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Maternity HESI review - This is study materials that covers each and every questions of HESI A+
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Maternity HESI review - This is study materialsthat covers each and every questions of HESI
A+
1. Preventing pooling of blood in lower extremity move about every hour
2. Terbutaline sulfate :- used for lung issue, work to slow preterm labor. Don’t give if heart
rate is high.
3. Terbutaline sulfate: - Monitor maternal and fetal heart rate
4. Terbutaline sulfate :- Assess for gestational diabetes b/c it raises glucose levels.
5. Terbutaline sulfate A/E: - Tachycardia; feeling of nervousness
6. Anterior fontanelle closes by 12 to 18 months ; posterior fontanelle closes by end of
second month.
7. Parents need to attend childbirth preparation classes :- 30 weeks of gestation
8. Encourage laboring client to begin pushing :- when cervix is completely dilated.
9. Laboring client c/o tingling fingers and dizziness:- have the client breathe into her
cupped hand.
10. An accumulation of blood between the periosteum and skull which does not cross the
suture line :- cephalohematoma(caused by forceps trauma, may last up to 8 weeks)
11. Head of infant return to its normal shape in :- 7-10 days.
12. If fallopian tubes are patent(open), pain is referred to shoulder from subdiaphragmatic
collection of peritoneal dye/gas.
13. Intervention in relieving postpartum contraction or afterpains:- lying prone with a pillow
on the abdomen.
14. When new mother receives her infant for first time:- her arms and hands receive the
infant, and she then traces the infants profile with her fingertips( attachment/bonding )
15. Magnesium sulfate prevents seizures . therapeutic range 4.8-9.6mg/dl
16. Magnesium sulfate toxicity:- urine output <30ml/hr; absent DTR; respiratory rate <
12bpm. If those symptoms seen, turn off(discontinue) magnesium sulfate infusion.
17. Magnesium sulfate antidote :- calcium gluconate
18. If BP remains low for laboring client:- place women in lateral position; place a pillow or
wedge under right hip to deflect uterus; increase rate of IV infusion; administer oxygen
, 10-12 L via face mask.
19. Placenta previa:- painless bright red bleeding; soft uterus; diagnosis is confirmed by
transabdominal ultrasound; avoid vaginal exam.
20. Placenta abruption :- dark vaginal bleeding; painful; rigid uterus; increased uterine
irritability; monitor bleeding from Iv sites
21. Putting the newborn to the breast will help contract the uterus and prevent postpartum
hemorrhage.
22. To help preserve cardiac reserve , woman may need to restrict her activities , and
complete bed rest vis often prescribed.
23. Erythromycin ointment :- ophthalmic neonatorum (caused by gonorrhea) and
conjunctivitis( caused by chlamydia)
24. In most woman basal body temperature drops slightly 24 to 36 hours before ovulation
and rises 24 to 72 hrs after ovulation, when the corpus luteum rupture ovary produces
progesterone. Therefore intercourse between the time of temperatures fall and rise is
the best time for conception .
25. Cardiac decompensation Sx :- Edema, Basilar rales, irregular pulse
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