OB HESI Study Guide Latest 2023 Already Passed

OB HESI Study Guide Latest 2023 Already Passed What is the site for newborn heelstick? Outer side of the heel, never in the center because of the nerves and blood vessels What blood tests are state mandated for newborns? Symptoms and interventions for supine hypotension? Lay on left side Breast milk is a body fluid... Wear gloves when handling milk or assisting mom to breastfeed What do you do if a newborn is gagging and cyanotic? Suction with a bulb syringe What condition would you be suspicious of? The three C's (coughing, choking, cyanosis)= Tracheal Esophageal Fistula What to recommend if the post partum mom is complaining of heartburn? Eat small, frequent meals Is it normal for a post partum mom to have a low pulse? What is the nursing action if the fetal heart rate is 100 during labor? LOIN- Left side, Oxygen (8-10L), Increase main line IV, Notify HCP What happens in the second stage of labor? Pushing Interventions for sore nipples? Water only- no soap, no plastic liners in breast pads, rub breast milk into cracked nipples What is Hemabate used for? Severe post partum hemorrhage What meds would you give with Hemabate and why? Oxytocin to promote uterine contractions to return uterus to post pregnancy size and reduce hemorrhaging. What do you do if a newborns head measures smaller than the chest? Notify Dr. What do you do if a patient in labor says the have to have a bowel movement? Do a vaginal exam What explanation do you give to the mom for administration of vitamin K? To help the baby's body properly clot blood What are the signs of Magnesium Sulfate toxicity? Less than 30ml of urine output per hour How do you care for an umbilical stump? Use water only, turn down diaper so it does not irritate the stump- the cord must air dry. What is the difference between direct and indirect coombs? Indirect Coombs test is done on the mother to determine if she has developed RH antibodies. Direct Coombs test is done on cord blood to detect RBC (bilirubin) destruction from RH sensitization. What bilirubin level in a newborn would indicate the need for treatment related to hemolysis due to RH factor? 12 or greater What