN)
how many oz does a newborn need daily - ✔️✔️19-21oz
perodic abdominal pain - ✔️✔️not a normal finding for pregnancy, may indicate
preterm labor
Primary assessment for pulmonary artery catheter procedure - ✔️✔️monitor for
premature ventricular contractions
pregnancy shouldprogress normallyand be considered low risk - ✔️✔️to have a at
home delivery
what should be done if a neonates feet are blanched - ✔️✔️report to HCP
function of placenta in early pregnancy - ✔️✔️secretes estrogen and progesterone
woman bottle feeding c/o swollen breast , warm and tender. What should the woman do
- ✔️✔️apply ice to breasts
why is it important to keep a neonate under a warmer - ✔️✔️large body surface area
heat loss to environment
caput succedaneum - ✔️✔️diffuse edema of the fetal scalp that crosses the suture
lines. reabsorbs within 1 to 3 days
Oxytocin (Pitocin) - ✔️✔️Stimulates smooth muscle to contract. .Not contraindicated for
Asthma
40-70mm - ✔️✔️contractions in first stage of labor
over 80mm - ✔️✔️contractions in second stage of labor
peak at less than 50mm - ✔️✔️mild contractions
peak at over 50mm - ✔️✔️moderate or strong contractions
10mm - ✔️✔️average resting tone during labor
MVUs usually range from 100-250 - ✔️✔️in the first stage of labor
MVUs ; may rise to 300-400 - ✔️✔️in second stage of labor
MVUs are used only with - ✔️✔️internal monitoring of contractions.
post delivery perineal care - ✔️✔️spray warm water from front to back with squeeze
bottle
what assessment finding requires immediate intervention after a chorionic villi sampling
CVS - ✔️✔️uterine cramping
What interventions are needed for a gravida that develops hypotension after regional
anesthesia - ✔️✔️*Administer O2
*increase IV fluids
*place the client in lateral position
*monitor fetal status
Magnesium sulfate administration gives postpartum patient a high risk for -
✔️✔️potpartum hemorrhaging
pulse increases - ✔️✔️during the second trimester, a decrease in pulse needs further
assessment
,Systolic and diastolic pressure does what in the second trimester - ✔️✔️decreases
To prevent conductive heat loss in a newborn - ✔️✔️place a blanket on scale when
weighing the infant
what is the major risk after a molar pregnancy - ✔️✔️choriocarcinoma
choriocarcinoma - ✔️✔️malignant tumor of the placenta
How is choriocarcinoma detected - ✔️✔️elevated HCG levels
what technique shouldthe nurse use to obtain a newborns heart rate - ✔️✔️count the
heart rate for atleast one full min
what intervention should the nurse implment for a macrosomic infant - ✔️✔️evaluate
the newborns glucose levels frequently to assess for hypoglycemia
The apnea monitor alarms for the 3rd time during a shift, what is the first action of the
nurse - ✔️✔️monitor newborns colorand respirations
fetal heart rate accelerations for 15-20 senconds are a sign of - ✔️✔️fetal well-being
Encourage early initation of feeding - ✔️✔️Nursing intervention that best enhances
maturnal infant bonding
Cannied Sardines - ✔️✔️a good source of calcium
changes in FHR patterns - ✔️✔️indicate inturnal hemorrhage after blunt ABD trauma
The fetus can respond to sounds by how many weeks gestation - ✔️✔️24 weeks
What should the nurse do when caring for a infant immediately after birth - ✔️✔️keep
airway open
Squatting - ✔️✔️the best position for gravity during delivery
What immunizations can be given during pregnancy - ✔️✔️*Tetnus
*Diphtheria
*Hep B
Vitamin K - ✔️✔️perscription given to infant to reduce complications from birth trama
Signs of respiratory distress in newborns - ✔️✔️* nasal flaring
, *diaphragmatic breathing with chest retraction
* grunting
erythemia toxicum - ✔️✔️rash, small pustules, normal, will go away
when a newborn is born with anencephaly - ✔️✔️prepare the family for imminent death
when does the heart of the fetus develope - ✔️✔️between 3rd and 5th week
Hard like board ABD - ✔️✔️concealed hemorrhage in abruptio plecenta
ultrasonography - ✔️✔️what test is done to check for placental insufficiency
Pin point spots are begin and will disapear ina few days - ✔️✔️petechiae over the face
and neck of a newborn delivered with a nuchal cord
IUP reading for effective labor - ✔️✔️40-90mm
if patient is receiving oxytocin during labor and the IUP reaches over 100mm -
✔️✔️require further action, stop infusion
Methergine - ✔️✔️used in postpartum to prevent hemorrhage (may cause HTN)
how many oz does a newborn need daily - ✔️✔️19-21oz
perodic abdominal pain - ✔️✔️not a normal finding for pregnancy, may indicate
preterm labor
Primary assessment for pulmonary artery catheter procedure - ✔️✔️monitor for
premature ventricular contractions
pregnancy shouldprogress normallyand be considered low risk - ✔️✔️to have a at
home delivery
what should be done if a neonates feet are blanched - ✔️✔️report to HCP
function of placenta in early pregnancy - ✔️✔️secretes estrogen and progesterone
woman bottle feeding c/o swollen breast , warm and tender. What should the woman do
- ✔️✔️apply ice to breasts
why is it important to keep a neonate under a warmer - ✔️✔️large body surface area
heat loss to environment
