HESI MILESTONE 2 CERTIFICATION
EVALUATION FULL QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
●● Infant congenital heart defect assessment:
Answer: obtain health history, color changes associated with feedings,
activity, or crying. Look for the child's skin color. Murmur, frequent
respiratory infection, cyanosis, regurgitation.
●● RSV distress:
Answer: first sign of distress is tachypnea, coughing, sneezing, fever,
wheezing, prolonged expiration
●● Pyloric stenosis s/s:
Answer: forceful, non billous vomiting that is unrelated to feeding
position, hunger as soon as vomiting is over, weight loss, progressive
dehydration, positive family history, Palpable olive-shaped mass in
upper-right quadrant of the abdomen, Metabolic alkalosis (decreased
serum chloride, increased pH and bicarbonate or CO2 content, hydration
with decreased sodium and potassium
●● Intussusception:
Answer: bowel 'telescopes' into the bowel causing edema or total bowel
obstruction, s/s include: creaming, with legs drawn up to abdomen,
, sudden onset of severe cramping, severe pain, vomiting, diarrhea,
Currant-jelly stools, gross blood, or hemoccult-positive stools, Lethargy.
immediately report the presence of bilious vomiting, and sausage like
mass on top of the stomach. Management: administer IV fluids and
antibiotics
●● Vomiting and diarrhea infant:
Answer: usually caused by virus, need to restore electrolytes,
●● Placental abruptio
Answer: n: s/s are painful, dark red bleeding, uterine tenderness,
decreased fetal movement, place woman on a left lateral position to
prevent pressure on vena cava, admin oxygen, look at vital signs for
hypovolemic shock, assess fundal height (higher increase bleeding)
●● Fetal rate tachycardia:
Answer: greater than 160 for 10 minutes or longer. -Caused by
decreased fetal oxygen supply, Turn client onto left side Discontinue
oxytocin (Pitocin) if infused. Administer O2 at 10 L by a tight facemask.
Bolus IV fluids Notify health care provide
●● Umbilical cord prolapse:
Answer: fetal hypoxia occurs, lay woman down, hold the presenting part
off the cord to relieve compression, knee to chest, admin oxygen and
prepare for c section
EVALUATION FULL QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
●● Infant congenital heart defect assessment:
Answer: obtain health history, color changes associated with feedings,
activity, or crying. Look for the child's skin color. Murmur, frequent
respiratory infection, cyanosis, regurgitation.
●● RSV distress:
Answer: first sign of distress is tachypnea, coughing, sneezing, fever,
wheezing, prolonged expiration
●● Pyloric stenosis s/s:
Answer: forceful, non billous vomiting that is unrelated to feeding
position, hunger as soon as vomiting is over, weight loss, progressive
dehydration, positive family history, Palpable olive-shaped mass in
upper-right quadrant of the abdomen, Metabolic alkalosis (decreased
serum chloride, increased pH and bicarbonate or CO2 content, hydration
with decreased sodium and potassium
●● Intussusception:
Answer: bowel 'telescopes' into the bowel causing edema or total bowel
obstruction, s/s include: creaming, with legs drawn up to abdomen,
, sudden onset of severe cramping, severe pain, vomiting, diarrhea,
Currant-jelly stools, gross blood, or hemoccult-positive stools, Lethargy.
immediately report the presence of bilious vomiting, and sausage like
mass on top of the stomach. Management: administer IV fluids and
antibiotics
●● Vomiting and diarrhea infant:
Answer: usually caused by virus, need to restore electrolytes,
●● Placental abruptio
Answer: n: s/s are painful, dark red bleeding, uterine tenderness,
decreased fetal movement, place woman on a left lateral position to
prevent pressure on vena cava, admin oxygen, look at vital signs for
hypovolemic shock, assess fundal height (higher increase bleeding)
●● Fetal rate tachycardia:
Answer: greater than 160 for 10 minutes or longer. -Caused by
decreased fetal oxygen supply, Turn client onto left side Discontinue
oxytocin (Pitocin) if infused. Administer O2 at 10 L by a tight facemask.
Bolus IV fluids Notify health care provide
●● Umbilical cord prolapse:
Answer: fetal hypoxia occurs, lay woman down, hold the presenting part
off the cord to relieve compression, knee to chest, admin oxygen and
prepare for c section
