Maternity and Peds Review Fall 2019,100% CORRECT

MP Hesi.1  Mastitis: antibiotic therapy, wear a supportive bra, warm compress  Pyloric stenosis: olive size obstruction on abdomen  Anchor the lower part of the uterus - then massaging the fundus  High bp maybe ...

MP Hesi.1  Mastitis: antibiotic therapy, wear a supportive bra, 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 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. I put pulse 56. 1 MP Hesi Review – EVERYTHING 2 MP Hesi Review – EVERYTHING 18. Dad called few days post-partum - hormonal swings are normal. 19. MgSO4 priority: calcium gluconate 20. HIV: AZT 21. Assess FHR and coombs 22. check for after amniocentesis: monitor for labor 23. Post-partum mood swings vs. depression: fatigue & not making decisions? 24. eye ointment: prevent eye infection 25. intussuception: brown stool notify HCP 26. girl SATA: 27. girl who druinks: atta boy 28. ADHD: refer or help with HW?? 29. transitional phase: monitor contractions, help mantain control 30. AFP: Sonogram 31. Priority pt: ARF and hyperkalemia!!! 32. mastitis: antibiotics, bra support, warm support 33. Open heart surgery: demonstration of splintintg, deep breathing etc 34. rupture membranes 12hrs ago--: temperature 35. C-section priority: uterine atony or positive homans??? 36. AGN: Sore throat 37. hemophilia: NOT motrin(elevate and immobilize. 38. Resp distress: nasal flaring 39. Leopolds: anchoring fundus 40. Drooling, s/o epiglotitis→ emergency response!!! 41. flick the sole 42. RF: Chorea 43. after c section lacerated. trickle of blood: BP 44. +2 edema: MgSO4 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  Adolescent turns 18 and mother calls for lab results - must get permission from daughter  Different acid base levels - normal acid base  A breastfeeding mother wants to avoid having another pregnancy. What do you do? use condoms and gel  Infant getting phototherapy - Cover the infant’s eyes  6 month baby goes in for routine vaccine and flu shot - give all immunization and influenza but alternate site and injection