Maternity & Peds Hesi Review Fall 2022
MP Hesi 1
• Mastitis: antibiotic therapy, wear a supportive bra, warm compress
• Pyloric stenosis: olive
... [Show More] size obstruction on abdomen
• Anchor the lower part of the uterus - then massaging the fundus
• High bp maybe with preeclampsia: check for protein in the urine (proteinuria)
• Boy child frequent visits to the school nurse headache, irritable for few weeks: ask how daily school day is
• BMI 6 -year old: physical activity at the school, girls physical activity at home, and diet
• Saturated 2 pads in 30 mins: massage the fundus
• Tick bite: test for Lyme disease
• HIV AZT is given to slow down the transmission to the fetus
• Clear water to clean for diaper change
• APGAR = 9, acrocyanotic only gets 1 point for color
• Mom says baby not sleeping through night, nurse should assess severe skin breakdown on the baby to plan family care
• Blind child with traction - bring familiar objects or stuff animals from home
• Drooling, temp - epiglottitis need to notify the provider
• Muscular irritability from hemorrhaging
• Osteomyelitis - give milkshake as snack- high protein, high fiber
• Hypoglycemic: give milk
• Croup- barking sound, high pitch on breathing - bring in shower with warm mist
• Transillumination through scrotal sac to test if testes are present
• Earache if meningitis
• Hypothyroidism: D- TSH is high so T4 is low by thyroid gland
• Tetralogy of Fallot - cyanotic limbs crying
• Cephalohematoma noticed near occiptal sutures- notify Dr
• Increase AFP- need to do an sonogram
• 30 week gestation age 38 inches fundal height - do an ultrasound, bc should’ve been equal
• Inguinal Hernia - palpate to get it back in
• Breastfeeding 5 day with yellow stools - this is normal
• Spontaneous rupture of membranes - ask the color and consistency
• 3+ pitting edema with GERD- normal during pregnancy??
• Postpartum depression - may need to be evaluated
** Know the length of PPD
• Afebrile seizures - will eventually go away
• MD - wobble legs at this stage
• Tonsillitis-signs of bleeding - need to inspect the oral cavity
• Movements caused from rh??? they temporary something a C --wasn’t this the amniocentesis- testing the rh for rhogam? Yes testing maternal
• Fetal heart pattern in V form - priority is change mother’s position
• Braxton Hicks will go away with walking it is not true labor
• Placenta Previa - check fetal HR
• I’m having pain in my stitches - look at the episiotomy
• Use breathing techniques after giving pain meds 30 mins ago
• Female - parenteral antibiotics administration is most effective
• Introducing solid foods - 1 food at a time for 4-7 days
• Digoxin - missed dose can give if it’s been less than 4hrs /if more than 4 hrs wait until next dose/If miss 2 doses, call HCP
• Dilantin - check the serum levels
• UTI child - return for another urine sample
• 3 hour newborn with irregular respirations and small/soft murmur - put pulse ox on the foot
• Mag toxicity possibility: mag was 8? With hypoactive reflexes
• Gonorrhea infection tell other partners to seek treatment
• Adolescent gets a rubella vaccine at maternal bearing age - use another form of birth control for 28 days [Show Less]