Hesi Milestone 2 Blueprint V1 (Latest 2023/ 2024) |Guide with Verified Answers|100% Correct
QUESTION
Placenta Abruption
Answer:
Separation of
... [Show More] the placenta from the uterine wall
Emergency measures include starting two large-bore IV lines with normal saline or lactated Ringer's solution to combat hypovolemia, obtaining blood specimens for evaluating hemodynamic status values and for typing and cross-matching, and frequently monitoring fetal and maternal well-being
Classic manifestations of abruptio placentae include painful, dark-red vaginal bleeding (port-wine color) because the bleeding comes from the clot that was formed behind the placenta; "knife-like" abdominal pain; uterine tenderness; contractions; and decreased fetal movement. Rapid assessment is essential to ensure prompt, effective interventions to prevent maternal and fetal morbidity and mortality
Depending on severity the women can be monitored through a vaginal birth but if it is a risk they will do c-section
QUESTION
Shoulder Dystocia Action
Answer:
McRoberts Manuver and Superpubic Pressure
From Google:
The technique is performed by flexing the mother's thighs toward her shoulders while she is lying on her back. No specific degree of elevation or flexion of the patient's legs has been defined for the McRoberts maneuver.
QUESTION
Umbilical Cord Prolaspe Action
Answer:
Umbilical cord prolapse is a rare obstetric emergency that occurs when the cord precedes the fetus out
Typically, the examiner places a sterile gloved hand into the vagina and holds the presenting part off the umbilical cord until delivery. Changing the woman's position to a modified Sims, Trendelenburg, or knee-chest position also helps relieve cord pressure. Do not attempt to replace the cord in the uterus. Monitor FHR, maintain bed rest, and administer oxygen if ordered.
QUESTION
Boggy Uterus Action
Answer:
Massage the boggy uterus to stimulate contractions and expression of any accumulated blood clots while supporting the lower uterine segment
QUESTION
Cystic Fibrosis Management
Answer:
Therapeutic management of cystic fibrosis is aimed toward minimizing pulmonary complications, maximizing lung function, preventing infection, and facilitating growth.
Provide CPT, use of the vest airway clearance system, use of the flutter-valve devise, and/or positive expiratory pressure therapy in order to clear secretions and maintain airway patency. For children with cystic fibrosis, CPT is a critical intervention.
Administer pancreatic enzyme supplements (pancrelipase [Creon, Pancreaze, Zenpep]) must be administered with all meals and snacks to promote adequate digestion and absorption of nutrients
Prevent Infection
QUESTION
Complications of Tetralogy of Fallot
Answer:
From Google:
Blood clots (which may be in the brain causing stroke)
Infection in the lining of the heart and heart valves (bacterial endocarditis)
Abnormal heart rhythms (arrhythmias)
Heart failure.
Death.
QUESTION
Symptoms of Plyoric Stenosis
Answer:
Forceful, non bilious vomiting, unrelated to feeding position
Hunger soon after vomiting episode
Weight loss due to vomiting
Progressive dehydration with subsequent lethargy
QUESTION
Intussusception
Answer:
Intussusception is a process that occurs when a proximal segment of bowel "telescopes" into a more distal segment, causing edema, vascular compromise, and, ultimately, partial or total bowel obstruction. A barium enema is successful at reducing a large percentage of intussusception cases; other cases are reduced surgically.
QUESTION
Diarrhea Diet
Answer:
Avoid fluids high in glucose, such as fruit juice, gelatin, and soda, which may worsen diarrhea
Chronic diarrhea is often a result of excessive intake of formula, water, or fruit juice, so teach the parents about appropriate fluid intake.
Google:
Here's another bit of good advice from Mom for treating diarrhea - eat the BRAT diet: bananas, rice (white), applesauce and toast. When your health is good, physicians usually recommend whole-grain, high-fiber foods. But high-fiber foods could spell trouble when you have diarrhea
QUESTION
Sickle Cell Signs of Crisis
Answer:
Sickling may be triggered by any stress or traumatic event, such as infection, fever, dehydration, physical exertion, excessive cold exposure, or hypoxia
Immediately report symmetric swelling of the hands and feet in the infant or toddler
QUESTION [Show Less]