MP 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 t... he 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 suturesnotify 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 and consistency 3+ pitting edema with GERD- normal during pregnancy?? Postpartum depression - may need to be evaluated ** Know the length of PPD Afebrile seizures - will eventually go away MD - wobble legs at this stage Tonsillitis-signs of bleeding - need to inspect the oral cavity Movements caused from rh??? they temporary something a C --wasn’t this the amniocentesistesting the rh for rhogam? Yes testing maternal blood to see if they need to administer RhoGam 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!!! 7. folic acid, doesn’t like green lefy veggies: strawberries 8. Diaper rash: zinc oxide 9. young parents, 24hrs birth: evaluate feeding 1 0. mom forcing kid to eat means and veggie(requires further. 11. sickle cell: hot and thirsty 12. pyloric stenosis: olive-shaped 13. Pyloric stenosis, hungry and irritable after feelings, first intervention→ crying or weight 14. turn to side and suction 15. fractured clavicle 16. jitteriness: check glucose 17. Normal primipara finding: 2 saturated pads for 1st hr. I put pulse 56. 1 MP Hesi Review – EVERYTHING 2 MP Hesi Review – EVERYTHING 18. Dad called few days post-partum - hormonal swings are normal. 19. MgSO4 priority: calcium gluconate 20. HIV: AZT 21. Assess FHR and coombs 22. check for after amniocentesis: monitor for labor 23. Post-partum mood swings vs. depression: fatigue & not making decisions? 24. eye ointment: prevent eye infection 25. intussuception: brown stool notify HCP 26. girl SATA: 27. girl who druinks: atta boy 28. ADHD: refer or help with HW?? 29. transitional phase: monitor contractions, help mantain control 30. AFP: Sonogram 31. Priority pt: ARF and hyperkalemia!!! 32. mastitis: antibiotics, bra support, warm support 33. Open heart surgery: demonstration of splintintg, deep breathing etc 34. rupture membranes 12hrs ago--: temperature 35. C-section priority: uterine atony or positive homans??? 36. AGN: Sore throat 37. hemophilia: NOT motrin(elevate and immobilize. 38. Resp distress: nasal flaring 39. Leopolds: anchoring fundus 40. Drooling, s/o epiglotitis→ emergency response!!! 41. flick the sole 42. RF: Chorea 43. after c section lacerated. trickle of blood: BP 44. +2 edema: MgSO4 45. position on stomach 46. HPV: C “immunization is a must to prevent it” 47. scoliosis: girls 10-14 48. metabolic alkalosis-vomiting or pyloric 49. MDI: spacer or cold??? 50. position on stomach 51. sesnse of security 52. IUGR: sonogrm 53. Flaring of the nare 54. Developmental delay: maximum potential 55. 8 mos expected: sitting up unassisted MP Hesi 2017 Protruding cord - knees to chest Child who had Slipped Capital Femoral Epiphysis (SCFE. - pin and something 4-month old what to do to prevent diaper rash - use a barrier cream, such as zinc oxide Mother with mastitis, what would you advise - start on the unaffected breast first Adolescent turns 18 and mother calls for lab results - must get permission from daughter Different acid base levels - normal acid base A breastfeeding mother wants to avoid having another pregnancy. What do you do? use condoms and gel Infant getting phototherapy - Cover the infant’s eyes 6 month baby goes in for routine vaccine and flu shot - give all immunization and influenza but alternate site and injection Medication to prevent respiratory issues in the baby - betamethasone IM 15 mo breastfeeding & now 6 mos prego - get nutrition history Postpartum hemorrhage even after finishing oxytocin infusion - check maternal BP Math questions were 10 and 10 Baby got otitis media after an acute respiratory infection, why do infants get otitis media - shorter eustachian tubes Boy with spine injury after driving accident - maintain alignment Obese question SATA - find out what physical activities she does & if school has PE class, 3 day diet history from mother Iron supplement - take with meal Preeclamptic women received Pitocin IV and is having contractions 1 to 2 minutes apart - discontinue Pitocin Lyme disease - if rash, then test Esophageal atresia, highest priority - body temperature Baby regurgitation and vomiting - suction the mouth and nose An adolescent received an above the knee amputation. Would do you tell them to do everyday - inspect the stump daily Women says about 6 mos pregnant & smokes a pack of cigs/day, how to check for estimated gestation age: ultrasonography 8 month old development, you would notice - sitting unassisted Glucose was 800 mg - give IV normal saline and insulin Rubella - give after delivery within 72 hours Newborn has swollen, tender, testicles. Suspect hydrocele. What do you do? Use transillumination to check for fluid Fetal heart rate dropped abruptly to a V - change mom’s position Pregnant had a temp of 101 – chorioamnionitis Epidural anesthesia - check maternal HR and BP Teenagers who are pregnant, be sure to include - nutrition requirement during pregnancy Patient who was 9 cm and 80% effacement - ? Transitional phase - assess uterine contractions Infertile couple - allow them to control if they want to stop or support group before another IVF cycle 4 neonates, who to see first – Tet 9yr old (school age. – industry Child with pneumonia - assess lung sounds Child is dehydrated. What to check for? Weak cry but no tears Pyloric stenosis - metabolic alkalosis Assess for cryptorchidism - warm the room “He doesn’t feed himself, I make him eat vegetables and meat” A newborn infant is crying, temperature is 96.5, has elevated bp and is cyanotic. What do you do? Warm that baby up (answer) 2 MP Hesi Review – EVERYTHING 3 MP Hesi Review – EVERYTHING MP Hesi 2017 What put kid at risk for bacterial meningitis?? Earache NOT VARICELLA IT’S A VIRUS Tree bark flies in eyes Put on patches & call ophthalmologist Kid is 2 years old drinking with bottle drinking sweetened soda, what should Nurse discuss? Don’t drink out of a cup, soda leads to obesity, & soda lead to dental caries Kid with type I Diabetes & Blood sugar 180 wants to play in his soccer game what does Nurse recommend? The kid can play soccer w/o eating a snack or taking insulin Mom depressed how does she feel? Tired, sad, dec. appetite Mag toxicity DTR +1, UO was 25, Mag was 8, Respiration 14 Closely follow up Intussusception & now has brown poop Notify HCP Kid sees the school nurse with stomach ache Notify HCP Cleft Lip/Cleft Palate See genetic counselor Hx of syphilis & chicken pox urine sample/blood sample Salt wasting Check the Perineum What do you report to Dr first with an epidural? Blood Pressure, She has excessive bleeding, what do you let the dr know Report BP or Apical HR Administering Epidural slows the labor process Palpate with one hand & the other hand is there to do what? Anchor the uterus The uterus was firm midline & in place she felt like she had vag pressure check perineum Episitomy visualize the perineum The person is oozing blood & has muscle irritability, what electrolyte level are you most concerned about? Calcium Budding breasts & Tanner II A 7 year old girl has a UTI & discharged what do you tell her to check? check urine odor 4 year old girl what is a normal finding? imaginary friend 10 year old had rheumatic fever & is on strict bed rest. What is an appropriate form of play? checkers Rubella vaccine don’t get pregnant for 1 month Pitocin after labor to stimulate uterine contractions MOM has HIV & is administered AZT during birth what do you need to do with the newborn after? Administer AZT What is most likely a sign of pregnancy Hegars 5 month with hypothyroidism laughs & rolls to side Immunization question Need Consent for Hep B Mom is 36 wks pregnant, nonreactive nonstress test then has contraction Stress Test with an infusion of Pitocin. 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