OB/Peds Hesi V1 New Complete Exam Review Solution

OB/Peds Hesi V1 New Complete Exam Review Solution 1. vitamin K – first hour Newborns are at risk for bleeding related to low prothrombin levels due to inadequate amounts of vitamin K available for hepatic synthesis of prothrombin used in the clotting mechanism. The PN should administer or inject of vitamin K during the first hour after birth which is given to prevent bleeding. 2. breastfeeding-nipple care When assisting a new mother who is breastfeeding, the PN should reinforce techniques for proper positioning, ensuring the infant has a good latch onto the nipple and is feeding well. Cracked nipples can result from the infant’s improper tongue placement during feedings. The Pn should confirm the infant’s tongue placement and listen in swallowing. 3. early discharge- post partum Early discharge may be considered when the client’s hospital stay is long enough to identify common postpartum complications, such as uterine or vaginal bleeding, and to ensure that the mother is ready to care for herself and the baby at home. 4. preeclampsia-urinary output For a client with preeclampsia who had a CS delivery 24 hours ago urinary output of less than 30ml/hr is indicative of renal perfusion and should be reported to the change nurse immediately. 5. estimated date of birth The PN should use the first day of last normal menstrual period to calculate the length of pregnancy. 6. infant-obstructed airway 3 In preparing to administer chest thrusts to a choking infant, the PN should position the infant with the head downward to allow gravity to help expel the object. Five chest thrusts are then performed by placing the fingers in the middle of the breastbone just below the nipple line. 7. pregnancy-air travel Flexion and extension of the ankle promotes venous return and aid in the prevention of thrombophlebitis. 8. tonsillectomy Frequent swallowing after tonsillectomy is a sign of bleeding. The PN should perform the RN the VS and frequent swallowing. 9. acne treatment SE Isotretinoin, used in the treatment of severe acne, can cause feelings of depression and suicidal ideation, which one reversible if the treatment is stopped, so it is most important for the PN to assess for these feeling. 10. fundal massage Uterine contraction after delivery serves to clamp down on open uterine sinuses after placental separator fundal palpation and massage stimulate uttering contraction and prevent postpartum hemorrhage. 11. afterpains- meds...