HESI: OB, maternity
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.
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.
