NURSING 240 A home care nurse is instructing a client with hyperemesis gravidarum
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Course
NR511
Institution
NR511
NURSING 240 A home care nurse is instructing a client with hyperemesis gravidarum
NURSING 240 A home care nurse is instructing a client with hyperemesis gravidarum
NURSING 240 A home care nurse is instructing a client with hyperemesis gravidarum
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MP Hesi.1 • Movements caused from rh??? they temporary
something a C --wasn’t this the amniocentesis- testing
• Mastitis: antibiotic therapy, wear a supportive bra, the rh for rhogam? Yes testing maternal
warm compress
• Pyloric 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 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
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MP Hesi Review – EVERYTHING
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• Fetal heart pattern in V form - priority is • Amniocentesis priority - something with to get Rh
change mother’s position factor for rhogam
• Braxton Hicks will go away with walking it is not
*Breasts- need supportive bra, antibiotics, cold
true labor compress
• Placenta Previa - check fetal HR
• I’m having pain in my stitches - look at *infant vital signs- normal
the episiotomy
*DMD- weak muscles and gait - I remember
• Use breathing techniques after giving pain meds
30 mins ago something with DMD & serum Ca+
• Female - parenteral antibiotics administration *preeclampsia- check urine for protein
is most effective
• Introducing solid foods - 1 food at a time for 4- MP Hesi 2017
7 days
• Digoxin - missed dose can give if it’s been less 1. dosage : 700. 77 lb baby.
than 4hrs /if more than 4 hrs wait until next 2. 20 units of oxytocin+1L LR→ 125 .
dose/If miss 2 doses, call HCP 3. Gerd: sugar cookies
• Dilantin - check the serum levels 4. Mom is Rh-: check Rh immunoglobulin or check FHR
• UTI child - return for another urine sample 5. Cystic fibrosis: infertility
• 3 hour newborn with irregular respirations 6. Tetanus questions: clean and antibiotic!!!
and small/soft murmur - put pulse ox on the 7. folic acid, doesn’t like green lefy veggies: strawberries
8. Diaper rash: zinc oxide
foot
9. young parents, 24hrs birth: evaluate feeding 1
• Mag toxicity possibility: mag was 8?
With hypoactive reflexes 0. mom forcing kid to eat means and veggie(requires
• Gonorrhea infection tell other partners to further.
seek treatment
11. sickle cell: hot and thirsty
• Adolescent gets a rubella vaccine at maternal 12. pyloric stenosis: olive-shaped
bearing age - use another form of birth control 13. Pyloric stenosis, hungry and irritable after feelings, first
for 28 days
intervention→ crying or weight
• Diaphragm – use same as before giving birth -
14. turn to side and suction
get resized? Use another form of bc?
15. fractured clavicle
• Tonic clonic seizure and heart issue -
16. jitteriness: check glucose
monitor calcium
blood to see if they need to administer RhoGam 17. Normal primipara finding: 2 saturated pads for 1st h
put pulse 56.
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MP Hesi Review – EVERYTHING
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MP Hesi Review – EVERYTHING
18. Dad called few days post-partum - hormonal swings a•reMedication to prevent respiratory issues in the
normal. baby - betamethasone IM
19. MgSO4 priority: calcium gluconate • 15 mo breastfeeding & now 6 mos prego - get
20. HIV: AZT nutrition history
21. Assess FHR and coombs • Postpartum hemorrhage even after finishing
22. check for after amniocentesis: monitor for labor oxytocin infusion - check maternal BP
23. Post-partum mood swings vs. depression: fatigue & n•otMath questions were 10 and 10
making decisions? • Baby got otitis media after an acute respiratory
infection, why do infants get otitis media - shorter
24. eye ointment: prevent eye infection eustachian tubes
25. intussuception: brown stool notify HCP • Boy with spine injury after driving accident -
26. girl SATA: 27. girl who druinks: atta boy
maintain alignment
28. ADHD: refer or help with HW??
29. transitional phase: monitor contractions, help mantai•nObese question SATA - find out what physical
control activities she does & if school has PE class, 3 day
diet history from mother
30. AFP: Sonogram
31. Priority pt: ARF and hyperkalemia!!! • Iron supplement - take with meal
32. mastitis: antibiotics, bra support, warm support • Preeclamptic women received Pitocin IV and is
33. Open heart surgery: demonstration of splintintg, deep having contractions 1 to 2 minutes apart -
breathing etc discontinue Pitocin
34. rupture membranes 12hrs ago--: temperature • Lyme disease - if rash, then test
35. C-section priority: uterine atony or positive homans??•?Esophageal atresia, highest priority - body
36. AGN: Sore throat • Adolescent turns 18 and mother calls for lab results
37. hemophilia: NOT motrin(elevate and immobilize.
38. Resp distress: nasal flaring - must get permission from daughter
39. Leopolds: anchoring fundus • Different acid base levels - normal acid base
40. Drooling, s/o epiglotitis→ emergency response!!! • A breastfeeding mother wants to avoid having another
41. flick the sole pregnancy. What do you do? use condoms and gel
42. RF: Chorea
• Infant getting phototherapy - Cover the infant’s eyes
43. after c section lacerated. trickle of blood: BP
• 6 month baby goes in for routine vaccine and flu shot -
44. +2 edema: MgSO4 give all immunization and influenza but alternate site and
injection
45. position on stomach
46. HPV: C “immunization is a must to prevent it”
47. scoliosis: girls 10-14
48. metabolic alkalosis-vomiting or pyloric
49. MDI: spacer or cold???
50. position on stomach
51. sesnse of security
52. IUGR: sonogrm
53. Flaring of the nare
54. Developmental delay: maximum potential
55. 8 mos expected: sitting up unassisted
MP Hesi 2017
• Protruding cord - knees to chest
• Child who had Slipped Capital Femoral Epiphysis
(SCFE. - pin and something
• 4-month old what to do to prevent diaper rash - use a
barrier cream, such as zinc oxide
• Mother with mastitis, what would you advise - start
on the unaffected breast first
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MP Hesi Review – EVERYTHING
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temperature MP Hesi Review – EVERYTHING
• Baby regurgitation and vomiting - suction
the mouth and nose
• An adolescent received an above the knee
amputation. Would do you tell them to do
everyday - inspect the stump daily
• Women says about 6 mos pregnant &
smokes a pack of cigs/day, how to check for
estimated gestation age: ultrasonography
• 8 month old development, you would notice -
sitting unassisted
• Glucose was 800 mg - give IV normal saline
and insulin
• Rubella - give after delivery within 72 hours
• Newborn has swollen, tender, testicles.
Suspect hydrocele. What do you do? Use
transillumination to check for fluid
• Fetal heart rate dropped abruptly to a V -
change mom’s position
• Pregnant had a temp of 101 – chorioamnionitis
• Epidural anesthesia - check maternal HR and BP
• Teenagers who are pregnant, be sure to include
- nutrition requirement during pregnancy
• Patient who was 9 cm and 80% effacement - ?
• Transitional phase - assess uterine contractions
• Infertile couple - allow them to control if they
want to stop or support group before another
IVF cycle
• 4 neonates, who to see first – Tet
• 9yr old (school age. – industry
• Child with pneumonia - assess lung sounds
• Child is dehydrated. What to check for? Weak
cry but no tears
• Pyloric stenosis - metabolic alkalosis
• Assess for cryptorchidism - warm the room
• “He doesn’t feed himself, I make him eat
vegetables and meat”
• A newborn infant is crying, temperature is 96.5,
has elevated bp and is cyanotic. What do you
do? Warm that baby up (answer)
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MP Hesi Review – EVERYTHING
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