HESI MATERNITY OB EXAM 2024 EXPERT
CERTIFIED QUESTIONS AND ANSWERS
ALREADY GRADED A+ LATEST! LATEST!
At what wks gestation can the fetal heartbeat be heard? - ANSWERS-18-20 wks. This is also when the
mother can feel the fetus move.
How are contractions timed? - ANSWERS-From the beginning of one contraction to the beginning of
the next
What does pregnancy induced hypertension increase the risk for? - ANSWERS-This increases the risk
for placentae abruptio
What medication is often given after the delivery of a newborn? - ANSWERS-IV oxytocin (pitocin) to
allow uterine contractions and deliver the placenta
What is the most common cause of postpartal hemorrhage? - ANSWERS-Uterine atony--control the
bleeding by staying tightly contracted.
Uterine atony often happens to multiparas
Nurse assesses a patient in labor with a prolapsed umbilical cord. What position should the patient
be in? - ANSWERS-Knee-chest position or slight trendelenburg position to relieve pressure of the
presenting part away from the cord
A patient in labor has FHR of 90 bpm. What intervention must the nurse do next? - ANSWERS-
Placental insufficiency and late decelerations indicate that the nurse place the patient on her left
side and administer oxygen
Fetal presentation is at +1. What does this mean? - ANSWERS-1 cm below ischial spine
, What will the mother feel when the fetus is in occiput posterior position? - ANSWERS-Severe back
pain--the largest part of the fetal head is at the back, increasing pressure on the maternal sacral
nerves and causing backpain
What will be felt if the fetus is in breech presentation? - ANSWERS-Hard round mass palpated in the
patient's upper adbomen or fetal heart sounds heard in the patients upper right abdomen
What type of pelvis is most favorable for labor and birth? - ANSWERS-Gynecoid pelvis--a normal
female pelvis and is the most favorable for successful labor and delivery
What type of pelvis is the male pelvis? - ANSWERS-Android pelvis
What type of pelvis is oval shaped with a narrow pubic arch? - ANSWERS-Anthropoid pelvis
What type of pelvis is a wide pelvis with a short diameter - ANSWERS-Platypelloid pelvis
What cm is active labor usually? - ANSWERS-4-7 cm
What change in FHR would be suspected to have umbilical cord compression? - ANSWERS-Variable
deceleration--insufficient blood flow to the fetal system. Reposition to her side to help relieve the
compression
What is important post-discharge of a newborn? - ANSWERS-Call the HCP if the baby does not void
within 24 hours--may be a fluid intake, hydration status, body temp, or renal problem.
What hormone stimulates prolactin production so that breast-feeding may begin? - ANSWERS-A
decrease in progesterone
After delivery of the placenta, high levels of progesterone are lost.
Within the first 12 hours postpartum, the fundus is usually where in relation to the umbilicus? -
ANSWERS-Approximately 1 cm above the umbilicus.
CERTIFIED QUESTIONS AND ANSWERS
ALREADY GRADED A+ LATEST! LATEST!
At what wks gestation can the fetal heartbeat be heard? - ANSWERS-18-20 wks. This is also when the
mother can feel the fetus move.
How are contractions timed? - ANSWERS-From the beginning of one contraction to the beginning of
the next
What does pregnancy induced hypertension increase the risk for? - ANSWERS-This increases the risk
for placentae abruptio
What medication is often given after the delivery of a newborn? - ANSWERS-IV oxytocin (pitocin) to
allow uterine contractions and deliver the placenta
What is the most common cause of postpartal hemorrhage? - ANSWERS-Uterine atony--control the
bleeding by staying tightly contracted.
Uterine atony often happens to multiparas
Nurse assesses a patient in labor with a prolapsed umbilical cord. What position should the patient
be in? - ANSWERS-Knee-chest position or slight trendelenburg position to relieve pressure of the
presenting part away from the cord
A patient in labor has FHR of 90 bpm. What intervention must the nurse do next? - ANSWERS-
Placental insufficiency and late decelerations indicate that the nurse place the patient on her left
side and administer oxygen
Fetal presentation is at +1. What does this mean? - ANSWERS-1 cm below ischial spine
, What will the mother feel when the fetus is in occiput posterior position? - ANSWERS-Severe back
pain--the largest part of the fetal head is at the back, increasing pressure on the maternal sacral
nerves and causing backpain
What will be felt if the fetus is in breech presentation? - ANSWERS-Hard round mass palpated in the
patient's upper adbomen or fetal heart sounds heard in the patients upper right abdomen
What type of pelvis is most favorable for labor and birth? - ANSWERS-Gynecoid pelvis--a normal
female pelvis and is the most favorable for successful labor and delivery
What type of pelvis is the male pelvis? - ANSWERS-Android pelvis
What type of pelvis is oval shaped with a narrow pubic arch? - ANSWERS-Anthropoid pelvis
What type of pelvis is a wide pelvis with a short diameter - ANSWERS-Platypelloid pelvis
What cm is active labor usually? - ANSWERS-4-7 cm
What change in FHR would be suspected to have umbilical cord compression? - ANSWERS-Variable
deceleration--insufficient blood flow to the fetal system. Reposition to her side to help relieve the
compression
What is important post-discharge of a newborn? - ANSWERS-Call the HCP if the baby does not void
within 24 hours--may be a fluid intake, hydration status, body temp, or renal problem.
What hormone stimulates prolactin production so that breast-feeding may begin? - ANSWERS-A
decrease in progesterone
After delivery of the placenta, high levels of progesterone are lost.
Within the first 12 hours postpartum, the fundus is usually where in relation to the umbilicus? -
ANSWERS-Approximately 1 cm above the umbilicus.
