OB MATERNITY HESI EXAM 2024
What position does the Pavlik harness put infants with developmental dysplasia of
the hip stay in? - ANSWER The Pavlik harness keeps the infant in an abducted
position allowing the hips and knees flexed
When should jaundice in a newborn be concerning? - ANSWER If jaundice is
present less than 24 hours of delivery, it may indicate excess bilirubin
What is the action of terbutaline sulfate (Brethine)? - ANSWER Stop labor
contractions
Primary side effects of terbutaline sulfate (Brethine)? - ANSWER Tachycardia and
nervousness along with increased CO, restlessness, and headache
When does the anterior fontanel close? - ANSWER 12-18 months
When does the posterior fontanel close? - ANSWER End of second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? - ANSWER
Prevent opthalmia neonatorum which is an eye infection caused by gonorrhea and
conjunctivitis which is an infection caused by chlamydia
Antepartum pt is chewing ice instead of the food on her breakfast tray. What should
the nurse do? - ANSWER Call HCP immediately. Practice of pica will displace
nutrients. Evaluate the pt for anemia
28 wk gestation pt calls the antepartal clinic about bleeding a small amount of bright
red blood with no uterine contractions, but is not bleeding anymore. What may this
possibly be? - ANSWER Placenta previa
Is bleeding a small amount of bright red blood life-threatening to the fetus? -
ANSWER It is not at risk for hypovolemia or life-threatening.
What may sudden onset bleeding with present uterine contractions indicate? -
ANSWER Abruptio placenta
When is child-birth class recommended? - ANSWER 30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs a day do to
minimize the swelling? - ANSWER Move around every hour
What is important to do for an amniotomy? - ANSWER Monitor FHR before, during,
and after procedure. The fluid should also be assessed for color, odor, and
consistency.
When is an amniotomy indicated? - ANSWER (artificial rupture of membranes
[AROM]) is used to stimulate labor when the condition of the cervix is favorable
, How often should maternal blood pressure be done during an amniotomy? -
ANSWER Maternal BP should be assessed every 15 to 20 minutes during labor
Why is maternal temperature important to monitor after an amniotomy? - ANSWER
Maternal temperature is monitored hourly after the membranes are ruptured to
detect development of amnionitis.
Is it ok for a breastfeeding mother to drink alcohol? - ANSWER No, alcohol is
excreted through breast milk.
Laboring client is doing accelerated blow breathing and states that she is feeling
tingling in her fingers and dizziness. What should the nurse do? - ANSWER Have
the pt breathe into her cupped hands. She is hyperventilating and excreting too
much carbon dioxide.
When does ovulation occur? - ANSWER 14 days before first day of menstrual period
What is the goal for labor augmentation (administration of Oxytocin/pitocin) -
ANSWER produce firm contractions that occur every 2 to 3 minutes, with a duration
of 60 to 70 seconds, and without evidence of fetal stress.
Is it normal for FHR to increase during contractions and return to baseline? -
ANSWER Yes it is normal for FHR to increase, but this is indicative to increase the
pitocin infusion to stimulate the intensity and frequency of the contractions
What should be done if fetal stress is present during labor? - ANSWER -Place a
wedge on the pts left side
-Administer 10L oxygen nasal cannula
What is important to tell the HCP during the third trimester of pregnancy? - ANSWER
Signs of preeclampsia--heartburn not relieved by antacids and chronic headaches
behind the eye
Normal signs of the last trimester of pregnancy? - ANSWER -Increase in fetal heart
rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
Milia - ANSWER White pinpoint spots found on the nose and chin that represent
blockage of sebaceous glands
Meconium - ANSWER First stool that is tarry black
Is pseudostrabismus normal in a newborn? - ANSWER Pseudostrabismus is normal
until about the 3rd or 4th month. It does not require surgery
A baby is born with an abnormal headshape. How long should it take for it to
possibly return to normal? - ANSWER It will take 7-10 days for the head to return to
a round shape.
What position does the Pavlik harness put infants with developmental dysplasia of
the hip stay in? - ANSWER The Pavlik harness keeps the infant in an abducted
position allowing the hips and knees flexed
When should jaundice in a newborn be concerning? - ANSWER If jaundice is
present less than 24 hours of delivery, it may indicate excess bilirubin
What is the action of terbutaline sulfate (Brethine)? - ANSWER Stop labor
contractions
Primary side effects of terbutaline sulfate (Brethine)? - ANSWER Tachycardia and
nervousness along with increased CO, restlessness, and headache
When does the anterior fontanel close? - ANSWER 12-18 months
When does the posterior fontanel close? - ANSWER End of second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? - ANSWER
Prevent opthalmia neonatorum which is an eye infection caused by gonorrhea and
conjunctivitis which is an infection caused by chlamydia
Antepartum pt is chewing ice instead of the food on her breakfast tray. What should
the nurse do? - ANSWER Call HCP immediately. Practice of pica will displace
nutrients. Evaluate the pt for anemia
28 wk gestation pt calls the antepartal clinic about bleeding a small amount of bright
red blood with no uterine contractions, but is not bleeding anymore. What may this
possibly be? - ANSWER Placenta previa
Is bleeding a small amount of bright red blood life-threatening to the fetus? -
ANSWER It is not at risk for hypovolemia or life-threatening.
What may sudden onset bleeding with present uterine contractions indicate? -
ANSWER Abruptio placenta
When is child-birth class recommended? - ANSWER 30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs a day do to
minimize the swelling? - ANSWER Move around every hour
What is important to do for an amniotomy? - ANSWER Monitor FHR before, during,
and after procedure. The fluid should also be assessed for color, odor, and
consistency.
When is an amniotomy indicated? - ANSWER (artificial rupture of membranes
[AROM]) is used to stimulate labor when the condition of the cervix is favorable
, How often should maternal blood pressure be done during an amniotomy? -
ANSWER Maternal BP should be assessed every 15 to 20 minutes during labor
Why is maternal temperature important to monitor after an amniotomy? - ANSWER
Maternal temperature is monitored hourly after the membranes are ruptured to
detect development of amnionitis.
Is it ok for a breastfeeding mother to drink alcohol? - ANSWER No, alcohol is
excreted through breast milk.
Laboring client is doing accelerated blow breathing and states that she is feeling
tingling in her fingers and dizziness. What should the nurse do? - ANSWER Have
the pt breathe into her cupped hands. She is hyperventilating and excreting too
much carbon dioxide.
When does ovulation occur? - ANSWER 14 days before first day of menstrual period
What is the goal for labor augmentation (administration of Oxytocin/pitocin) -
ANSWER produce firm contractions that occur every 2 to 3 minutes, with a duration
of 60 to 70 seconds, and without evidence of fetal stress.
Is it normal for FHR to increase during contractions and return to baseline? -
ANSWER Yes it is normal for FHR to increase, but this is indicative to increase the
pitocin infusion to stimulate the intensity and frequency of the contractions
What should be done if fetal stress is present during labor? - ANSWER -Place a
wedge on the pts left side
-Administer 10L oxygen nasal cannula
What is important to tell the HCP during the third trimester of pregnancy? - ANSWER
Signs of preeclampsia--heartburn not relieved by antacids and chronic headaches
behind the eye
Normal signs of the last trimester of pregnancy? - ANSWER -Increase in fetal heart
rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
Milia - ANSWER White pinpoint spots found on the nose and chin that represent
blockage of sebaceous glands
Meconium - ANSWER First stool that is tarry black
Is pseudostrabismus normal in a newborn? - ANSWER Pseudostrabismus is normal
until about the 3rd or 4th month. It does not require surgery
A baby is born with an abnormal headshape. How long should it take for it to
possibly return to normal? - ANSWER It will take 7-10 days for the head to return to
a round shape.
