BSN 346 HESI Exam Questions with Correct Answers

BSN 346 HESI Exam Questions with Correct Answers caput succedaneum - Answer-diffuse edema of the fetal scalp that crosses the suture lines. reabsorbs within 1 to 3 days Oxytocin (Pitocin) - Answer-Stimulates smooth muscle to contract. .Not contraindicated for Asthma 40-70mm - Answer-contractions in first stage of labor over 80mm - Answer-contractions in second stage of labor peak at less than 50mm - Answer-mild contractions peak at over 50mm - Answer-moderate or strong contractions 10mm - Answer-average resting tone during labor MVUs usually range from 100-250 - Answer-in the first stage of labor MVUs ; may rise to 300-400 - Answer-in second stage of labor MVUs are used only with - Answer-internal monitoring of contractions. post delivery perineal care - Answer-spray warm water from front to back with squeeze bottle what assessment finding requires immediate intervention after a chorionic villi sampling CVS - Answer-uterine cramping What interventions are needed for a gravida that develops hypotension after regional anesthesia - Answer-*Administer O2 *increase IV fluids *place the client in lateral position *monitor fetal status Magnesium sulfate administration gives postpartum patient a high risk for - Answerpotpartum hemorrhaging pulse increases - Answer-during the second trimester, a decrease in pulse needs further assessment Systolic and diastolic pressure does what in the second trimester - Answer-decreases To prevent conductive heat loss in a newborn - Answer-place a blanket on scale when weighing the infant what is the major risk after a molar pregnancy - Answer-choriocarcinoma choriocarcinoma - Answer-malignant tumor of the placenta How is choriocarcinoma detected - Answer-elevated HCG levels what technique shouldthe nurse use to obtain a newborns heart rate - Answer-count the heart rate for atleast one full min what intervention should the nurse implment for a macrosomic infant - Answer-evaluate the newborns glucose levels frequently to assess for hypoglycemia The apnea monitor alarms for the 3rd time during a shift, what is the first action of the nurse - Answer-monitor newborns colorand respirations fetal heart rate accelerations for 15-20 senconds are a sign of - Answer-fetal well-being Encourage early initation of feeding - Answer-Nursing intervention that best enhances maturnal infant bonding Cannied Sardines - Answer-a good source of calcium changes in FHR patterns - Answer-indicate inturnal hemorrhage after blunt ABD trauma The fetus can respond to sounds by how many weeks gestation - Answer-24 weeks What should the nurse do when caring for a infant immediately after birth - Answer-keep airway open Squatting - Answer-the best position for gravity during delivery What immunizations can be given during pregnancy - Answer-*Tetnus *Diphtheria *Hep B Vitamin K - Answer-perscription given to infant to reduce complications from birth trama Signs of respiratory distress in newborns - Answer-* nasal flaring *diaphragmatic breathing with chest retraction * grunting erythemia toxicum - Answer-rash, small pustules, normal, will go away when a newborn is born with anencephaly - Answer-prepare the family for imminent death when does the heart of the fetus develope - Answer-between 3rd and 5th week Hard like board ABD - Answer-concealed hemorrhage in abruptio plecenta ultrasonography - Answer-what test is done to check for placental insufficiency Pin point spots are begin and will disapear ina few days - Answer-petechiae over the face and neck of a newborn delivered with a nuchal cord IUP reading for effective labor - Answer-40-90mm if patient is receiving oxytocin during labor and the IUP reaches over 100mm - Answerrequire further action, stop infusion Methergine - Answer-used in postpartum to prevent hemorrhage (may cause HTN) how many oz does a newborn need daily - Answer-19-21oz perodic abdominal pain - Answer-not a normal finding for pregnancy, may indicate preterm labor Primary assessment for pulmonary artery catheter procedure - Answer-monitor for premature ventricular contractions pregnancy shouldprogress normallyand be considered low risk - Answer-to have a at home delivery what should be done if a neonates feet are blanched - Answer-report to HCP function of placenta in early pregnancy - Answer-secretes estrogen and progesterone