OB HESI ULTIMATE QUESTION PACK
EXAM GRADED A+ QUESTIONS AND
CORRECT ANSWERS 100% VERIFIED
Before surgery mom is given an anticholinergic/atropine with anesthesia. What
is the therapeutic response of the anticholinergic
increase pulse and decrease oral secretions
Question about cytotec
answer is you are at an increased risk for abortion
Patients uterus is above the umbilicus and to the right during postpartum,
what do you do first
palpate the bladder for distention
Mom feels the urge to defecate during labor
do a vagina exam
What is the reason to do an ultrasound on a mother at 20 weeks gestation
- ultrasound for gestation and fetal growth
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)
The finding indicate potential toxicity to magnesium sulfate and close follow up is
indicated.
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
Pregnant woman has an increased costal angle and diaphragm is elevated ,
how does the nurse document this
,as a normal finding
A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6
mg/dl and a hematocrit of 25.1%. What food should the nurse encourage this
client to include in her diet?
Chicken.
Mom wakes up in a pool of blood and comes to emergency room. What to
check first
blood pressure
The nurse is providing anticipatory guidance for an African-American client
who is at 24-weeks gestation. Which prenatal lab assessment, prescribed at
28-weeks, should the nurse include?
1 hr glucose
What medication to give mom to prevent RDS in fetus
betamethasone
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
Mom has been on mag sulfate and is now postpartum, what is she at increased
risk for
uterine atony (hemorrhage)
Mom is prescribed Hemabate
give antiemetic before hemabate due to s/e (also cause diarrhea so give
antidiarrheal)
Functions of placenta in early pregnancy
estrogen and progesterone production
What does nurse do prior to administering RhoGAM injection
get second nurse to confirm med and patient
Mom is having third baby at home, her two previous babies were rH negative,
does she have to come get a direct coombs test done on baby
yes
During the postpartum period, a client tells a nurse that she has been having
leg cramps. Which foods should the nurse encourage the client to eat?
A) Liver and raisins
,B) Cheese and broccoli
C) Eggs and lean meats
D) Whole-wheat bread and cereals
B) cheese and broccoli
- need calcium for stopping leg cramps
A client arrives at the clinic in preterm labor, and terbutaline (Brethine) is
prescribed. For what therapeutic effect should the nurse monitor the client?
A) increased blood pressure and pulse
B) Reduction of pain in the perineal area
C) Gradual cervical dilation as labor progresses
D) Decreased frequency and duration of contractions
D) Decreased frequency and duration of contractions
Terbutaline sulfate (Brethine) is a β-mimetic that acts on the smooth muscles of the
uterus to reduce contractility, which in turn inhibits dilation and the frequency and
duration of contractions. Although terbutaline may increase blood pressure and
pulse, this is a side, not a therapeutic, effect requiring frequent assessments.
Terbutaline is not an analgesic. It should stop cervical dilation rather than increase it.
A pregnant client with severe preeclampsia is receiving IV magnesium sulfate.
What should the nurse keep at the bedside to prepare for the possibility of
magnesium sulfate toxicity?
A) Oxygen
B) Naloxone
C) Calcium gluconate
D) Suction equipment
C) Calcium gluconate
The antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffective if
the action of magnesium is not reversed. Naloxone is unnecessary; it is an opioid
antagonist. Suction equipment may be necessary if the client has excessive
secretions after a seizure. The priority intervention is trying to prevent a seizure.
, Question: greenish amniotic fluid indicates
Meconium in amniotic fluid and MD should be notified immediately
Question: Pt on magnesium sulfide, what baseline assessment is needed?
Respiration rate
(LOC is also affected but do not need a baseline)
Question about hydatidiform mole
Causes extra large uterus
(Hydatidiform mole is the common type of disease arising from gestational
trophoblastic disease. Tons of nonviable masses of cells divide and cause uterine
enlargement)
Question: Lepolds maneuver on a patient with placental previa expects
High floating, presenting part
(Possibly related to placenta blocking birth canal & cervical os)
A client's membranes rupture during labor. The nurse immediately assesses
the electronic fetal heart rate. Variable decelerations lasting more than 90
seconds, followed by bradycardia, are observed on the monitoring strip. What
does the nurse suspect is the cause of this change?
A) Fetal acidosis
B) Prolapsed cord
C) Head compression
D) Uteroplacental insufficiency
B) Prolapsed cord
This variable pattern with bradycardia is an ominous sign; it is indicative of cord
compression, which can result in fetal hypoxia. Immediate intervention is required.
Fetal acidosis occurs with uteroplacental insufficiency, not in response to a
prolapsed cord. Early decelerations are associated with head compression and are
benign. Late decelerations and tachycardia are associated with uteroplacental
insufficiency, not a prolapsed cord.
Question: heartburn while pregnant
EXAM GRADED A+ QUESTIONS AND
CORRECT ANSWERS 100% VERIFIED
Before surgery mom is given an anticholinergic/atropine with anesthesia. What
is the therapeutic response of the anticholinergic
increase pulse and decrease oral secretions
Question about cytotec
answer is you are at an increased risk for abortion
Patients uterus is above the umbilicus and to the right during postpartum,
what do you do first
palpate the bladder for distention
Mom feels the urge to defecate during labor
do a vagina exam
What is the reason to do an ultrasound on a mother at 20 weeks gestation
- ultrasound for gestation and fetal growth
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)
The finding indicate potential toxicity to magnesium sulfate and close follow up is
indicated.
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
Pregnant woman has an increased costal angle and diaphragm is elevated ,
how does the nurse document this
,as a normal finding
A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6
mg/dl and a hematocrit of 25.1%. What food should the nurse encourage this
client to include in her diet?
Chicken.
Mom wakes up in a pool of blood and comes to emergency room. What to
check first
blood pressure
The nurse is providing anticipatory guidance for an African-American client
who is at 24-weeks gestation. Which prenatal lab assessment, prescribed at
28-weeks, should the nurse include?
1 hr glucose
What medication to give mom to prevent RDS in fetus
betamethasone
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
Mom has been on mag sulfate and is now postpartum, what is she at increased
risk for
uterine atony (hemorrhage)
Mom is prescribed Hemabate
give antiemetic before hemabate due to s/e (also cause diarrhea so give
antidiarrheal)
Functions of placenta in early pregnancy
estrogen and progesterone production
What does nurse do prior to administering RhoGAM injection
get second nurse to confirm med and patient
Mom is having third baby at home, her two previous babies were rH negative,
does she have to come get a direct coombs test done on baby
yes
During the postpartum period, a client tells a nurse that she has been having
leg cramps. Which foods should the nurse encourage the client to eat?
A) Liver and raisins
,B) Cheese and broccoli
C) Eggs and lean meats
D) Whole-wheat bread and cereals
B) cheese and broccoli
- need calcium for stopping leg cramps
A client arrives at the clinic in preterm labor, and terbutaline (Brethine) is
prescribed. For what therapeutic effect should the nurse monitor the client?
A) increased blood pressure and pulse
B) Reduction of pain in the perineal area
C) Gradual cervical dilation as labor progresses
D) Decreased frequency and duration of contractions
D) Decreased frequency and duration of contractions
Terbutaline sulfate (Brethine) is a β-mimetic that acts on the smooth muscles of the
uterus to reduce contractility, which in turn inhibits dilation and the frequency and
duration of contractions. Although terbutaline may increase blood pressure and
pulse, this is a side, not a therapeutic, effect requiring frequent assessments.
Terbutaline is not an analgesic. It should stop cervical dilation rather than increase it.
A pregnant client with severe preeclampsia is receiving IV magnesium sulfate.
What should the nurse keep at the bedside to prepare for the possibility of
magnesium sulfate toxicity?
A) Oxygen
B) Naloxone
C) Calcium gluconate
D) Suction equipment
C) Calcium gluconate
The antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffective if
the action of magnesium is not reversed. Naloxone is unnecessary; it is an opioid
antagonist. Suction equipment may be necessary if the client has excessive
secretions after a seizure. The priority intervention is trying to prevent a seizure.
, Question: greenish amniotic fluid indicates
Meconium in amniotic fluid and MD should be notified immediately
Question: Pt on magnesium sulfide, what baseline assessment is needed?
Respiration rate
(LOC is also affected but do not need a baseline)
Question about hydatidiform mole
Causes extra large uterus
(Hydatidiform mole is the common type of disease arising from gestational
trophoblastic disease. Tons of nonviable masses of cells divide and cause uterine
enlargement)
Question: Lepolds maneuver on a patient with placental previa expects
High floating, presenting part
(Possibly related to placenta blocking birth canal & cervical os)
A client's membranes rupture during labor. The nurse immediately assesses
the electronic fetal heart rate. Variable decelerations lasting more than 90
seconds, followed by bradycardia, are observed on the monitoring strip. What
does the nurse suspect is the cause of this change?
A) Fetal acidosis
B) Prolapsed cord
C) Head compression
D) Uteroplacental insufficiency
B) Prolapsed cord
This variable pattern with bradycardia is an ominous sign; it is indicative of cord
compression, which can result in fetal hypoxia. Immediate intervention is required.
Fetal acidosis occurs with uteroplacental insufficiency, not in response to a
prolapsed cord. Early decelerations are associated with head compression and are
benign. Late decelerations and tachycardia are associated with uteroplacental
insufficiency, not a prolapsed cord.
Question: heartburn while pregnant
