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HESI MATERNITY OB EXAM 3 LATEST QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+.
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HESI MATERNITY OB EXAM 3 LATEST QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+.
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HESI MATERNITY OB EXAM 3 LATEST QUESTIONSAND CORRECT ANSWERS ALREADY GRADED A+
For PKU what foods /supplements should be avoided? - ANS-all natural protein, diet cola
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b containing nutra sweet, dairy products
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What could the result be if PKU levels are below 2mg/dl? - ANS-growth retardation
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What could the result be if PKU levels are above 10mg/dl? - ANS-significant brain damage
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What could the result be if PKU levels are greater then 6mg/dl in a pregnant women? -
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b ANS-can affect development of embryo
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How does the newborn head measurement compare to the chest measurement? - ANS-the
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b head circumference should be equal to and no more than 2 cm greater than the chest
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b circumference until the age of 2. b b b b b
developmental hip dysplasia? - ANS-1-1000 births has this. subluxation or dislocation
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b either partial or complete. The head of the femur is partly or completely displaced as a
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b result of swallow hip socket
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,signs and symptoms of developmental hip dysplasia? - ANS--when infant is prone the
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b nurse observes the buttocks for variation of size
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- the legs of infant should be equal in length
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-should be kicking with both legs not just one
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-the depth and number of skin folds of infant upper thighs should be symmetrical
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-well baby clinic nurse notes the posture and gait of older children and records
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b observations
What causes milia? - ANS-obstruction of sebaceous glands, looks like pimples, teach
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b parents nor to try to pop them, its normal and it will go away in a few weeks
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priority ssessment after surgery for spinea bifida? - ANS-prevent infection, good skin care,
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b adequate nutrition, the size/area of sac are checked doe tears and leakage. Don't lay baby
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b on sac, dont put dressing on sac, extremities are observed for deformalities, head
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b circumference is measured to determine hydrocephalus. fontanels are observed to
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b provide a baseline. lack of anal sphincter control and drippling urine differential
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b diagnosis.
What are signs of cold stress? - ANS-decrease skin temp. increase respiratory rate with
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b periods of apnea, bradycardia, mottling of the skin and lethargy
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,necessary assessments for NEC (Narcotizing enterocolits)? - ANS-source of bacteria
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b growth is formula milk or hypertonic gavage feedings signs are abdominal distention,
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b bloddy stools, diarrhea and bilious vomiting. give the baby breast milk
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NEC (Narcotizing enterocolits)? - ANS-this diminishs blood supply to the lining of the
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b bowel wall because of hypoxia and sepsis that causes a decrease in protective mucus and
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b results in bacterial invasion
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What is the posterm baby at risk for in pp period? - ANS-Asphyxia caused by hypoxia,
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b meconium aspiration, poor nutrition status, depleted glycogen which causes
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b hypoglycemia, increase in RBC's production, birth defects, and seizures
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What are the signs and symptoms to observe for with Meconium aspiration syndrome? -
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b ANS-Nasal flaring, retractions, cyanosis, grunting, rales and rhonchi, tachypnea
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Know what to report to dr. with newborn vital signs ? - ANS-Respirations greater than 60
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b less than 30
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Temp above 37.7 (99.8f) or below 36.2 (97.1 F)
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Pulse rate greater than 160 less than 110
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Noisy respirations and nasal flaring or chest retention
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What is Bronchopulmonary dysplasia? - ANS-is the toxic response of lung to O2 therapy
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, what cases Bronchopulmonary dysplasia? - ANS-O2 toxicity is high risk for infants
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b receiving prolonged treatment with high concentrations of O2.
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causes of vaginal hematoma? - ANS-birth trauma
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symptoms of vaginal hematoma ? - ANS-severe pain that analgesics don't relieve, pressure
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b in vulva, pelvis or rectum, Maybe unable to urinate because of the pressure. May develop
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b signs of concealed blood loss pulse and respiration rate rises and bp falls.
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Treatment of small vaginal hematoma ? - ANS-small hematoma nothing you can apply ice
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b packs
treament of large hematoma? - ANS-Larger ones may require incision and drainage of the
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b clots and you can apply ice packs to this too
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nursing care and pt. instrucation for Post-partum infections? - ANS-handwashing, peri
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b care, promote rest and nutrient, take all meds don't stop them when you are feeling
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b better
Post-partum infections? - ANS-Uti- cystitis (bladder), low grade fever, burning urgency,
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b and frequency, pyelonephritis (kidneys), high fever with pattern of spikes, chills, and pain
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b in costovertebral angle or flank, nausea and vomiting.
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