BSN 346 HESI LATEST
GUIDE WITH REAL EXAM
QUESTION AND ANSWER
Methergine (Methylergonovine)
- Causes contraction of the uterus and arterial vasoconstriction
- For PP hemorrhage
- Prior to admin check BP
- Do NOT use during pregnancy, will shut down uterus and baby will die
Contraindication:
- Hypertension
- Severe renal/hepatic disease
- Coronary disease
Epigastric pain in a woman who has preeclampsia can be a sign of
swollen liver, client going to have a seizure.
If the fetal heart rate in non reactive during a non stress test, the nurse should ask the client
if she has felt the baby move
Crepitus
,a crackling or grating sound usually of bones
If crepitus is observed on infant the nurse should assess what
moro reflex
Normal bilirubin level in a newborn
5-6
Normal platelet count
150,000-400,000
What is needed to preform an amniotomy
*amnihook
*one sterile glove
*doppler
*lubricant
A woman with heart disease is in labor, what are symptoms of greatest concern.
*Edema
*Basilar rales
*Irregular heart rate
,If the client with an epidural is experiencing hypotension the nurse should do what
raise the foot of the bed
Silver Anderson scale
evaluates five parameters of work of breathing and assigns an overall score with a patient
breathing comfortably a "0" and a patient in severe respiratory distress a "10"
Newborns of mothers who have HIV typically present with
cough
If a client is admitted for placental previa the nurse should alert the physician if
uterine contractions begin
If the client's lochia changes to white then back to red the client should
call provider and limit activity
The best way to assist the mother with baby bonding is to
Meet the mothers physical needs and demonstrate warmth toward the infant
To reduce pooling of blood in the legs the client should
, move every hour
Ballard scoring system
standardized method used to estimate gestational age and is based on the infant's external
characteristics and neurological development
Ballard score
The higher the score the older the infant
Help the pregnant mother with DM to
eat healthy to manage her DM
After the water bag has broken the nurse should
1. Assess fetal heart rate
2. Complete vaginal exam to make sure no cord prolapse
Talking to the baby in the womb is a normal part of
maternal/fetal bonding after the mother feel the baby kick
It is most important to determine what, if the client has had no prenatal care
LMP
GUIDE WITH REAL EXAM
QUESTION AND ANSWER
Methergine (Methylergonovine)
- Causes contraction of the uterus and arterial vasoconstriction
- For PP hemorrhage
- Prior to admin check BP
- Do NOT use during pregnancy, will shut down uterus and baby will die
Contraindication:
- Hypertension
- Severe renal/hepatic disease
- Coronary disease
Epigastric pain in a woman who has preeclampsia can be a sign of
swollen liver, client going to have a seizure.
If the fetal heart rate in non reactive during a non stress test, the nurse should ask the client
if she has felt the baby move
Crepitus
,a crackling or grating sound usually of bones
If crepitus is observed on infant the nurse should assess what
moro reflex
Normal bilirubin level in a newborn
5-6
Normal platelet count
150,000-400,000
What is needed to preform an amniotomy
*amnihook
*one sterile glove
*doppler
*lubricant
A woman with heart disease is in labor, what are symptoms of greatest concern.
*Edema
*Basilar rales
*Irregular heart rate
,If the client with an epidural is experiencing hypotension the nurse should do what
raise the foot of the bed
Silver Anderson scale
evaluates five parameters of work of breathing and assigns an overall score with a patient
breathing comfortably a "0" and a patient in severe respiratory distress a "10"
Newborns of mothers who have HIV typically present with
cough
If a client is admitted for placental previa the nurse should alert the physician if
uterine contractions begin
If the client's lochia changes to white then back to red the client should
call provider and limit activity
The best way to assist the mother with baby bonding is to
Meet the mothers physical needs and demonstrate warmth toward the infant
To reduce pooling of blood in the legs the client should
, move every hour
Ballard scoring system
standardized method used to estimate gestational age and is based on the infant's external
characteristics and neurological development
Ballard score
The higher the score the older the infant
Help the pregnant mother with DM to
eat healthy to manage her DM
After the water bag has broken the nurse should
1. Assess fetal heart rate
2. Complete vaginal exam to make sure no cord prolapse
Talking to the baby in the womb is a normal part of
maternal/fetal bonding after the mother feel the baby kick
It is most important to determine what, if the client has had no prenatal care
LMP
