NUR 405: Maternity and Peds Hesi Review A+ GRADE

NUR 405: Maternity and Peds Hesi Review A+ GRADEMP Hesi.1 • Mastitis: antibiotic therapy, wear a supportive bra, warm compress • Pyloric stenosis: olive size obstruction on abdomen • Anchor the lower part of the uterus - then massaging the fundus • High bp maybe with preeclampsia: check for protein in the urine (proteinuria) • Boy child frequent visits to the school nurse headache, irritable for few weeks: ask how daily school day is • BMI 6 -year old: physical activity at the school, girls physical activity at home, and diet • Saturated 2 pads in 30 mins: massage the fundus • Tick bite: test for Lyme disease • HIV AZT is given to slow down the transmission to the fetus • Clear water to clean for diaper change • APGAR = 9, acrocyanotic only gets 1 point for color • Mom says baby not sleeping through night, nurse should assess severe skin breakdown on the baby to plan family care • Blind child with traction - bring familiar objects or stuff animals from home • Drooling, temp - epiglottitis need to notify the provider • Muscular irritability from hemorrhaging • Osteomyelitis - give milkshake as snack- high protein, high fiber • Hypoglycemic: give milk • Croup- barking sound, high pitch on breathing - bring in shower with warm mist • Transillumination through scrotal sac to test if testes are present • Earache if meningitis • Hypothyroidism: D- TSH is high so T4 is low by thyroid gland • Tetralogy of Fallot - cyanotic limbs crying • Cephalohematoma noticed near occiptal sutures- notify Dr • Increase AFP- need to do an sonogram • 30 week gestation age 38 inches fundal height - do an ultrasound, bc should’ve been equal • Inguinal Hernia - palpate to get it back in • Breastfeeding 5 day with yellow stools - this is normal • Spontaneous rupture of membranes - ask the color • Fetal heart pattern in V form - priority is change mother’s position • Braxton Hicks will go away with walking it is not true labor • Placenta Previa - check fetal HR • I’m having pain in my stitches - look at the episiotomy • Use breathing techniques after giving pain meds 30 mins ago • Female - parenteral antibiotics administration is most effective • Introducing solid foods - 1 food at a time for 4-7 days • Digoxin - missed dose can give if it’s been less than 4hrs /if more than 4 hrs wait until next dose/If miss 2 doses, call HCP • Dilantin - check the serum levels • UTI child - return for another urine sample • 3 hour newborn with irregular respirations and small/soft murmur - put pulse ox on the foot • Mag toxicity possibility: mag was 8? With hypoactive reflexes • Gonorrhea infection tell other partners to seek treatment • Adolescent gets a rubella vaccine at maternal bearing age - use another form of birth control for 28 days • Diaphragm – use same as before giving birth - get resized? Use another form of bc? • Tonic clonic seizure and heart issue - monitor calcium • Amniocentesis priority - something with to get Rh factor for rhogam *Breasts- need supportive bra, antibiotics, cold compress *infant vital signs- normal *DMD- weak muscles and gait - I remember something with DMD & serum Ca+ *preeclampsia- check urine for protein MP Hesi 2017 1. dosage : 700. 77 lb baby. 2. 20 units of oxytocin+1L LR→ 125 . 3. Gerd: sugar cookies 4. Mom is Rh-: check Rh immunoglobulin or check FHR 5. Cystic fibrosis: infertility 6. Tetanus questions: clean and antibiotic!!! and consistency 7. folic acid, doesn’t like green lefy veggies: strawberrie • 3+ pitting edema with GERD- normal during pregnancy??