NURSING > HESI > Maternity and Peds Hesi Review Fall 2019 (All)

Maternity and Peds Hesi Review Fall 2019

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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

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