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