HESI MATERNAL NEWBORN PROCTORED EXAM
(STUDY GUIDE) 2021/2022
1. Good source of folic acid – peanuts
2. Mom getting hypotensive on spine board after car wreck – roll her on her side on spine board
3. Mom goes to bathroom with contractions 5 min apart, you hear baby cry – hit call light for help
4. Iron (SATA) – dark stool normal, give at bedtime
5. Man calls clinic says his wife has been sad, happy, moody – tell him normal hormonal changes
6. Mag question – stop infusion due to mag tox
7. One question her contractions get really close and she is dilated, stop Pitocin, then contractions get 5 min apart –
restart Pitocin per agency policy
8. Bright red trickling blood – lacerated cervix
9. Teach adolescent pregnant girls – proper nutritional needs
10. 42 wk ballard score – check blood sugar
11. Breast feeding woman asks about birth control – breast feed only every 2-3 hrs
12. Rubella vaccine – use birth control for 28 days
13. Baby as white curd patches in his mouth – discuss medicine with mother (candidiasis infection)
14. Mom has baby – she reaches out and traces profile with fingertips
15. HIV positive mom gives birth and is worried about passing it to baby – explain to mom AZT for baby after birth
16. Baby has to have COOMBS test, mom doesn’t want rhogam but will keep her from building up antibodies for future
babies
17. HSV 2, baby born, vaginal delivery – isolate in nursery
18. Hormone for positive pregnancy test – human chorionic gonadotropin (HCG)
19. Swollen vagina is normal in female infant
20. Moro reflex is normal in infant
21. 800 ml output in an hour with mag question – just continue whatever you are doing
22. Woman has baby in a cab – start pitocin, massage fundus
23. Woman comes in with pain in her stomach – you start an IV, not type and cross blood
24. Put eye ointment in conjunctival sac of newborn (erythromycin) as prophylactic eye ointment for prevention of eye
infections contracted from bacteria in birth canal
25. Had kid now complains of vaginal pain fullness – check vaginal/perineal area
26. Swollen vagina question is long and talks about salt wasting – normal finding explain about androgens
27. -1 placement of baby active labor 3 cm dilated, has to go to bathroom – check the patient’s cervix
28. Baby born to diabetic mother – check baby’s blood sugar
29. PKU baby – 25% any babies will have it too
30. Baby with clavicle problem – will have intracurvature
31. One question about a woman who drinks and has cut down – give her an “atta boy” and encourage her to reduce the
amount even more
32. Woman getting radiation iodine – hold off on test to confirm if pregnant or not
33. Some type of fertility drugs – you need to report sudden increase in abdominal girth
34. Breast feeding baby and sore nipples – start feeding on the unaffected breast
35. Breast feeding mother has a diaphragm – use condom and foam until diaphragm can be refitted
36. Baby born to mother who has a positive drug screen for something – monitor baby for seizures
37. Baby has an apgar score of 3 – continue resuscitation
38. Baby is jaundice and brought back to hospital after 7 to 10 days – provide eye protection and placed under light or
phototherapy
39. Pregnant woman with low Hct Hgb levels – this is normal because of increase in plasma levels
40. Woman in labor lying in supine position states she is finally comfortable – place a wedge under her right hip
41. Preparing a woman for triple screen or something test – you need to prepare to draw blood lab work
42. Woman comes in stating her water broke – test with nitrate paper and if it turns blue then prepare to admit
43. Woman is having an amniocentesis test – nurse should check for signs of labor once it is complete
44. A newborn weighs 7.5 lbs at birth and weighs 7 lbs 24 hrs later – this is normal weight loss
This study source was downloaded by 100000839976293 from CourseHero.com on 01-26-2022 06:57:35 GMT -06:00
https://www.coursehero.com/file/24089440/2016-OB-HESI-Guidedocx/
, 45. Something about woman 12 weeks prenatal visit. What is important to discuss at this time? It is a cultural question
answer is something about – birthing plans or techniques
46. Baby weighs over 9 lbs – assess for fracture of clavicle
47. Patient with non-reassuring pattern – stop Pitocin infusion
48. Baby 28 weeks – hemodilution – anemia (hemodilution of pregnancy peaks at 28 weeks results in decreased Hct)
49. Parents in transition stage – maintain relationship with extended family
50. Which block deadens vagina and perineum – pudendal block
51. Woman comes in vomiting with low BP – give antiemetic
52. There are two questions on apneic baby – rub baby’s trunk & flick soles of feet
53. Neonate is apneic for 20 seconds – rub baby’s trunk
54. Teaching pregnant teenagers about pregnancy – iron deficiency anemia
55. A woman is 5 hrs postpartum with fundus 3 cm above the umbilicus and to the left – encourage her to void/urinate
56. Woman is certain number of weeks, which method is best to determine fetal position - ultrasound
57. Baby born to mother that tested positive for cocaine – nursing priority is seizure precautions
58. Neonate respiratory distress – nasal flaring
59. Mother has a firm fundus but continues to have bright red blood trickling from vagina, what is possible indication –
lacerated cervix
60. During fundal massage, place one hand at the fundus, what is the second hand used for – to anchor fundus
61. There is a question that has to be put in order – isolate the baby, move mom to private room, collect u/a, start iv
62. How do you measure the frequency of contractions – from the beginning of one to the beginning of the next
63. Mothers Hemoglobin A1C – give her a consultation to a nutritionist
64. Baby shows cyanosis in hands and feet and has elevated respirations – gradually warm the baby
65. Baby is showing signs of mottling – check temperature
66. Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out of the data of mom – increased
weight gain
67. Mom asks why her baby is being screened for T4 and TSH levels – it is state protocol to monitor for metabolic
abnormalities
68. Patient is having labor back pain – counter pressure on lower back (sacrum)
69. Woman had cleft lip, dads uncle had cleft lip – send them for genetic testing
70. Woman in labor and they look at vagina and see cord – put woman in Trendelenburg position
71. Pregnant woman has a diaphragm – she needs to have it refitted for another diaphragm
72. Baby starts showing signs of respiratory difficulty (nasal flaring, expiratory grunt, cyanosis) – check O2 saturation
levels
73. Baby progressing in extrauterine life would show what signs – good vigorous cry with stimulation
74. Baby has peri-oral cyanosis – assess the oral mucosa
75. Before surgery mom is given an anticholinergic/atropine with anesthesia. What is the therapeutic response of the
anticholinergic – increase pulse and decrease oral secretions
76. Question about cytotec – answer is you are at an increased risk for abortion
77. Patients uterus is above the umbilicus and to the right during postpartum, what do you do first – palpate the bladder
for distention
78. Mom feels the urge to defecate during labor – do a vagina exam
79. What is the reason to do an ultrasound on a mother at 20 weeks gestation – ultrasound for gestation and fetal growth
80. Patient is taking mag sulfate and urine output is 25 mL/hr, respirations 14/min, pulse is 116/min, what should the
nurse do first – discontinue mag sulfate (signs of mag tox)
81. Postpartum with bathroom privileges, what possible condition would the nurse place the patient on temporary bed
rest for – possible thrombus in the leg if positive Homan’s sign is present
82. Pregnant woman has an increased costal angle and diaphragm is elevated , how does the nurse document this – as a
normal finding
83. Moms Hgb and Hct is low, what food to tell her to eat that contains the most iron? – chicken (other sources: liver,
meats, whole grains, enriched bread, cereal, dried fruits)
84. Mom wakes up in a pool of blood and comes to emergency room. What to check first – blood pressure
85. Nurse anticipates that the prenatal lab will be performed at 28 weeks – 1 hr glucose (140 between 24-28 weeks)
86. What medication to give mom to prevent RDS in fetus – betamethasone
87. Pt is induced for labor contractions begin occurring 1 ½ to 2 min apart with no resting in between contractions,
what to do first – stop pitocin infusion
This study source was downloaded by 100000839976293 from CourseHero.com on 01-26-2022 06:57:35 GMT -06:00
https://www.coursehero.com/file/24089440/2016-OB-HESI-Guidedocx/
(STUDY GUIDE) 2021/2022
1. Good source of folic acid – peanuts
2. Mom getting hypotensive on spine board after car wreck – roll her on her side on spine board
3. Mom goes to bathroom with contractions 5 min apart, you hear baby cry – hit call light for help
4. Iron (SATA) – dark stool normal, give at bedtime
5. Man calls clinic says his wife has been sad, happy, moody – tell him normal hormonal changes
6. Mag question – stop infusion due to mag tox
7. One question her contractions get really close and she is dilated, stop Pitocin, then contractions get 5 min apart –
restart Pitocin per agency policy
8. Bright red trickling blood – lacerated cervix
9. Teach adolescent pregnant girls – proper nutritional needs
10. 42 wk ballard score – check blood sugar
11. Breast feeding woman asks about birth control – breast feed only every 2-3 hrs
12. Rubella vaccine – use birth control for 28 days
13. Baby as white curd patches in his mouth – discuss medicine with mother (candidiasis infection)
14. Mom has baby – she reaches out and traces profile with fingertips
15. HIV positive mom gives birth and is worried about passing it to baby – explain to mom AZT for baby after birth
16. Baby has to have COOMBS test, mom doesn’t want rhogam but will keep her from building up antibodies for future
babies
17. HSV 2, baby born, vaginal delivery – isolate in nursery
18. Hormone for positive pregnancy test – human chorionic gonadotropin (HCG)
19. Swollen vagina is normal in female infant
20. Moro reflex is normal in infant
21. 800 ml output in an hour with mag question – just continue whatever you are doing
22. Woman has baby in a cab – start pitocin, massage fundus
23. Woman comes in with pain in her stomach – you start an IV, not type and cross blood
24. Put eye ointment in conjunctival sac of newborn (erythromycin) as prophylactic eye ointment for prevention of eye
infections contracted from bacteria in birth canal
25. Had kid now complains of vaginal pain fullness – check vaginal/perineal area
26. Swollen vagina question is long and talks about salt wasting – normal finding explain about androgens
27. -1 placement of baby active labor 3 cm dilated, has to go to bathroom – check the patient’s cervix
28. Baby born to diabetic mother – check baby’s blood sugar
29. PKU baby – 25% any babies will have it too
30. Baby with clavicle problem – will have intracurvature
31. One question about a woman who drinks and has cut down – give her an “atta boy” and encourage her to reduce the
amount even more
32. Woman getting radiation iodine – hold off on test to confirm if pregnant or not
33. Some type of fertility drugs – you need to report sudden increase in abdominal girth
34. Breast feeding baby and sore nipples – start feeding on the unaffected breast
35. Breast feeding mother has a diaphragm – use condom and foam until diaphragm can be refitted
36. Baby born to mother who has a positive drug screen for something – monitor baby for seizures
37. Baby has an apgar score of 3 – continue resuscitation
38. Baby is jaundice and brought back to hospital after 7 to 10 days – provide eye protection and placed under light or
phototherapy
39. Pregnant woman with low Hct Hgb levels – this is normal because of increase in plasma levels
40. Woman in labor lying in supine position states she is finally comfortable – place a wedge under her right hip
41. Preparing a woman for triple screen or something test – you need to prepare to draw blood lab work
42. Woman comes in stating her water broke – test with nitrate paper and if it turns blue then prepare to admit
43. Woman is having an amniocentesis test – nurse should check for signs of labor once it is complete
44. A newborn weighs 7.5 lbs at birth and weighs 7 lbs 24 hrs later – this is normal weight loss
This study source was downloaded by 100000839976293 from CourseHero.com on 01-26-2022 06:57:35 GMT -06:00
https://www.coursehero.com/file/24089440/2016-OB-HESI-Guidedocx/
, 45. Something about woman 12 weeks prenatal visit. What is important to discuss at this time? It is a cultural question
answer is something about – birthing plans or techniques
46. Baby weighs over 9 lbs – assess for fracture of clavicle
47. Patient with non-reassuring pattern – stop Pitocin infusion
48. Baby 28 weeks – hemodilution – anemia (hemodilution of pregnancy peaks at 28 weeks results in decreased Hct)
49. Parents in transition stage – maintain relationship with extended family
50. Which block deadens vagina and perineum – pudendal block
51. Woman comes in vomiting with low BP – give antiemetic
52. There are two questions on apneic baby – rub baby’s trunk & flick soles of feet
53. Neonate is apneic for 20 seconds – rub baby’s trunk
54. Teaching pregnant teenagers about pregnancy – iron deficiency anemia
55. A woman is 5 hrs postpartum with fundus 3 cm above the umbilicus and to the left – encourage her to void/urinate
56. Woman is certain number of weeks, which method is best to determine fetal position - ultrasound
57. Baby born to mother that tested positive for cocaine – nursing priority is seizure precautions
58. Neonate respiratory distress – nasal flaring
59. Mother has a firm fundus but continues to have bright red blood trickling from vagina, what is possible indication –
lacerated cervix
60. During fundal massage, place one hand at the fundus, what is the second hand used for – to anchor fundus
61. There is a question that has to be put in order – isolate the baby, move mom to private room, collect u/a, start iv
62. How do you measure the frequency of contractions – from the beginning of one to the beginning of the next
63. Mothers Hemoglobin A1C – give her a consultation to a nutritionist
64. Baby shows cyanosis in hands and feet and has elevated respirations – gradually warm the baby
65. Baby is showing signs of mottling – check temperature
66. Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out of the data of mom – increased
weight gain
67. Mom asks why her baby is being screened for T4 and TSH levels – it is state protocol to monitor for metabolic
abnormalities
68. Patient is having labor back pain – counter pressure on lower back (sacrum)
69. Woman had cleft lip, dads uncle had cleft lip – send them for genetic testing
70. Woman in labor and they look at vagina and see cord – put woman in Trendelenburg position
71. Pregnant woman has a diaphragm – she needs to have it refitted for another diaphragm
72. Baby starts showing signs of respiratory difficulty (nasal flaring, expiratory grunt, cyanosis) – check O2 saturation
levels
73. Baby progressing in extrauterine life would show what signs – good vigorous cry with stimulation
74. Baby has peri-oral cyanosis – assess the oral mucosa
75. Before surgery mom is given an anticholinergic/atropine with anesthesia. What is the therapeutic response of the
anticholinergic – increase pulse and decrease oral secretions
76. Question about cytotec – answer is you are at an increased risk for abortion
77. Patients uterus is above the umbilicus and to the right during postpartum, what do you do first – palpate the bladder
for distention
78. Mom feels the urge to defecate during labor – do a vagina exam
79. What is the reason to do an ultrasound on a mother at 20 weeks gestation – ultrasound for gestation and fetal growth
80. Patient is taking mag sulfate and urine output is 25 mL/hr, respirations 14/min, pulse is 116/min, what should the
nurse do first – discontinue mag sulfate (signs of mag tox)
81. Postpartum with bathroom privileges, what possible condition would the nurse place the patient on temporary bed
rest for – possible thrombus in the leg if positive Homan’s sign is present
82. Pregnant woman has an increased costal angle and diaphragm is elevated , how does the nurse document this – as a
normal finding
83. Moms Hgb and Hct is low, what food to tell her to eat that contains the most iron? – chicken (other sources: liver,
meats, whole grains, enriched bread, cereal, dried fruits)
84. Mom wakes up in a pool of blood and comes to emergency room. What to check first – blood pressure
85. Nurse anticipates that the prenatal lab will be performed at 28 weeks – 1 hr glucose (140 between 24-28 weeks)
86. What medication to give mom to prevent RDS in fetus – betamethasone
87. Pt is induced for labor contractions begin occurring 1 ½ to 2 min apart with no resting in between contractions,
what to do first – stop pitocin infusion
This study source was downloaded by 100000839976293 from CourseHero.com on 01-26-2022 06:57:35 GMT -06:00
https://www.coursehero.com/file/24089440/2016-OB-HESI-Guidedocx/
