NSG 222 FAMILY NURSING HESI EXAMS SCRIPT
LATEST ALL QUESTIONS AND ANSWERS SURE A+
✔✔LABOR INDUCTION - ✔✔Evidence is compelling that elective induction of labor
significantly increases the risk of cesarean birth, increased time spent in labor & birth,
instrumented delivery, use of epidural analgesia, & neonatal ICU
✔✔Pregnancy-air travel - ✔✔· 2nd trimester is perhaps the best time to travel because
there is the least chance of complications.
· 3rd trimester should be advised to defer overseas travel because of concerns about
access to medical care in case of problems such as hypertension; Zika virus & malaria
infection from mosquito bites; phlebitis; or premature labor
✔✔Caput succedaneum - ✔✔Crosses the suture lines. Resolves within the first few
days.
· Along with molding, fluid can also collect in the scalp (caput succedaneum).
· Caput succedaneum can be described as edema of the scalp at the presenting part.
This swelling crosses suture lines & disappears within 3 to 4 days.
, ✔✔Fetal position - ✔✔· Progressive fetal descent (−5 to +4) is the expected norm
during labor—moving downward from the negative stations to zero station to the
positive stations in a timely manner.
· Leopold maneuvers are a method for determining the presentation, position, & lie of
the fetus through the use of four specific steps.
✔✔Variable deceleration-action - ✔✔1. Notify the (HCP) about the pattern & obtain
further orders, making sure to document all interventions and their effects on the FHR
pattern.
2. Discontinue oxytocin or other uterotonic agent as dictated by the facility's protocol, if it
is being administered.
3. Turn the client on her left or right lateral, knee-chest, or hands & knees to increase
placental perfusion or relieve cord compression.
4. Administer O2 via a nonrebreather face mask to increase fetal oxygenation.
5. Increase the IV fluid rate to improve intravascular volume & correct maternal
hypotension.
✔✔HIV Positive Delivery - ✔✔Breastfeeding is a major contributing factor for mother-to-
child transmission, & the infected mother must be informed about this
Drug therapy is the mainstay of Tx for pregnant women infected w/ HIV. The standard
Tx is oral antiretroviral drugs given daily until giving birth, IV administration during labor,
& oral zidovudine (AZT) for the newborn within 6 to 12 hrs of birth
✔✔Abruptio Placenta - ✔✔Premature separation of the placenta
When the woman arrives at the facility, place her on strict bed rest & in a left lateral
position to prevent pressure on the vena cava.
This position provides uninterrupted perfusion to the fetus.
✔✔Hearing - assess Communication-hearing impaired - ✔✔Talk w/ families about how
they need to learn how to communicate effectively w/ their child
Teach families that communication may also be enhanced by the use of text telephone
service in the home, closed-caption television, & lights rather than bells or alarms to
alert the child. Provide a sign language interpreter for the child at health care visits if the
parent is not present for interpretation.
LATEST ALL QUESTIONS AND ANSWERS SURE A+
✔✔LABOR INDUCTION - ✔✔Evidence is compelling that elective induction of labor
significantly increases the risk of cesarean birth, increased time spent in labor & birth,
instrumented delivery, use of epidural analgesia, & neonatal ICU
✔✔Pregnancy-air travel - ✔✔· 2nd trimester is perhaps the best time to travel because
there is the least chance of complications.
· 3rd trimester should be advised to defer overseas travel because of concerns about
access to medical care in case of problems such as hypertension; Zika virus & malaria
infection from mosquito bites; phlebitis; or premature labor
✔✔Caput succedaneum - ✔✔Crosses the suture lines. Resolves within the first few
days.
· Along with molding, fluid can also collect in the scalp (caput succedaneum).
· Caput succedaneum can be described as edema of the scalp at the presenting part.
This swelling crosses suture lines & disappears within 3 to 4 days.
, ✔✔Fetal position - ✔✔· Progressive fetal descent (−5 to +4) is the expected norm
during labor—moving downward from the negative stations to zero station to the
positive stations in a timely manner.
· Leopold maneuvers are a method for determining the presentation, position, & lie of
the fetus through the use of four specific steps.
✔✔Variable deceleration-action - ✔✔1. Notify the (HCP) about the pattern & obtain
further orders, making sure to document all interventions and their effects on the FHR
pattern.
2. Discontinue oxytocin or other uterotonic agent as dictated by the facility's protocol, if it
is being administered.
3. Turn the client on her left or right lateral, knee-chest, or hands & knees to increase
placental perfusion or relieve cord compression.
4. Administer O2 via a nonrebreather face mask to increase fetal oxygenation.
5. Increase the IV fluid rate to improve intravascular volume & correct maternal
hypotension.
✔✔HIV Positive Delivery - ✔✔Breastfeeding is a major contributing factor for mother-to-
child transmission, & the infected mother must be informed about this
Drug therapy is the mainstay of Tx for pregnant women infected w/ HIV. The standard
Tx is oral antiretroviral drugs given daily until giving birth, IV administration during labor,
& oral zidovudine (AZT) for the newborn within 6 to 12 hrs of birth
✔✔Abruptio Placenta - ✔✔Premature separation of the placenta
When the woman arrives at the facility, place her on strict bed rest & in a left lateral
position to prevent pressure on the vena cava.
This position provides uninterrupted perfusion to the fetus.
✔✔Hearing - assess Communication-hearing impaired - ✔✔Talk w/ families about how
they need to learn how to communicate effectively w/ their child
Teach families that communication may also be enhanced by the use of text telephone
service in the home, closed-caption television, & lights rather than bells or alarms to
alert the child. Provide a sign language interpreter for the child at health care visits if the
parent is not present for interpretation.
