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HESI MILESTONE EXAM 2 MEDSURG 2/OB/PEDS With Correct Questions And Answers 2024
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HESI MILESTONE EXAM 2 MEDSURG 2/OB/PEDS With Correct Questions And Answers 2024
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HESI MILESTONE EXAM 2 MEDSURG2/OB/PEDS With Correct Questions And
Answers 2024
Sickle .cells .sign .of .crisis: .- .correct .answer.pain .and .fatigue, .swollen .hands .and .feet,
.dehydration, .give .oxygen, .fluids, .pain .medication, .infection .prevention. .Child .is .pale .and
.listless .Abdominal .pain. .Fever .Severe .abdominal .pain. .Hand-foot .syndrome .(infants);
.painful .edematous .hands .and .feeT. .Arthralgia
Infant .congenital .heart .defect .assessment: .- .correct .answer.obtain .health .history, .color
.changes .associated .with .feedings, .activity, .or .crying. .Look .for .the .child's .skin .color.
.Murmur, .frequent .respiratory .infection, .cyanosis, .regurgitation.
RSV .distress: .- .correct .answer.first .sign .of .distress .is .tachypnea, .coughing, .sneezing,
.fever, .wheezing, .prolonged .expiration
Pyloric .stenosis .s/s: .- .correct .answer.forceful, .non .billous .vomiting .that .is .unrelated .to
.feeding .position, .hunger .as .soon .as .vomiting .is .over, .weight .loss, .progressive
.dehydration, .positive .family .history, .Palpable .olive-shaped .mass .in .upper-right .quadrant
.of .the .abdomen, .Metabolic .alkalosis .(decreased .serum .chloride, .increased .pH .and
.bicarbonate .or .CO2 .content, .hydration .with .decreased .sodium .and .potassium
Intussusception: .- .correct .answer.bowel .'telescopes' .into .the .bowel .causing .edema .or
.total .bowel .obstruction, .s/s .include: .creaming, .with .legs .drawn .up .to .abdomen, .sudden
.onset .of .severe .cramping, .severe .pain, .vomiting, .diarrhea, .Currant-jelly .stools, .gross
.blood, .or .hemoccult-positive .stools, .Lethargy. .immediately .report .the .presence .of .bilious
.vomiting, .and .sausage .like .mass .on .top .of .the .stomach. .Management: .administer .IV
.fluids .and .antibiotics
Vomiting .and .diarrhea .infant: .- .correct .answer.usually .caused .by .virus, .need .to .restore
.electrolytes,
Placental .abruptio .- .correct .answer.n: .s/s .are .painful, .dark .red .bleeding, .uterine
.tenderness, .decreased .fetal .movement, .place .woman .on .a .left .lateral .position .to .prevent
.pressure .on .vena .cava, .admin .oxygen, .look .at .vital .signs .for .hypovolemic .shock, .assess
.fundal .height .(higher .increase .bleeding)
, Fetal .rate .tachycardia: .- .correct .answer.greater .than .160 .for .10 .minutes .or .longer. .-
Caused .by .decreased .fetal .oxygen .supply, .Turn .client .onto .left .side .Discontinue .oxytocin
.(Pitocin) .if .infused. .Administer .O2 .at .10 .L .by .a .tight .facemask. .Bolus .IV .fluids .Notify
.health .care .provide
Umbilical .cord .prolapse: .- .correct .answer.fetal .hypoxia .occurs, .lay .woman .down, .hold .the
.presenting .part .off .the .cord .to .relieve .compression, .knee .to .chest, .admin .oxygen .and
.prepare .for .c .section
Shoulder .dystocia: .- .correct .answer.fetal .descent .and .birth .by .the .axis .of .the .fetal
.shoulders .after .the .fetal .head .has .been .delivered. .Perform .mcroberts .maneuver,
.Suprapubic .pressure. .Risk .factors .include .size .discrepancies, .obesity, .uterine
.abnormalities,
FHR .decels: .- .correct .answer.early .decels .do .not .require .intervention, .No .nursing
.interventions .are .required .except .to .monitor .the .progress .of .labor. .Document .the
.processes .of .labor. .late .decels .are .usually .caused .by .uteroplacental .insufficiency. .Heart
.rate .slowly .and .smoothly .decelerates .at .beginning .of .contraction .and .returns .to .baseline
.at .end .of .contraction
Nursing .interventions .for .late .decels: .- .correct .answer.urn .client .to .left .side, .discount
.pitocin, .admin .oxy, .maintain .IV .fluids, .elevate .legs .to .promote .venous .return, .notify .hcp
Variable .decels: .- .correct .answer.-Repositioning .of .the .mother .can .relieve .this
.compression .if .it .is .minor .Administer .oxygen .Stop .Oxytocin .(Pitocin) .Check .for .vaginal
.cord .prolapse
Postpartum .hemorrhage: .- .correct .answer.5 .T: .tone, .tissue, .trauma, .thrombin, .traction.
.After .birth .is .immediate .fundal .massage, .IV .fluids, .admin .uterotonic .drugs .(Oxytocin
.(Pitocin); .misoprostol .(Cytotec); .dinoprostone .(Prostin .E2); .methylergonovine .maleate
.(Methergine); .and .a .derivative .of .prostaglandin .(PGF2α), .carboprost .(Hemabate). .Keep
.bladder .empty
Engorgement: .- .correct .answer.postnatal .physiologic .painful .condition .in .which .distention
.and .swelling .of .the .breast .tissue .occurs .as .a .result .of .an .increase .in .blood .and .lymph
.supply .as .a .precursor .to .lactation. .Usually .peaks .within .4-5 .days .postpartum. .Apply .heat
.or .cold .compress, .breast .massage, .milk .expression, .ultrasound, .breast .pumping, .and
.antiinflammatory .agents
Cystic .fibrosis .complications .- .correct .answer.: .Lung .insufficiency .(most .critical .problem).
.ALWAYS .MONITOR .RESP. .hemoptysis, .pneumothorax, .bacterial .colonization, .cor
.pulmonale, .volvulus, .intussusception, .intestinal .obstruction, .rectal .prolapse,
.gastroesophageal .reflux .disease, .diabetes, .portal .hypertension, .liver .failure, .gallstones,
.and .decreased .fertility. .Avoid .lung .infections, .wash .hands,
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