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Exam (elaborations) NUR 405 Maternity and Peds Hesi Review Fall 2019 Big Doc.document
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Exam (elaborations) NUR 405 Maternity and Peds Hesi Review Fall 2019 Big Dent
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1MP Hesi Review – EVERYTHING
MP Hesi.1 Fetal heart pattern in V form - priority is change
Mastitis: antibiotic therapy, wear a supportive bra, mother’s position
warm compress Braxton Hicks will go away with walking it is not
Pyloric stenosis: olive size obstruction on abdomen true labor
Anchor the lower part of the uterus - then Placenta Previa - check fetal HR
massaging the fundus I’m having pain in my stitches - look at the
High bp maybe with preeclampsia: check for episiotomy
protein in the urine (proteinuria) Use breathing techniques after giving pain meds 30
Boy child frequent visits to the school nurse mins ago
headache, irritable for few weeks: ask how daily Female - parenteral antibiotics administration is
school day is most effective
BMI 6 -year old: physical activity at the school, girls Introducing solid foods - 1 food at a time for 4-7
physical activity at home, and diet days
Saturated 2 pads in 30 mins: massage the fundus Digoxin - missed dose can give if it’s been less than
Tick bite: test for Lyme disease 4hrs /if more than 4 hrs wait until next dose/If miss
HIV AZT is given to slow down the transmission to 2 doses, call HCP
the fetus Dilantin - check the serum levels
Clear water to clean for diaper change UTI child - return for another urine sample
APGAR = 9, acrocyanotic only gets 1 point for color 3 hour newborn with irregular respirations and
Mom says baby not sleeping through night, nurse small/soft murmur - put pulse ox on the foot
should assess severe skin breakdown on the baby to Mag toxicity possibility: mag was 8? With
plan family care hypoactive reflexes
Blind child with traction - bring familiar objects or Gonorrhea infection tell other partners to seek
stuff animals from home treatment
Drooling, temp - epiglottitis need to notify the Adolescent gets a rubella vaccine at maternal
provider bearing age - use another form of birth control for
Muscular irritability from hemorrhaging 28 days
Osteomyelitis - give milkshake as snack- high Diaphragm – use same as before giving birth - get
protein, high fiber resized? Use another form of bc?
Hypoglycemic: give milk Tonic clonic seizure and heart issue - monitor
Croup- barking sound, high pitch on breathing - calcium
bring in shower with warm mist Amniocentesis priority - something with to get Rh
Transillumination through scrotal sac to test if factor for rhogam
testes are present *Breasts- need supportive bra, antibiotics, cold
Earache if meningitis compress
Hypothyroidism: D- TSH is high so T4 is low by *infant vital signs- normal
thyroid gland *DMD- weak muscles and gait - I remember
Tetralogy of Fallot - cyanotic limbs crying something with DMD & serum Ca+
Cephalohematoma noticed near occiptal sutures- *preeclampsia- check urine for protein
notify Dr
Increase AFP- need to do an sonogram MP Hesi 2017
30 week gestation age 38 inches fundal height - do 1. dosage : 700. 77 lb baby.
an ultrasound, bc should’ve been equal 2. 20 units of oxytocin+1L LR→ 125 .
Inguinal Hernia - palpate to get it back in 3. Gerd: sugar cookies
Breastfeeding 5 day with yellow stools - this is 4. Mom is Rh-: check Rh immunoglobulin or check FHR
normal 5. Cystic fibrosis: infertility
Spontaneous rupture of membranes - ask the color 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 8. Diaper rash: zinc oxide
pregnancy?? 9. young parents, 24hrs birth: evaluate feeding 1
Postpartum depression - may need to be evaluated 0. mom forcing kid to eat means and veggie(requires
** Know the length of PPD further.
Afebrile seizures - will eventually go away 11. sickle cell: hot and thirsty
MD - wobble legs at this stage 12. pyloric stenosis: olive-shaped
Tonsillitis-signs of bleeding - need to inspect the 13. Pyloric stenosis, hungry and irritable after feelings,
oral cavity first intervention→ crying or weight
Movements caused from rh??? they temporary 14. turn to side and suction
something a C --wasn’t this the amniocentesis- 15. fractured clavicle
testing the rh for rhogam? Yes testing maternal 16. jitteriness: check glucose
blood to see if they need to administer RhoGam 17. Normal primipara finding: 2 saturated pads for 1st h
put pulse 56.
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MP Hesi Review – EVERYTHING
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MP Hesi Review – EVERYTHING
18. Dad called few days post-partum - hormonal swings are Medication to prevent respiratory issues in the
normal. baby - betamethasone IM
19. MgSO4 priority: calcium gluconate 15 mo breastfeeding & now 6 mos prego - get
20. HIV: AZT nutrition history
21. Assess FHR and coombs Postpartum hemorrhage even after finishing
22. check for after amniocentesis: monitor for labor oxytocin infusion - check maternal BP
23. Post-partum mood swings vs. depression: fatigue & not Math questions were 10 and 10
making decisions? Baby got otitis media after an acute respiratory
24. eye ointment: prevent eye infection infection, why do infants get otitis media - shorter
25. intussuception: brown stool notify HCP eustachian tubes
26. girl SATA: 27. girl who druinks: atta boy Boy with spine injury after driving accident -
28. ADHD: refer or help with HW?? maintain alignment
29. transitional phase: monitor contractions, help mantain
Obese question SATA - find out what physical
control activities she does & if school has PE class, 3 day
30. AFP: Sonogram diet history from mother
31. Priority pt: ARF and hyperkalemia!!! Iron supplement - take with meal
32. mastitis: antibiotics, bra support, warm support Preeclamptic women received Pitocin IV and is
33. Open heart surgery: demonstration of splintintg, deep having contractions 1 to 2 minutes apart -
breathing etc discontinue Pitocin
34. rupture membranes 12hrs ago--: temperature Lyme disease - if rash, then test
35. C-section priority: uterine atony or positive homans???
Esophageal atresia, highest priority - body
36. AGN: Sore throat temperature
37. hemophilia: NOT motrin(elevate and immobilize. Baby regurgitation and vomiting - suction the
38. Resp distress: nasal flaring mouth and nose
39. Leopolds: anchoring fundus An adolescent received an above the knee
40. Drooling, s/o epiglotitis→ emergency response!!! amputation. Would do you tell them to do everyday -
41. flick the sole inspect the stump daily
42. RF: Chorea Women says about 6 mos pregnant & smokes a
43. after c section lacerated. trickle of blood: BP pack of cigs/day, how to check for estimated
44. +2 edema: MgSO4 gestation age: ultrasonography
45. position on stomach 8 month old development, you would notice - sitting
46. HPV: C “immunization is a must to prevent it” unassisted
47. scoliosis: girls 10-14 Glucose was 800 mg - give IV normal saline and
48. metabolic alkalosis-vomiting or pyloric insulin
49. MDI: spacer or cold??? Rubella - give after delivery within 72 hours
50. position on stomach Newborn has swollen, tender, testicles. Suspect
51. sesnse of security hydrocele. What do you do? Use transillumination
52. IUGR: sonogrm to check for fluid
53. Flaring of the nare Fetal heart rate dropped abruptly to a V - change
54. Developmental delay: maximum potential mom’s position
55. 8 mos expected: sitting up unassisted Pregnant had a temp of 101 – chorioamnionitis
Epidural anesthesia - check maternal HR and BP
MP Hesi 2017 Teenagers who are pregnant, be sure to include -
Protruding cord - knees to chest nutrition requirement during pregnancy
Child who had Slipped Capital Femoral Epiphysis Patient who was 9 cm and 80% effacement - ?
(SCFE. - pin and something Transitional phase - assess uterine contractions
4-month old what to do to prevent diaper rash - use Infertile couple - allow them to control if they want
a barrier cream, such as zinc oxide to stop or support group before another IVF cycle
Mother with mastitis, what would you advise - start 4 neonates, who to see first – Tet
on the unaffected breast first 9yr old (school age. – industry
Adolescent turns 18 and mother calls for lab results Child with pneumonia - assess lung sounds
- must get permission from daughter Child is dehydrated. What to check for? Weak cry
Different acid base levels - normal acid base but no tears
A breastfeeding mother wants to avoid having Pyloric stenosis - metabolic alkalosis
another pregnancy. What do you do? use condoms Assess for cryptorchidism - warm the room
and gel “He doesn’t feed himself, I make him eat vegetables
Infant getting phototherapy - Cover the infant’s and meat”
eyes A newborn infant is crying, temperature is 96.5, has
6 month baby goes in for routine vaccine and flu elevated bp and is cyanotic. What do you do? Warm
shot - give all immunization and influenza but that baby up (answer)
alternate site and injection
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MP Hesi Review – EVERYTHING
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MP Hesi Review – EVERYTHING
MP Hesi 2017 When do you have to notify the HCP? When the
What put kid at risk for bacterial meningitis?? deceleration is after the peak of the
Earache NOT VARICELLA IT’S A VIRUS contraction.
Tree bark flies in eyes Put on patches & call Pt has a hard, rigid abdomen, is bleeding profusely
ophthalmologist what do you do next? Stay with Pt & call the
Kid is 2 years old drinking with bottle drinking health care provider
sweetened soda, what should Nurse discuss? Don’t Administering prostaglandins. What is the finding
drink out of a cup, soda leads to obesity, & you make the doctor aware of?Fetal HR of 50
soda lead to dental caries Woman is 3 cm dilated & she wants to pee? Check
Kid with type I Diabetes & Blood sugar 180 wants her cervix
to play in his soccer game what does Nurse C8 injury looses bladder control doesn’t have
recommend? The kid can play soccer w/o eating reflex?
a snack or taking insulin How do you know the baby is in distress? Nasal
Mom depressed how does she feel? Tired, sad, Flaring
dec. appetite Temp was 97.7 Pulse of 140, 42 breaths per minute
Mag toxicity DTR +1, UO was 25, Mag was 8, but irregular Put in EMR
Respiration 14 Closely follow up What would you do when the newborn nurse comes
Intussusception & now has brown poop Notify in the nursery put the thermal regulator in line
HCP with the abdomen
Kid sees the school nurse with stomach ache Notify She was 30 wks & edema was +3, Ask about
HCP blurred vision
Cleft Lip/Cleft Palate See genetic counselor The little kid has abdominal pain, fever & is
Hx of syphilis & chicken pox urine sample/blood vomiting what do you ask him? Ask him the
sample quality & location of his pain
Salt wasting Check the Perineum Mother DM. What is most important about her
What do you report to Dr first with an epidural? care? Strict glucose control
Blood Pressure, Amniocentesis at 36wks Mother has 8 1/2 lb baby
She has excessive bleeding, what do you let the dr what do you assess in her? Fetal lung status
know Report BP or Apical HR Muscle dystrophy X linked recessive
Administering Epidural slows the labor process Teen has Pelvic inflammatory disease & finished
Palpate with one hand & the other hand is there to with a 14 day antibiotics & flagyl orally. She wants
do what? Anchor the uterus to know if she can be treated at home. Why not?
The uterus was firm midline & in place she felt like Monitor parental antibiotics IV
she had vag pressure check perineum The girl has a fractured ulnar & her wrist is in
Episitomy visualize the perineum splints. What do you do next Check wrist pulses
The person is oozing blood & has muscle irritability, Digoxin: Can administer a first missed dose
what electrolyte level are you most concerned within 4 hours
about? Calcium A child has liver disease & the parents are aware
Budding breasts & Tanner II that they are dying.
A 7 year old girl has a UTI & discharged what do What is the priority for the nurse? Reassure the
you tell her to check? check urine odor parents
4 year old girl what is a normal finding? imaginary 5 day old newborn yellow sticky poop that smells
friend like sour milkThis was normal
10 year old had rheumatic fever & is on strict bed What to do for cryptochism Ask parent if they felt
rest. What is an appropriate form of play? checkers it before?
Rubella vaccine don’t get pregnant for 1 month Dosage Calculation: 2.5
Pitocin after labor to stimulate uterine Dosage Calculation: 25
contractions Kid is drooling Notify HCP & trach kit by
MOM has HIV & is administered AZT during birth bedside
what do you need to do with the newborn after? Lyme Disease/tetracycline Don’t take with milk
Administer AZT or antacids
What is most likely a sign of pregnancy Hegars The point of an ultrasound Growth & age
5 month with hypothyroidism laughs & rolls to What’s the intervention when the kid has puss
side filled vesicles Prevent transmission
Immunization question Need Consent for Hep B The kid has a tonsillectomy & is swallowing a lot.
Mom is 36 wks pregnant, nonreactive nonstress What do you do first? Look in their throat with a
test then has contraction Stress Test with an flashlight
infusion of Pitocin. What is the priority to let the Afebrile Seizures The kid will grow out of them
doctor know? Fetal Late decelerations
MP Hesi 2016
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MP Hesi Review – EVERYTHING
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