BSN 346 HESI Exam Study Guide.
Caput succedaneum - answerdiffuse edema of the fetal scalp that crosses the suture lines.
reabsorbs within 1 to 3 days
Oxytocin (Pitocin) - answerStimulates smooth muscle to contract. .Not contraindicated for
Asthma
40-70mm - answercontractions in first stage of ...
Caput succedaneum - answer✔diffuse edema of the fetal scalp that crosses the suture lines.
reabsorbs within 1 to 3 days
Oxytocin (Pitocin) - answer✔Stimulates smooth muscle to contract. .Not contraindicated for
Asthma
40-70mm - answer✔contractions in first stage of labor
over 80mm - answer✔contractions in second stage of labor
peak at less than 50mm - answer✔mild contractions
peak at over 50mm - answer✔moderate or strong contractions
10mm - answer✔average resting tone during labor
MVUs usually range from 100-250 - answer✔in the first stage of labor
MVUs ; may rise to 300-400 - answer✔in second stage of labor
MVUs are used only with - answer✔internal monitoring of contractions.
post delivery perineal care - answer✔spray warm water from front to back with squeeze bottle
what assessment finding requires immediate intervention after a chorionic villi sampling CVS -
answer✔uterine cramping
What interventions are needed for a gravida that develops hypotension after regional
anesthesia - answer✔*Administer O2
*increase IV fluids
*place the client in lateral position
*monitor fetal status
Magnesium sulfate administration gives postpartum patient a high risk for -
answer✔potpartum hemorrhaging
pulse increases - answer✔during the second trimester, a decrease in pulse needs further
assessment
Systolic and diastolic pressure does what in the second trimester - answer✔decreases
To prevent conductive heat loss in a newborn - answer✔place a blanket on scale when
weighing the infant
what is the major risk after a molar pregnancy - answer✔choriocarcinoma
choriocarcinoma - answer✔malignant tumor of the placenta
How is choriocarcinoma detected - answer✔elevated HCG levels
what technique shouldthe nurse use to obtain a newborns heart rate - answer✔count the heart
rate for atleast one full min
what intervention should the nurse implment for a macrosomic infant - answer✔evaluate the
newborns glucose levels frequently to assess for hypoglycemia
The apnea monitor alarms for the 3rd time during a shift, what is the first action of the nurse -
answer✔monitor newborns colorand respirations
fetal heart rate accelerations for 15-20 senconds are a sign of - answer✔fetal well-being
Encourage early initation of feeding - answer✔Nursing intervention that best enhances
maturnal infant bonding
Cannied Sardines - answer✔a good source of calcium
changes in FHR patterns - answer✔indicate inturnal hemorrhage after blunt ABD trauma
The fetus can respond to sounds by how many weeks gestation - answer✔24 weeks
What should the nurse do when caring for a infant immediately after birth - answer✔keep
airway open
Squatting - answer✔the best position for gravity during delivery
What immunizations can be given during pregnancy - answer✔*Tetnus
*Diphtheria
*Hep B
Vitamin K - answer✔perscription given to infant to reduce complications from birth trama
Signs of respiratory distress in newborns - answer✔* nasal flaring
*diaphragmatic breathing with chest retraction
* grunting
erythemia toxicum - answer✔rash, small pustules, normal, will go away
when a newborn is born with anencephaly - answer✔prepare the family for imminent death
when does the heart of the fetus develope - answer✔between 3rd and 5th week
Hard like board ABD - answer✔concealed hemorrhage in abruptio plecenta
ultrasonography - answer✔what test is done to check for placental insufficiency
Pin point spots are begin and will disapear ina few days - answer✔petechiae over the face and
neck of a newborn delivered with a nuchal cord
IUP reading for effective labor - answer✔40-90mm
if patient is receiving oxytocin during labor and the IUP reaches over 100mm - answer✔require
further action, stop infusion
Methergine - answer✔used in postpartum to prevent hemorrhage (may cause HTN)
how many oz does a newborn need daily - answer✔19-21oz
perodic abdominal pain - answer✔not a normal finding for pregnancy, may indicate preterm
labor
Primary assessment for pulmonary artery catheter procedure - answer✔monitor for premature
ventricular contractions
pregnancy shouldprogress normallyand be considered low risk - answer✔to have a at home
delivery
what should be done if a neonates feet are blanched - answer✔report to HCP
function of placenta in early pregnancy - answer✔secretes estrogen and progesterone
woman bottle feeding c/o swollen breast , warm and tender. What should the woman do -
answer✔apply ice to breasts
why is it important to keep a neonate under a warmer - answer✔large body surface area heat
loss to environment
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