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HESI MILESTONE EXAM 2 HERZING UNIVERSITY NEW VERSIONS WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS BY EXPERTS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST |GUARANTEED PASS |LATEST UPDATE
HESI MILESTONE EXAM 2 HERZING
UNIVERSITY NEW VERSIONS WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS BY
EXPERTS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST |GUARANTEED
PASS |LATEST UPDATE
HESI MILESTONE EXAM 2 HERZING
UNIVERSITY NEW VERSIONS WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS BY
EXPERTS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST |GUARANTEED
PASS |LATEST UPDATE
Duchenne muscular dystrophy
Duchenne muscular dystrophy appears in early childhood (ages 3 to 5 years) (children appear normal at
birth until signs and symptoms of the disease manifest).
By the age of 9 to 11 years old, the child loses the ability to walk independently.
Life expectancy generally in the third decade
Febrile seizures teaching
febrile seizures: reassure parents febrile seizures will go away
use seizure precautions, call 911 if lasts more than 5 minutes
The nurse is caring for an infant who was recently diagnosed with a congenital heart defect. Which
assessment finding is most important for the nurse to report to the healthcare provider?
Weight gain of 2.2 lbs (1kg) in last 48 hours
Which of the following should the nurse expect to note as a frequent complication for a child with
congenital heart disease?
Susceptibility to respiratory infection
In making the initial assessment of a 2-hour-old infant, which finding should lead the nurse to suspect a
congenital heart defect?
Diminished femoral pulses
RSV distress
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,RSV: Private room, not airborne - transferred via hand (no mask is needed) - Standard precautions. Cool
mist via tent.
Do not expose other children to RSV, it is very contagious even without direct contact
Look for nasal flaring
Pyloric stenosis symptoms
olive shaped mass may be visible
Mass in the upper right abdominal quadrant, shaped like an olive.
S/s:- RUQ sausage shaped mass
- vomiting/ Note Degree of forcefulness of vomiting episodes
- bloody mucus stool
fever
weight loss
The 6-week-old infant diagnosed with pyloric stenosis has recently developed projectile vomiting. Which
assessment finding indicates to the nurse that the infant is becoming dehydrated?
Weak cry without any tears.
The nurse is assessing an infant with pyloric stenosis. Which pathophysiological mechanism is the most
likely consequence of this infant's clinical picture?
metabolic alkalosis (from the forceful vomiting)
The nurse is preparing a child with an intussusception for a prescribed barium enema. What is the main
purpose of conducting this procedure prior to surgical intervention?
Reduce the invaginated bowel segment.
The nurse is caring for an infant scheduled for reduction of intussusceptions. The day before the
scheduled procedure the infant passes a soft-formed brown stool. Which intervention should the nurse
implement?
Notify the healthcare provider of the passage of brown stool.
A healthcare provider informs the charge nurse of a labor and delivery unit that a client is coming to the
unit suspected abruptio placentae. What findings should the charge nurse expect the client to
demonstrate?
A. dark,red vaginal bleeding
D. increased uterine irritability
F. Rigid abdomen
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, placenta abruption s/s
severe abdominal and back pain
uterine rigidity
bright red or dark vaginal bleeding
maternal hypovolemia
-A client who is at 32 wks calls the HCP b/c she is experiencing dark red vag bleeding. She is admitted to
the ED, where the nurse determines the FHR to be 100bpm. The client's abd is rigid & boardlike, & she is
complaining of severe pain. What action does the nurse take first?
-Use their knowledge base to differentiate b/w abruption & previa
-IMMEDIATELY NOTIFY HCP, & NO ABD OR VAG MANIPULATION OR EXAMS
-ADMIN O2 BY FACEMASK
-MONITOR FOR BLEEDING AT IV SITE & GUMS B/C OF ↑ RISK FOR DIC
-EMERGENCY C-SECTION REQUIRED b/c uteroplacental perfusion to the fetus is being compromised by
early sep. of the placenta from the uterus
While in labor at 39 weeks' gestation, a primigravida develops a temperature of 38.2°C (100.7°F), and
fetal tachycardia is noted at 170 beats per minute. The student nurse asks the experienced nurse what
this could indicate. How should the experienced nurse respond?
A temperature of 38.2°C (100.7°F) may indicate an infection such as chorioamnionitis, and the
practitioner should be notified.
Prolapsed Cord: Care
Care Includes: Knee to Chest position OR Trendelenburg
PATIENT IS IN DELIVERY, NURSE NOTICES PRESENCE OF UMBILICAL CORD PROTRUDING THROUGH
VAGINA. WHAT WOULD YOU DO?
Knee-to-chest position or Trendelenburg's, oxygen, call physician
A primipara with a breech presentation is in the transition phase of labor. The nurse visualizes the
perineum and sees the umbilical cord extruding from the introitus. In which position should the nurse
place the client?
supine with the foot of the bed elevated.
need to aleviate pressure on the prolapsed cord.
Shoulder dystocia actions
McRoberts' maneuver and suprapubic pressure (need step stool)
Variable deceleration actions
3|Page
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