NUR 405 Maternity and Peds Hesi Final_2019,100% CORRECT

Document Content and Description Below

NUR 405Maternity and Peds Hesi Final_2019 List of Things for Maternity Final Exam 1. Maternity a. Antepartum b. Fetal Development c. Labor&Delivery Stages d. Genetic Diseases Autosomal Domina... nt X-Linked Recessive e. Postpartum f. Breastfeeding g. Newborn Appraisal h. Diseases Gestational Diabetes Infections During Pregnancy Hypertension Hemorrhagic conditions HELLP Syndrome Hyperemesis gravidarum Maternal-fetal blood incompatibility 2. Pediatrics a. Stages of Development b. Immunizations c. Medication of Children- Sites/Volume d. Child Abuse e. Death&Grief f. Diseases Acidosis/Alkalosis Bronchiolitis Epiglottitis Otitis Media Croup Fever Management Asthma Cystic Fibrosis Fluid & Electrolytes Cleft Lip&Palate Pyloric Stenosis Intussusception Gastroenteritis Aganglionic Megacolon Wilm’s Tumor Nephrotic Syndrome Nephritis Sickle Cell Disease Hemophilia Iron Deficiency Anemia Club foot Congenital hip dysplasia Scoliosis Rheumatic Fever Hydrocephalus Neural tube defectsCerebral palsy Cognitive impairment Autistic spectrum disorders Congenital Heart Defects 1. Heart Failure 2. Coarction of the aorta 3. Pulmonary stenosis 4. Tetralogy of fallot 5. Transposition of great arteries 3. Women’s Health a. Intimate Partner Violence b. Contraception c. Menopause d. Disease/Conditions i. Endometriosis ii. Menopause iii. Uterine fibroids MP HESI 2019 1. In determining aone minute Apgar score of a male infant, RN assesses a heart rate of 120 beats per minute&44 respirations per minute. He has a loud cry with stimulation, good muscle tone,&his color is acrocyanotic. What Apgar score should RN assign? 9 2. SATA: The mother of a 6-year-old girl is concerned about her child’s obesity. The child’s weight plots at 75 percentile,&the height at the 25 percentile. The child’s body mass index (BMI) is at the 85 percentile for age&gender. Which interventions should RN implement? Determine child’s usual physical activity pattern, Inquire as to whether or not school has physical education program, Obtain the child’s 3-day diet history based on the mother’s input. 3. A woman at 36-weeks gestation who is Rh negative is admitted to labor&delivery reporting abdominal cramping. She is placed on strict bedrest&the fetal heart rate&contraction pattern are monitored with an external fetal monitor. Two hours after admission, RN notes a large amount of bright red vaginal bleeding. Which nursing intervention has the highest priority?Assess the fetal heart rate&client’s contraction pattern 4. A 10-year-old boy has been seen frequently by the school nurse over past 3 weeks after school begins in the fall. He reports headaches, stomach aches,&difficulty sleeping. What intervention should RN implement?Ask boy to describe a typical day at school. 5. Pt at 18-weeks gestation was informed this morning that she has elevated alpha-fetoprotein (AFP) level. After the healthcare provider leaves the room, Pt asks what she should do next. What information should RN provide?Explain that a sonogram should be scheduled for definitive results. 6. A one-month old male infant is brought to clinic by mother who states son has been vomiting forcefully after each meal for last three days. The infant is afebrile, dehydrated,&pyloric stenosis is suspected. What other findings should RN identify that’s consistent with pyloric stenosis?An olive-shaped mass in the abdominal area. 7. Babysitter of 7-year-old type 1 diabetic calls clinic to report child is very irritable, perspiring&shaking. Which instructions should RN provide to the babysitter?Give child 8-ounce glass of milk. 8. A child with laryngotracheobronchitis (croup) received epinephrine 2 hours ago in the emergency room&is now being prepared for discharge to home. RN should instruct the parents to take whish action if the child’s uncontrolled coughing reoccurs? Sit with the child in the bathroom with hot steam 9. Child with Duchenne MD undergoes EMG. After procedure, child’s parents tell RN child is complaining of sore muscles. RN response? People with disease have progressive muscle weakness 10. RN is measuring the frontal occipital circumference (FOC) of a 3-months old infant,&notes that the FOC has increased 5 inches since birth&the child’s head appears large in relation to body size. Which action is most important for RN to take next?Palpate the anterior fontanel for tension&bulging. 11. While teaching a parenting class to new parentsRN describes the needs of infants&toddlers regarding discipline&limit setting. What is the most important reason for implementing such parenting behaviors? They provide the child with a sense of security. 12. A two-year-old child with heart failure (HF) is admitted for replacement of graft for coarctation of the aorta. Prior to administering the next dose of digoxin (Lanoxin) RN obtains an apical heart rate of 128 bpm. What action should RN implement? Administer scheduled dose 13. Sickle cell disease, nurse knows that the child will most likely exhibit which sign when in crisis Pain 14. Membranes ruptured at home. Active labor what info is most important. Color&consistency of fluid 15. Heart defects which to see first:Tet of Fallot cyanotic limbs crying 16. 30-week gestation age 38 inches fundal height - An ultrasound is needed to rule out molar pregnancy 17. Spontaneous rupture of membranes - ask color&consistency 18. Women has heartburn&3+pitting edema. What is to asses for? Check for blurriness&headache 19. Pregnant women want pain meds but just got some 30mins ago ->Use breathing techniques 20. 3 hour newborn with irregular respirations&small/soft murmur - put the pulse ox on the foot 21. Celiac diseasse which food to take off tray– crackers 22. 16 y/o what shows understanding of hemophilia - camp counselor for hemophiliacs 23. Hasn’t felt kicks when kick counting so instruct her to - drink Orange juice&count again in an hour 24. Currently prego, had full-term baby, preterm baby&miscarriage Gravida 4 25. Renal osteodystrophy what does it do: Impede growth(According to HESI it’s weight gain) 26. Cephalohematoma complication: jaundice 27. 42 week old baby; mom had diabetes: Glucose check 28. Hormone Luteinizing hormones injections: She will catch up with her peers 29. Baby recently recovered from mumps disease: Report fever 101 F OR vomiting after eating ORcyanosis around umbilical cord Gray-blue discoloration of flank (Grey Turner's sign) or blue-red discoloration around umbilicus (Cullen's sign) sometimes is present with pancreatic hemorrhage 30. Firm&in midline, 12 hrs.&she’s bleeding with vaginal&rectal pressure: Check the perineal&rectal area 31. Fundus was already massaged, still bleeding, what to do next? Palpate for bladder distention OR give her bedpan to relieve herself 32. A child says he is going to have an operation. Action my nurse? “Tell me what the operation is” 33. Breastfeeding has sore nipples: Assess that baby is latching correctly 34. Contraction 1-2 mins apart lasting 60-70 seconds in duration what to do-> Stop oxytocin 35. Lady drank Coffee before her planned C-Section 2 hours before. What to do? Tell anesthesiologist 36. Pt got Rubella vaccine what to instruct? Don’t get prego for a month 37. Skeletal Traction&split on right femur. What's most important? Check for peripheral pulses (pedal on right side) 38. Baby is post-surgery for Hypospadias.dislodging of catheterization 39. Signs of Postpartum Depression Select all that apply: Decreased appetite,not sleeping, feeling sad 40. Common Ear infection because Short eustachian tubes 41. Erythromycin drops correct wayThin ribbon lower conjunctival sac 42. Baby vomited after feeding. What should RN do? Turn to side&bulb suction 43. Dosage: 50 mL 44. Dosage: 9.6 ROUND TO THE NEAREST TENTH 45. Group B Strep positive: Give antibiotics 46. Amniocentesis: Check Rhogam status 47. 15 yo girl inquired about contraceptives: Explain risks&benefits 48. Lyme Disease taking Tetracycline: No milk or antacids with drug 49. Assessing Baby assess process Tell parents to remove the close except diaper until necessary 50. Twin pregnant non complicated history of postpartum hemorrhage?it’s DIC not accrete 51. Cystic fibrosis in child. Preventative concern&need for intervention of RN?-parents refuse influenza vaccination 52. Rheumatic fever- previous bacterial infection 53. HIV baby- abdominal growth 54. UTI baby – new onset bedwetting 55. Which baby is a risk for sepsis->delayed rupture of the membrane MP HESI 2019 1. 6 year old come in to hospital, says I have an operation today. What is the best response by the nurse? – What is an operation? 2. Tick&Lyme disease - Tetracycline can’t give milk&anti-acid. 3. Kick counts – 10 kicks not felt within the hour give orange juice&count again. 4. Autism - Repetitive movements. 5. Fetal occipital circumference increase 5 in. by 3 months old – Assess anterior fontanel for bulging. 6. Calculation: 2mg/hr, 20mg total, 500mL of LR = 50 ml 7. Calculation: 125mg/5ml, desired dose 80mg PO every 8 hrs = 9.6ml 8. Woman currently pregnant 36 weeks, one full term, one preterm delivered,&one miscarriage = Gravida 4 9. Loud cry, acrocyanosis = APGAR 9 10. Child with sickle cell priority nursing diagnosis – Pain 11. Mom is GBS positive what is priority to initiate – Antibiotics 12. Which statement by parents of CF child needs further teaching – Refusing flu vaccination. 13. Elevated AFP – Refer for sonogram. 14. Celiac disease – Remove crackers from food tray. 15. Rubella vaccine – Avoid getting pregnant for one month. 16. Baby at risk for sepsis – Prolonged ruptured membranes. 17. Erythromycin – Apply to the lower conjunctiva sac. 18. Rheumatic fever – Previous bacterial infection affects heart valves. 19. Otitis media (ear infection) – Short&straight Eustachian tube. 20. Pyloric stenosis – Olive shaped mass in abdomen. 21. Delivery with bright red bleeding, mom Rh (-) – Assess FHR&contractions. 22. Digoxin with 128 heart rate – Administer scheduled dose. 23. Renal osteodystrophy – Weight gain. 24. Baby regurgitates after breast-feeding – Put on the side&suction. 25. HIV baby – Abdominal distention (due to spleen/liver enlargement). 26. UTI baby – New onset of bed-wetting. 27. Recovering from mumps – Cyanosis around umbilical cord (sign of pancreatitis after mumps). 28. Had Coffee 2 hrsbefore planned C-Section: Notify anesthesia Dr. 29. After amniocentesis what do you do first – Administer Rhogam. 30. Which baby is priority – Hyper-cyanotic with Tet spells. 31. Hemophilia – Camp counselor. 32. 15 y/o girl asking about contraceptives – Explain risks&benefits of contraceptives. 33. Ruptured membranes at home– Ask about fluid color & consistency 34. Close contractions 1 to 2-mins apart, 6 cm dilated – stop Pitocin 35. Kid with cardiac balloon what isvital sign you report – BP 138/90. 36. Diabetes type I child is irritable perspiration&shaking – Give milk. 37. Twin pregnant non-complicate histories of postpartum hemorrhage what would be the priority – DIC. 38. Cephalohematoma – Jaundice. 39. Assessment of child– Parents take off clothes leave diaper or training pants on. 40. Mother disciplining child – Provides a sense of security for them. 41. Duchenne muscular dystrophy, he has muscle soreness – People with this disease have progressive muscle weakness. 42. Teenager for 3 weeks in school he complained of headaches & stuff to school nurse – Ask what daily school day is like for him. 43. Signs of Postpartum Depression – Decreased appetite, not sleeping, feeling sad. 44. Traction applied – Check for peripheral pulses (pedal on right side). 45. Post-surgery Hypospadias what to do on 10-month old – Be careful changing not to dislodge catheter. 46. Heartburn&pitting edema – Ask if experiencing headache&blurred vision. 47. Sore nipples – Access how baby is positioned. 48. Croup – Take the baby into steamy place. 49. Obese teen girl 25% percentile for ht, 88% for wt – ask if physical activity program in school, 3-day diet plan, normal physical activities. 50. 38 cm&30 weeks mismatch – Obtain prescription for sonogram&schedule as soon as possible. 51. Cannot palpate fundus, lots of bleeding&after taking vitals&massaging fundus – Palpate for bladder distention. 52. Mother complaining after 12 hours post partum upon assessment fundus at midline, firm&moderate lochia complaining of pressure check – Check perineal&rectal area. 53. Hormone Luteinizing hormones injections – She will catch up with her peers. 54. 42-wk-old baby Ballard score, mom had diabetes – Glucose check. 55. Pain meds given 30 mins ago&at 0 station what would nurse do – Teach deep breathing techniques. [Show More]

Last updated: 1 year ago

Preview 1 out of 6 pages