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HESI Milestone 2 EXAM QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE
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HESI Milestone 2 EXAM QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE
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HESI Milestone 2 EXAM 2024-2025 QUESTIONS AND ANSWERS 100 % PASSSOLUTION A+ GRADE
A woman presents to the ER w/ placental abruption but is also in active labor. How will the provider
decide between a vaginal vs c section? - answer>>Depending on severity the women can be monitored
through a vaginal birth but if it is a risk they will do c-section
What should the Rn do if a fetus has Shoulder Dystocia during labor? - answer>>McRoberts Manuver
and Superpubic Pressure
What is a Umbilical Cord Prolaspe? - answer>>Rare obstetric emergency that occurs when the cord
precedes the fetus out
Nursing management of an umbilical cord prolapse? - answer>>examiner places a sterile gloved hand
into the vagina and holds the presenting part off the umbilical cord until delivery.
Change position to a modified Sims, Trendelenburg, or knee-chest position also helps relieve cord
pressure.
Do not attempt to replace the cord in the uterus.
Monitor FHR
maintain bed rest
administer oxygen if ordered.
What should of the RN do if the uterus is Boggy on palpation? - answer>>Massage the boggy uterus to
stimulate contractions and expression of any accumulated blood clots while supporting the lower
uterine segment
What's the therapeutic response of Cystic Fibrosis treatment Management? - answer>>minimizing
pulmonary complications
maximizing lung function
preventing infection
facilitating growth.
Nursing Management of a CF pt? - answer>>Provide CPT
,use of the vest airway clearance system
use of the flutter-valve devise, and/or positive expiratory pressure therapy in order to clear secretions
and maintain airway patency.
For children with cystic fibrosis, CPT is a critical intervention.
Administer pancreatic enzyme supplements (pancrelipase [Creon, Pancreaze, Zenpep]) must be
administered with all meals and snacks to promote adequate digestion and absorption of nutrients
Prevent Infection
What are the Complications of Tetralogy of Fallot - answer>>Blood clots (which may be in the brain
causing stroke)
bacterial endocarditis
arrhythmias
HF
Death.
What are the Symptoms of Plyoric Stenosis - answer>>Forceful, non bilious vomiting, unrelated to
feeding position
Hunger soon after vomiting episode
Weight loss d/t vomiting
Progressive dehydration with subsequent lethargy
What is Intussusception - answer>>a process that occurs when a proximal segment of bowel
"telescopes" into a more distal segment
causing edema, vascular compromise, partial or total bowel obstruction.
barium enema is successful at reducing a large percentage of intussusception cases; other cases are
reduced surgically.
What's the diet of a pt w/ Diarrhea? - answer>>Avoid fluids high in glucose (fruit juice, gelatin, and soda)
Chronic diarrhea is often a result of excessive intake of formula, water, or fruit juice, so teach the
parents about appropriate fluid intake.
, What should be taught to a mom w diarrhea - answer>>eat the BRAT diet: bananas, rice (white),
applesauce and toast.
When your health is good usually recommend whole-grain, high-fiber foods. But high-fiber foods could
spell trouble when you have diarrhea
What's the First Sign of a Sickle Cell Crisis - answer>>swelling of the hands and feet in the infant or
toddler
What are the triggers of a sickle cell crisis - answer>>any stress or traumatic event, such as infection,
fever, dehydration, physical exertion, excessive cold exposure, or hypoxia
Hemophilia Safety - answer>>The primary goal =prevent bleeding.
best accomplished by instructing the child to avoid activities with a high potential for injury
Muscular Dystrophy: What is it - answer>>a group of inherited conditions that result in progressive
muscle weakness and wasting. The muscles affected are primarily the skeletal (voluntary) muscles
Duchenne muscular dystrophy, the most common neuromuscular disorder of childhood, results in a
shortened life expectancy.
Nursing Management Muscular Dystrophy - answer>>no cure
use of corticosteroids slow the progression of the disease.
Calcium supplements and vitamin D are prescribed to prevent osteoporosis
antidepressants may be helpful when depression occurs related to the chronicity of the disease and/or
as an effect of corticosteroid use.
Beat blockers or ACE inhibitors to decrease the workload of the heart
Nursing focus on promoting mobility and cardiopulmonary function
What to teach a pt after SCFE Surgery - answer>>Surgical intervention may include in situ pinning
(pin or screw is inserted percutaneously into the femoral head to hold it in place).
After in situ pinning, assist the child with crutch walking.
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