TEST BANK FOR HESI OB Maternity Version 1 (V1) Verified Questions And Answers 2023 Guaranteed A+
Terbutaline nursing implications - Correct
... [Show More] answer-• Administer IV. • Increase infusion rate every 15 minutes, depending on uterine response and maternal side effects. • Obtain maternal electrocardiogram (ECG) and lab values prior to beginning infusion. • Place mother on bedside cardiac monitor. • Monitor fetus continuously. • Monitor vital signs every 15 min. • Maternal pulse should not exceed 140 bpm. • FHR should not exceed 180 bpm. • I&O; weigh daily. • Prepare woman for side effects. • Notify health care provider of: → High pulse, FHR changes, abnormal lab values → Signs of hear t failure: dyspnea, jugular vein distention, dry cough, rales in lung bases → Have antidote available (e.g., a beta- blocking agent such as propranolol [Inderal]).
Nifedipine (Procardia) indications - Correct answer-
Nifedipine (Procardia) adverse reactions - Correct answer-
Nifedipine (Procardia) nursing implications - Correct answer-• Check BP for hypotension immediately before giving medication. • Avoid use with magnesium sulfate; can cause severe hypotension. • Rise slowly from lying to sitting position, then dangle feet at side of bed. • Do not use sublingual route of administration.
Indomecthacin (Indocin) indications - Correct answer-
Indomecthacin (Indocin) adverse reactions - Correct answer-
Indomecthacin (Indocin) nursing implications - Correct answer-• Administer for 48 hours or less. • Do not use for women with bleeding potential (coagulopathy, thrombocytope- nia), NSAID-sensitive asthma, peptic ulcer disease, significant renal or hepatic impair- ment, oligohydramnios. • Determine amniotic fluid volume and function of fetal ductus arteriosus before initiating therapy and within 48 hours of discontinuing therapy; assessment is critical if therapy continues for more than 48 hours. • Administer with food or use rectal route to decrease GI distress. • Monitor for signs of postpar tum hemorrhage.
What do you for the baby delivered vaginally by a mom w/ HIV? - Correct answer-give azithromycin
Circumcision - Correct answer-- Monitor the first void after - Yellow film indicates healing unless other signs of infection are also present such as fever, redness - Yellow, even crusty, is okay be sure to teach mom so she is not concerned
Nutrition - Correct answer-- Folic acid 400mcg - Calcium 1000mg - Refined white carbs can spike blood glucose and then you crash - Mom is having dizziness or tingling finger.. breathe into cupped hands or paper bag
Infant formula calories - Correct answer-20 calories/oz A baby will need 50 calories/lbs
HESI HINT - Correct answer-A 7lb 8oz baby would need 50 calories X 7lbs = 350 calories + 25 calories (1/2 lb or 8oz) = 375 calories per day. Dividing 375 by 20 = 18.75 oz of formula needed per day
Weight gain per trimester - Correct answer-2-4 lbs weight tain in the first trimester 1lb per week in second and third trimester
total: 25- 35 lbs twins: 35-45lbs
frequent pregnancies at risk for... - Correct answer-malnutrition b/c you do not have time to build vitamins & mineral back up
what happens when a women is pregnant? - Correct answer-increased metabolic demands by 20%
What is the majority of pregnancy weight gain? - Correct answer-fetus, placenta and amniotic fluid; during the first trimester, uterus is growing and blood volume is increased
Increased calories per trimester - Correct answer-1st: none, DO NOT CHANGE
2nd and 3rd- extra 300 k cals/day if normal BMI
what should you do if a mom is gaining more than a pound a week? - Correct answer- have them do a food diary
What can obesity cause? - Correct answer-GDM, macrosomia which may lead to should dystocia
Foods to avoid in pregnancy - Correct answer-Deli meats
Sausage, cheeses Queso - soft cheese concerned for listeriosis Smoked meat Limited caffeine or avoid??
Protein needs during pregnancy - Correct answer-60g (14g over normal)
What should you watch for in vegetarians? - Correct answer-vitamin b deficiency
♣ - Correct answer-8-12
♣ - Correct answer-one breast for one feed is fine, you don't need to feed from both breasts every feeding
♣ - Correct answer-average feed is 76 mL
♣ - Correct answer-you will know if the baby is eating enough by diaper count
⎥ - Correct answer-6-8 wet diapers
⎥ - Correct answer-1 wet/dirty diaper/day and increases respectively per day until about 7 and then levels off
♣ - Correct answer-cow's milk can cause hemolytic anemia
⎥ - Correct answer-bc it does not have enough vitamin E, iron
⎥ - Correct answer-you can start giving at 1 year
o - Correct answer-s/sx lactose intolerance in the baby
♣ - Correct answer-diarrhea
♣ - Correct answer-lose appetite
♣ - Correct answer-bloating
o - Correct answer-Breastmilk
♣ - Correct answer-Whey proteins are higher and lower caesin proteins
o - Correct answer-Contraindications for breastfeeding
♣ - Correct answer-HIV
♣ - Correct answer-Active TB [Show Less]