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Registered Nurse (RN)
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HESI®
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HESI®-RN Comprehensive Review
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Normal Puerperium (Postpartum)

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HESI®-RN Comprehensive Review | Registered Nurse (RN) School Study Aid

Normal Puerperium (Postpartum)
15 Picmonics to Learn | 35 mins
Postpartum Nursing Assessment
BUBBLE - LE
Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy (Laceration)
Lower Extremities
Emotions
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3 mins
Postpartum Infection
Diagnosis
Fever > 100.4F After 24 Hours (38 C)
Risk Factors
Multiple Vaginal Examinations
Vaginal Trauma
Prolonged Rupture of Membranes
Cesarean Birth
Anemia of Pregnancy
Retained Placental Fragments
Poor Health Status
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3 mins
Postpartum Hemorrhage
Mechanism
Uterine Atony
Lacerations
Retained Placenta
Signs and Symptoms
Bleeding
Hypotension
Boggy Uterus
Considerations
Oxytocin
Bimanual Compression of Uterus
Surgery
Blood Transfusion
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2 mins
Postpartum Blues
Symptoms
Depressed Affect
Tearfulness
Fatigue
Resolves in 2 Weeks
Treatment
Supportive Care
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2 mins
Major Depressive Disorder with Peripartum Onset
Diagnostic Criteria
Sleep Problems
Interest Deficit
Guilt or Worthlessness
Energy Loss or Fatigue
Concentration Difficulty
Appetite Changes
Psychomotor Retardation or Agitation
Suicidal Ideation
5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
Onset No Later Than 1 Year After Delivery
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2 mins
Breastfeeding
Benefits
Complete Nutrition
Antibody Protection
Bonding
Convenient
SIDS Risk Reduced
Possible Enhanced Cognitive Development
Long-Term Health Benefits
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2 mins
Newborn Assessment
APGAR
Umbilical Cord
2 Arteries 1 Vein
Eye Prophylaxis
Fontanels
Vitamin K Injection (Phytonadione)
Gestational Age Assessment (GAA)
Measurements
Birth Weight
Head Circumference
Length
Considerations
Keep Warm
ID Bands
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3 mins
RhoGam [Rho(D) Immune Globulin]
Indications
Antepartum Prevention at 28 weeks
Suppress Antibody Production
Mechanism of Action
Lysis of Fetal RBC in Maternal Bloodstream
Side Effects
Myalgia and Lethargy
Considerations
Negative Coombs Test
Standard Dose 300 mcg
Microdose 50 mcg
Blood Product
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2 mins
Rubella
Mechanism
Rubella Virus
Signs and Symptoms
Swollen Glands
Cold-like Symptoms
Pinkish-red Maculopapular Rash
Low Grade Fever
Considerations
Rubella Titer
Avoid Contact with Pregnant Women
MMR Vaccination
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2 mins
Varicella Zoster Virus (VZV)
Herpesvirus 3
Characteristics
Enveloped
Double Stranded DNA
Signs and Symptoms
Chickenpox
Pneumonia
Encephalitis
Trigeminal and Dorsal Root Ganglia
Shingles
Diagnosis
Tzanck Test
Multinucleated Giant Cells
Cowdry A Inclusion
Treatment
Acyclovir
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2 mins
Toxoid Vaccines
Consist of Toxins Released From a Pathogen
May Require Boosters
Safe In Immunocompromised Patients
Corynebacterium Diphtheriae Vaccine
Tetanus Vaccine
Bordetella Pertussis Vaccine
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2 mins
Killed (Inactivated) Fractional Protein Vaccines
Subunit Vaccines
Subunit
Influenza (Intramuscular)
Bordetella Pertussis
Hepatitis B
Human Papillomavirus (HPV)
Bacillus anthracis (Anthrax)
Toxoid Vaccines
Toxoid
Corynebacterium diphtheriae (Diphtheria)
Clostridium tetani (Tetanus)
Considerations
DTaP and Tdap
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3 mins
Informed Consent
Key Elements
Names and Qualifications of People Involved
Explanation of the Procedure
Information on Harm that Can Result
Alternative Therapies
Right to Refuse
Nurses and Consent
Nurses May Witness Consent
Student Nurses Do Not Witness Consent
Emergency
Consent from Legally Authorized Person
Life Saving Procedure Without Consent
Special Considerations
Deaf, Illiterate, Speaks a Foreign Language
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4 mins
Contraception
Indications
Preventing Unplanned Pregnancy
Barrier Methods
Spermicides
Diaphragm
Cervical Cap
Contraceptive Sponge
Male Condom
Hormonal Method
Oral Contraceptive
Intrauterine Device (IUD)
Injectable Progestins
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2 mins
Infertility
No Conception After 1 Year
Interventions
Artificial Insemination
In Vitro Fertilization (IVF)
Drug Therapy
Clomiphene Citrate (Clomid)
Menotropins
GnRH Agonists
Considerations
Treat Underlying Disorders
Emotional Support
Multiple Gestations
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3 mins

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