HESI OB Maternity Version 1 2023

Normal reaction from first time mom tentatively touch baby's profile first then willing to pull baby close What's the FIRST thing to do when mom has the baby with just you in the room? and then what? FIRST push the call light then warm,dry stimulate Folate sources dried roast peanuts NOT strawberries If a mom scheduled for a C-section tells "I ate a big breakfast and had OJ", what do you do? TELL the anesthesiologist; she is at risk for aspiration Spinal anesthesia causes a headache so what do you to help it... blood patch what's the main s/e of epidural? HTN pt has s/sx of UTI, what should you do? you would want to do a urine culture What is the most important teaching for pregnant teens? good nutrition Urinary frequency within 24 hours PP Check the amount of the next void & palpate the bladder Why do you not give solid foods during labor? prevent aspiration; also give antacids before CS A worried new father says his wife is crying a lot and he is concerned.. what do you tell him? Baby blues are normal, he needs to bring her in if it gets severe or persists for two weeks Review this bc the answer choices are tricky!! Not just be there with her.. WATCH her and symptoms Pain whenever the baby moves, uterine tenderness upon palpation, and a fever Chorioamnitoitis Temperature of 100.4 report b/c infection Mom says she has a newborn baby and he is already learning to walk.. Stepping reflex is normal in newborn babies 3 months pregnant, thin watery secretions normal lochia Herbal rememedy for nausea in pregnancy Ginger NOT peppermint Caput v. cephalohematoma (know differences) Caput: Crosses lines, squishy Cephalohematoma: Watch for hyperbilirubinemia, jaundice Rubella vaccine - Not for pregnant women bc live attenuated virus - If you are child-bearing age and get the vaccine - make sure they are using a reliable birth control for at least a month afterwards or you have to worry about rubella congenital syndrome Best birth control for a breastfeeding mom NOT the combined pill bc of the estrogen Answer: condom with spermocide gel Nothing with hormones in it NOT TRUE: she does not need birth control bc she is breastfeeding How determine estimated delivery date? subtract 3 months from LMP then add seven days and change the year if needed What do you want to watch for in small infants or post mature? watch hypoglycemia Small infant: don't have fat pads yet Post mature: already used up the fat pads Supine hypotension - Anytime she has a hypotensive blood pressure: first thing you want to look for is putting a wedge under the hip or turning her on the stretcher Bc the baby is pushing on the vena cava - Preferred method: wedge When do you give Rhogam and why? 28 weeks and postpartum You give bc you want to prevent antibodies from forming against the Rh+ baby Mom was in a car accident and it is a trauma situation..what are you worried about? Rh status of the mom and baby Iron supplementation A/E: constipation, diarrhea, gastric irritation, n/v Nursing implications: - Best absorbed on an empty stomach and to be taken with Vit C source (OJ) to increase absorption. - Should not be taken w/ cereal, eggs or milk (decreases absorption) - Should be taken in the evening if problem exists w/ morning sickness -Stools will turn dark green to black (means they're getting the iron- if normal stools, not enough iron) - Lab values should be checked for increased reticulocytes and rising Hgb and Hct Masitits patient teaching