Maternal-Child HESI REVIEW
A patient with gestational diabetes- what would be a goal ? - Answer- Preventing an LGA infant
The day after delivery the mother has a WBC of 15,000. What would you do ? - Answer-
Nothing, this is normal. Expected to be 25,000 after birth.
Where do you place the heat probe in the infants body while they are in an overhead warmer? - Answer- On the abdomen, NEVER OVER BONE
An ultrasound at 18-20 weeks is generally done for what reason ? - Answer- At 20 weeks ultrasound is done to determine fetal growth and gestational age
You admit a mother to the unit who has active herpes lesions; she delivered her infant in the cab on the way to the hospital. What would you do first when admitting the infant to the nursery? - Answer- Isolate infant from others
What is the best indication that a women really is pregnant ? - Answer- Hegar's Sign- softening of the uterus
You just assisted with the admin of an epidural. What is your next priority for the patient? - Answer- Blood pressure
Your patient is admitted at 32 weeks gestation and bleeding with low blood pressure, sweating, and high respirations. What do you think would be a priority for this patient? - Answer- Start IV fluids for volume expansion: LR, NSS
An infant is four hours old and now develops jitteriness and unstable vitals. What might you do first? - Answer- Check the blood glucose
When does the breastfeeding mother usually see her period return after giving birth? - Answer- Dedicated breast-feeding mothers may have up to 12 weeks and more before starting their period but they can still be ovulating so they can still get pregnant.
43 weeks gestation woman is in the office and her fundal height measures only 30cm. Is
this a problem? - Answer- This infant is very small, IUGR, because the fundal height should be the same as the gestational week after she reaches 20 weeks.
G7/P5 admitted stress 32 weeks for waking up in a pool of blood. She's not in any pain, is FHR is 120 with minimal variability. What should you do first to the mother? - Answer-
Check BP What would you do if one of your patients was a Jehovah's Witness and was admitted to your ICU with postpartum hemorrhage? - Answer- Clarify the pt wishes to not receive blood
What is your best diagnostic test to do if a 35 yr old pregnant woman is worried about her 10 week old fetus having Down Syndrome? - Answer- Chorionic villus sampling at 12 weeks because it can be done very early and is more definitive for diagnosing downs
What is an easy deep tendon reflex to check? - Answer- The patellar reflex
Name some ways to help with the discomfort of breast engorgement - Answer- Keep on
a good support bra at all times
use NSAIDS for pain, use ice packs or warm shower, use green cabbage leaves that are cooled to place on inside your bra or binding, hand expression or pumping, acupressure and/or acupuncture
A multigravida client in labor is receiving oxytocin (Pitocin) 4 mu/minute to help promote an affective contraction pattern. The available solution is LR 1000 mL with Pitocin 20 units. the nurse should program the pump to deliver how many ML's per hour - Answer- 12 mL/ hr
What is ilotycin?
Why is this used on newborn infant ? - Answer- Erythromycin ophthalmic ointment Used to prevent ophthalmia neonatorum caused by STD; chlamydia and gonorrhea
A multiparous client at 38 weeks gestation is admitted to labor and delivery with a complaint of contractions five minutes apart. while the client is in the bathroom changing
into a hospital gown you hear a baby crying. What action to the nurse take first? - Answer- Push the call light for help, and then go to the bathroom to assist.
A client whose labor is being augmented with an oxytocin infusion asks for an epidural for pain control. Findings of the last vaginal exam were performed an hour ago; they were 3 cm cervical dilated, 60% effaced, and -2 station. What action should the nurse take first? - Answer- Reassess the cervical dilation
A woman who delivered a normal newborn 20 hours ago complains "I seem to be urinating every hour or so, is that OK?" What actions should the nurse implement? - Answer- Measure the clients next void then palpate the bladder
Newborn admitted to nursery, placed under radiant warmer, naso and pharyngeal suctioning done, infant dried and heels flicked to illicit spontaneous respirations. After all
that the HR is only 100 bpm and infant remains apneic. What should be done next? - Answer- Start positive pressure ventilation (PPV)
A patient with gestational diabetes- what would be a goal ? - Answer- Preventing an LGA infant
The day after delivery the mother has a WBC of 15,000. What would you do ? - Answer-
Nothing, this is normal. Expected to be 25,000 after birth.
Where do you place the heat probe in the infants body while they are in an overhead warmer? - Answer- On the abdomen, NEVER OVER BONE
An ultrasound at 18-20 weeks is generally done for what reason ? - Answer- At 20 weeks ultrasound is done to determine fetal growth and gestational age
You admit a mother to the unit who has active herpes lesions; she delivered her infant in the cab on the way to the hospital. What would you do first when admitting the infant to the nursery? - Answer- Isolate infant from others
What is the best indication that a women really is pregnant ? - Answer- Hegar's Sign- softening of the uterus
You just assisted with the admin of an epidural. What is your next priority for the patient? - Answer- Blood pressure
Your patient is admitted at 32 weeks gestation and bleeding with low blood pressure, sweating, and high respirations. What do you think would be a priority for this patient? - Answer- Start IV fluids for volume expansion: LR, NSS
An infant is four hours old and now develops jitteriness and unstable vitals. What might you do first? - Answer- Check the blood glucose
When does the breastfeeding mother usually see her period return after giving birth? - Answer- Dedicated breast-feeding mothers may have up to 12 weeks and more before starting their period but they can still be ovulating so they can still get pregnant.
43 weeks gestation woman is in the office and her fundal height measures only 30cm. Is
this a problem? - Answer- This infant is very small, IUGR, because the fundal height should be the same as the gestational week after she reaches 20 weeks.
G7/P5 admitted stress 32 weeks for waking up in a pool of blood. She's not in any pain, is FHR is 120 with minimal variability. What should you do first to the mother? - Answer-
Check BP What would you do if one of your patients was a Jehovah's Witness and was admitted to your ICU with postpartum hemorrhage? - Answer- Clarify the pt wishes to not receive blood
What is your best diagnostic test to do if a 35 yr old pregnant woman is worried about her 10 week old fetus having Down Syndrome? - Answer- Chorionic villus sampling at 12 weeks because it can be done very early and is more definitive for diagnosing downs
What is an easy deep tendon reflex to check? - Answer- The patellar reflex
Name some ways to help with the discomfort of breast engorgement - Answer- Keep on
a good support bra at all times
use NSAIDS for pain, use ice packs or warm shower, use green cabbage leaves that are cooled to place on inside your bra or binding, hand expression or pumping, acupressure and/or acupuncture
A multigravida client in labor is receiving oxytocin (Pitocin) 4 mu/minute to help promote an affective contraction pattern. The available solution is LR 1000 mL with Pitocin 20 units. the nurse should program the pump to deliver how many ML's per hour - Answer- 12 mL/ hr
What is ilotycin?
Why is this used on newborn infant ? - Answer- Erythromycin ophthalmic ointment Used to prevent ophthalmia neonatorum caused by STD; chlamydia and gonorrhea
A multiparous client at 38 weeks gestation is admitted to labor and delivery with a complaint of contractions five minutes apart. while the client is in the bathroom changing
into a hospital gown you hear a baby crying. What action to the nurse take first? - Answer- Push the call light for help, and then go to the bathroom to assist.
A client whose labor is being augmented with an oxytocin infusion asks for an epidural for pain control. Findings of the last vaginal exam were performed an hour ago; they were 3 cm cervical dilated, 60% effaced, and -2 station. What action should the nurse take first? - Answer- Reassess the cervical dilation
A woman who delivered a normal newborn 20 hours ago complains "I seem to be urinating every hour or so, is that OK?" What actions should the nurse implement? - Answer- Measure the clients next void then palpate the bladder
Newborn admitted to nursery, placed under radiant warmer, naso and pharyngeal suctioning done, infant dried and heels flicked to illicit spontaneous respirations. After all
that the HR is only 100 bpm and infant remains apneic. What should be done next? - Answer- Start positive pressure ventilation (PPV)
