NUR 405 Maternity and Peds Hesi Review Fall 2022. MP Hesi.1
Mastitis: antibiotic therapy, wear a supportive bra,
warm compress
Pyloric
... [Show More] stenosis: olive 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 suturesnotify 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 amniocentesistesting the rh for rhogam? Yes testing maternal
blood to see if they need to administer RhoGam
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
Diaphragm – use same as before giving birth - get
resized? Use another form of bc?
Tonic clonic seizure and heart issue - monitor
calcium
Amniocentesis priority - something with to get Rh
factor for rhogam
*Breasts- need supportive bra, antibiotics, cold
compress
*infant vital signs- normal
*DMD- weak muscles and gait - I remember
something with DMD & serum Ca+
*preeclampsia- check urine for protein
MP Hesi 2017
1. dosage : 700. 77 lb baby.
2. 20 units of oxytocin+1L LR→ 125 .
3. Gerd: sugar cookies
4. Mom is Rh-: check Rh immunoglobulin or check FHR
5. Cystic fibrosis: infertility
6. Tetanus questions: clean and antibiotic!!!
7. folic acid, doesn’t like green lefy veggies: strawberries
8. Diaper rash: zinc oxide
9. young parents, 24hrs birth: evaluate feeding 1
0. mom forcing kid to eat means and veggie(requires
further.
11. sickle cell: hot and thirsty
12. pyloric stenosis: olive-shaped
13. Pyloric stenosis, hungry and irritable after feelings,
first intervention→ crying or weight
14. turn to side and suction
15. fractured clavicle
16. jitteriness: check glucose
17. Normal primipara finding: 2 saturated pads for 1st hr. Iput pulse 56. [Show Less]