NSG 222 FAMILY NURSING HESI UPDATED 2026
EXAMINERS QUESTIONS AND ANSWERS SURE A+
✔✔Newborn circumcision - ✔✔-clamp or plastic ring method
-wash hands before providing care, apply vasoline to area unless plastic ring is used,
use warm water without soap to clean area
-typically heals 7-10 days
-yellow exudate is normal & expected (DO NOT REMOVE)
✔✔Newborn circumcision - ✔✔· If a Plastibell has been used, it will fall off by itself in
about a week.
Inform parents of this & advise them not to pull it off sooner.
· Also instruct the parents to check daily for any foul-smelling drainage, bleeding, or
unusual swelling.
✔✔Placenta previa - ✔✔Abnormally low implantation of the placenta on the uterine wall
completely or partially covering the cervix
, Avoid doing vaginal examinations in the woman w/ placenta previa because they may
disrupt the placenta & cause hemorrhage.
✔✔Hypoglycemia Signs and Symptoms - ✔✔Manifestations of hypoglycemia include
behavioral changes, confusion, slurred speech, diaphoresis, tremors, palpitations, &
tachycardia.
In contrast, manifestations of hyperglycemia are blurred vision; dry, flushed skin; & a
fruity odor to the breath.
✔✔Hypoglycemia Action DM Type 1 Infant - ✔✔An insulin pump is a device that
administers a continuous infusion of rapid-acting insulin. Studies have established it to
be a safe and effective way to improve glycemic control and reduce episodes of severe
hypoglycemia in young people
✔✔Abruptio placenta manifestations - ✔✔Painful, dark-red vaginal bleeding (port-wine
color) because the bleeding comes from the clot that was formed behind the placenta;
"knife-like" abdominal pain;
Uterine tenderness; contractions; & decreased fetal movement.
Rapid assessment is essential to ensure prompt, effective interventions to prevent
maternal & fetal morbidity & mortality.
✔✔Prolapsed cord-position - ✔✔Changing the woman's position to a modified Sims,
Trendelenburg, or knee-chest position also helps relieve cord pressure.
✔✔DIC - ✔✔The mainstays of therapy for DIC are administration of blood components
& coagulation factors. Delayed postpartum hemorrhage may occur, despite adequate
prophylaxis. Frequent monitoring & continued prophylaxis &/or Tx are recommended for
at least 2 wks after childbirth
✔✔DIC - ✔✔Clinical features include petechiae, ecchymoses, bleeding gums, fever,
hypotension, acidosis, hematomas, tachycardia, proteinuria, uncontrolled bleeding
during birth, & acute renal failure
The most important therapeutic maneuver is treating the initiating disorder
✔✔PP depression-assess - ✔✔· The "blues" typically peak on postpartum days 4 & 5 &
usually resolve by postpartum day 10.
· Asking new partners candidly if they are feeling depressed, anxious, or angry can
open the door to further exploration of these emotions
EXAMINERS QUESTIONS AND ANSWERS SURE A+
✔✔Newborn circumcision - ✔✔-clamp or plastic ring method
-wash hands before providing care, apply vasoline to area unless plastic ring is used,
use warm water without soap to clean area
-typically heals 7-10 days
-yellow exudate is normal & expected (DO NOT REMOVE)
✔✔Newborn circumcision - ✔✔· If a Plastibell has been used, it will fall off by itself in
about a week.
Inform parents of this & advise them not to pull it off sooner.
· Also instruct the parents to check daily for any foul-smelling drainage, bleeding, or
unusual swelling.
✔✔Placenta previa - ✔✔Abnormally low implantation of the placenta on the uterine wall
completely or partially covering the cervix
, Avoid doing vaginal examinations in the woman w/ placenta previa because they may
disrupt the placenta & cause hemorrhage.
✔✔Hypoglycemia Signs and Symptoms - ✔✔Manifestations of hypoglycemia include
behavioral changes, confusion, slurred speech, diaphoresis, tremors, palpitations, &
tachycardia.
In contrast, manifestations of hyperglycemia are blurred vision; dry, flushed skin; & a
fruity odor to the breath.
✔✔Hypoglycemia Action DM Type 1 Infant - ✔✔An insulin pump is a device that
administers a continuous infusion of rapid-acting insulin. Studies have established it to
be a safe and effective way to improve glycemic control and reduce episodes of severe
hypoglycemia in young people
✔✔Abruptio placenta manifestations - ✔✔Painful, dark-red vaginal bleeding (port-wine
color) because the bleeding comes from the clot that was formed behind the placenta;
"knife-like" abdominal pain;
Uterine tenderness; contractions; & decreased fetal movement.
Rapid assessment is essential to ensure prompt, effective interventions to prevent
maternal & fetal morbidity & mortality.
✔✔Prolapsed cord-position - ✔✔Changing the woman's position to a modified Sims,
Trendelenburg, or knee-chest position also helps relieve cord pressure.
✔✔DIC - ✔✔The mainstays of therapy for DIC are administration of blood components
& coagulation factors. Delayed postpartum hemorrhage may occur, despite adequate
prophylaxis. Frequent monitoring & continued prophylaxis &/or Tx are recommended for
at least 2 wks after childbirth
✔✔DIC - ✔✔Clinical features include petechiae, ecchymoses, bleeding gums, fever,
hypotension, acidosis, hematomas, tachycardia, proteinuria, uncontrolled bleeding
during birth, & acute renal failure
The most important therapeutic maneuver is treating the initiating disorder
✔✔PP depression-assess - ✔✔· The "blues" typically peak on postpartum days 4 & 5 &
usually resolve by postpartum day 10.
· Asking new partners candidly if they are feeling depressed, anxious, or angry can
open the door to further exploration of these emotions
