HESI: OB, maternity
Study online at https://quizlet.com/_g1qaey
1. What position does the Pavlik harness put infants with developmental
dysplasia of the hip stay in?: The Pavlik harness keeps the infant in an abducted
position allowing the hips and knees flexed
2. When should jaundice in a newborn be concerning?: If jaundice is present
less than 24 hours of delivery, it may indicate excess bilirubin
3. What is the action of terbutaline sulfate (Brethine)?: Stop labor contractions
4. Primary side effects of terbutaline sulfate (Brethine)?: Tachycardia and ner-
vousness along with increased CO, restlessness, and headache
5. When does the anterior fontanel close?: 12-18 months
6. When does the posterior fontanel close?: End of second month
7. Why is erythromycin indicated 2 hours post-delivery of a newborn?: Prevent
opthalmia neonatorum which is an eye infection caused by gonorrhea and conjunc-
tivitis which is an infection caused by chlamydia
8. Antepartum pt is chewing ice instead of the food on her breakfast tray.
What should the nurse do?: Call HCP immediately. Practice of pica will displace
nutrients. Evaluate the pt for anemia
9. 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?: Placenta previa
10. Is bleeding a small amount of bright red blood life-threatening to the
fetus?: It is not at risk for hypovolemia or life-threatening.
11. What may sudden onset bleeding with present uterine contractions indi-
cate?: Abruptio placenta
12. When is child-birth class recommended?: 30 weeks
13. What should a primigravida who has present leg swelling d/t sitting 8 hrs
a day do to minimize the swelling?: Move around every hour
14. What is important to do for an amniotomy?: Monitor FHR before, during, and
after procedure. The fluid should also be assessed for color, odor, and consistency.
15. When is an amniotomy indicated?: (artificial rupture of membranes [AROM])
is used to stimulate labor when the condition of the cervix is favorable
16. How often should maternal blood pressure be done during an amnioto-
my?: Maternal BP should be assessed every 15 to 20 minutes during labor
17. Why is maternal temperature important to monitor after an amniotomy?-
: Maternal temperature is monitored hourly after the membranes are ruptured to
detect development of amnionitis.
18. Is it ok for a breastfeeding mother to drink alcohol?: No, alcohol is excreted
through breast milk.
19. Laboring client is doing accelerated blow breathing and states that she is
feeling tingling in her fingers and dizziness. What should the nurse do?: Have
1/8
, HESI: OB, maternity
Study online at https://quizlet.com/_g1qaey
the pt breathe into her cupped hands. She is hyperventilating and excreting too much
carbon dioxide.
20. When does ovulation occur?: 14 days before first day of menstrual period
21. What is the goal for labor augmentation (administration of Oxy-
tocin/pitocin): produce firm contractions that occur every 2 to 3 minutes, with a
duration of 60 to 70 seconds, and without evidence of fetal stress.
22. Is it normal for FHR to increase during contractions and return to base-
line?: 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
23. What should be done if fetal stress is present during labor?: -Place a wedge
on the pts left side
-Administer 10L oxygen nasal cannula
24. What is important to tell the HCP during the third trimester of pregnancy?-
: Signs of preeclampsia--heartburn not relieved by antacids and chronic headaches
behind the eye
25. Normal signs of the last trimester of pregnancy?: -Increase in fetal heart rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
26. Milia: White pinpoint spots found on the nose and chin that represent blockage
of sebaceous glands
27. Meconium: First stool that is tarry black
28. Is pseudostrabismus normal in a newborn?: Pseudostrabismus is normal
until about the 3rd or 4th month. It does not require surgery
29. A baby is born with an abnormal headshape. How long should it take for
it to possibly return to normal?: It will take 7-10 days for the head to return to a
round shape.
30. Cephalhematoma: Localized swelling that occurs from forcep trauma between
periosteum and skull
31. At what time after delivery is a cephalhematoma most likely?: Within the
first 24 hours of delivery
32. Molding: Occurs when there is too much pressure on the cranium during vaginal
delivery. It is common variation and will last about 5-7 days
33. Can a subarachoid or subdural hematoma be observed from a physical
assessment?: No, these types of hematomas will require further assessment
34. Signs of hypoglycemia in a newborn: -Shaking during moro reflex assess-
ment
-Hypothermia
-Lethargy
2/8
Study online at https://quizlet.com/_g1qaey
1. What position does the Pavlik harness put infants with developmental
dysplasia of the hip stay in?: The Pavlik harness keeps the infant in an abducted
position allowing the hips and knees flexed
2. When should jaundice in a newborn be concerning?: If jaundice is present
less than 24 hours of delivery, it may indicate excess bilirubin
3. What is the action of terbutaline sulfate (Brethine)?: Stop labor contractions
4. Primary side effects of terbutaline sulfate (Brethine)?: Tachycardia and ner-
vousness along with increased CO, restlessness, and headache
5. When does the anterior fontanel close?: 12-18 months
6. When does the posterior fontanel close?: End of second month
7. Why is erythromycin indicated 2 hours post-delivery of a newborn?: Prevent
opthalmia neonatorum which is an eye infection caused by gonorrhea and conjunc-
tivitis which is an infection caused by chlamydia
8. Antepartum pt is chewing ice instead of the food on her breakfast tray.
What should the nurse do?: Call HCP immediately. Practice of pica will displace
nutrients. Evaluate the pt for anemia
9. 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?: Placenta previa
10. Is bleeding a small amount of bright red blood life-threatening to the
fetus?: It is not at risk for hypovolemia or life-threatening.
11. What may sudden onset bleeding with present uterine contractions indi-
cate?: Abruptio placenta
12. When is child-birth class recommended?: 30 weeks
13. What should a primigravida who has present leg swelling d/t sitting 8 hrs
a day do to minimize the swelling?: Move around every hour
14. What is important to do for an amniotomy?: Monitor FHR before, during, and
after procedure. The fluid should also be assessed for color, odor, and consistency.
15. When is an amniotomy indicated?: (artificial rupture of membranes [AROM])
is used to stimulate labor when the condition of the cervix is favorable
16. How often should maternal blood pressure be done during an amnioto-
my?: Maternal BP should be assessed every 15 to 20 minutes during labor
17. Why is maternal temperature important to monitor after an amniotomy?-
: Maternal temperature is monitored hourly after the membranes are ruptured to
detect development of amnionitis.
18. Is it ok for a breastfeeding mother to drink alcohol?: No, alcohol is excreted
through breast milk.
19. Laboring client is doing accelerated blow breathing and states that she is
feeling tingling in her fingers and dizziness. What should the nurse do?: Have
1/8
, HESI: OB, maternity
Study online at https://quizlet.com/_g1qaey
the pt breathe into her cupped hands. She is hyperventilating and excreting too much
carbon dioxide.
20. When does ovulation occur?: 14 days before first day of menstrual period
21. What is the goal for labor augmentation (administration of Oxy-
tocin/pitocin): produce firm contractions that occur every 2 to 3 minutes, with a
duration of 60 to 70 seconds, and without evidence of fetal stress.
22. Is it normal for FHR to increase during contractions and return to base-
line?: 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
23. What should be done if fetal stress is present during labor?: -Place a wedge
on the pts left side
-Administer 10L oxygen nasal cannula
24. What is important to tell the HCP during the third trimester of pregnancy?-
: Signs of preeclampsia--heartburn not relieved by antacids and chronic headaches
behind the eye
25. Normal signs of the last trimester of pregnancy?: -Increase in fetal heart rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
26. Milia: White pinpoint spots found on the nose and chin that represent blockage
of sebaceous glands
27. Meconium: First stool that is tarry black
28. Is pseudostrabismus normal in a newborn?: Pseudostrabismus is normal
until about the 3rd or 4th month. It does not require surgery
29. A baby is born with an abnormal headshape. How long should it take for
it to possibly return to normal?: It will take 7-10 days for the head to return to a
round shape.
30. Cephalhematoma: Localized swelling that occurs from forcep trauma between
periosteum and skull
31. At what time after delivery is a cephalhematoma most likely?: Within the
first 24 hours of delivery
32. Molding: Occurs when there is too much pressure on the cranium during vaginal
delivery. It is common variation and will last about 5-7 days
33. Can a subarachoid or subdural hematoma be observed from a physical
assessment?: No, these types of hematomas will require further assessment
34. Signs of hypoglycemia in a newborn: -Shaking during moro reflex assess-
ment
-Hypothermia
-Lethargy
2/8
