Florida International University - NURSING FUNDAMENTA Maternity (Practice) HESI

Maternity Practice HESI

7 year old diabetes I

6 month old introducing solid foods – should be introduced one at a time, every 4 to 7 days to determine food allergies

Digoxin 3 month old with GHD, miss a dose – if missed in less than 4 hours, gibe dose, if elapsed more than 4 hours, hold and give dose at next scheduled time

36 weeks pregnant, Rh-, bright red vaginal bleeding, nursing intervention

rubella vaccine – instruction about use of a reliable method of birth control for 28 days after the rubella vaccine is given

6 years old, rheumatic fever, chorea

1 month old vomiting forcefully after each meal, is afebrile, dehydrated, and pyloric stenosis – olive shaped mass in the abdominal area that is evident at diaper change

18 weeks gestation, high AFP level – need for follow up evaluation with a sonogram to provide visual evidence of fetal age and presence of neural tube defects

left breast mastitis, instruction to do at home

magnesium sulfate, toxicity signs

continuous fetal monitoring, V shaped appearance

child with suspected bacterial meningitis, would have a recent history of unrelated bacterial upper respiratory, sinus, or ear infection - ear ache

HIV+, receiving AZT during labor

diaphragm size – after each birth the diaphragm should be evaluated for correct sizing and use an alternative form of contraception until verified

Type I, 35 weeks gestation, amniocentesis

Dilantin, newly diagnosed tonic – clonic epilepsy, seizure management – child should have routine serum levels monitored, as well as liver function

infant with barking cough, fever, runny nose – croup, mother should the baby in the bathroom steamed up with hot water from tub or shower

osteomyelitis foods to eat, 6 years old – high protein/high calories, milk shake is best choice

4 year old DMD symptoms – teach parents about these changes so they can prepare and help protect child from injuries

pelvic inflammatory disease (PID) - IV antibiotics

tonsillectomy, bleeding action – assess for bleeding with illumination to visualize oropharynx

Ceftriaxone