OB HESI: ULTIMATE QUESTION PACK
1. B) cheese and broccoli
- need calcium for stopping leg cramps: During the postpartum period, a clienttells 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
2. D) Decreased frequency and duration of contractions
Terbutaline sulfate (Brethine) is a ²mimetic 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 cervicaldilation rather than increase it.:
A client arrives at the clinic in preterm labor, andterbutaline (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
3. C) Calcium gluconate
The antagonist of magnesium sulfate is calcium gluconate. Oxygen is inef- fective 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.: 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
, OB HESI: ULTIMATE QUESTION PACK
4. Meconium in amniotic fluid and MD should be notified immediately: Ques-tion:
greenish amniotic fluid indicates
5. Respiration rate
(LOC is also affected but do not need a baseline): Question: Pt on magnesiumsulfide,
what baseline assessment is needed?
6. 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 about hydatidiform mole
7. High floating, presenting part
(Possibly related to placenta blocking birth canal & cervical os): Question:Lepolds
maneuver on a patient with placental previa expects
8. 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 interven- tion 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.: A client'smembranes 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 isthe cause of this change?
A) Fetal acidosis
B) Prolapsed cord
C) Head compression
D) Uteroplacental insufficiency
9. Don't take antacids with sodium: Question: heartburn while pregnant
10. C) Inevitable
Miscarriage is inevitable because the cervical os has opened, heavy bleeding is
occurring, and tissue is present with the bleeding. In a missed miscarriage, the fetus
has died but the products of conception are retained in utero for
as long as several weeks. There may be no bleeding or cramping, and the os
, OB HESI: ULTIMATE QUESTION PACK
is closed. In a complete miscarriage all fetal tissue has already passed and the cervix
is closed; there may be slight bleeding. Symptoms of a threatenedmiscarriage include
spotting and a closed cervical os. There may be mild cramping.: A 36-year-old woman
comes to the emergency department complainingof severe abdominal cramping and heavy
bleeding. She informs the nurse that sheis 10 weeks pregnant. Cervical examination reveals
heavy bleeding; the cervical osis open and tissue is present. Which type of miscarriage is
the client experiencing?
A) Missed
B) Complete
C) Inevitable
D) Threatened
11. Incisional injury in the bladder: Question: Blood in urine in catheter backduring
c-section indicates
12. Twin gestation: Question: Risk for hypotonic uterine dystocia
13. Most likely to have it is a 30y/0m G6 P5: Question: likely to get placental previa
14. 6 weeks into pregnancy
this is when the fallopian tube is no longer able to get any larger: Question:Signs of a
ruptured tubal pregnancy occur when
15. Can cause neural tube defects
Mother needs to be started on folic acid supplements asap: Question: mega-loblastic
anemia in pregnancy
16. Pain is severe and vagina feels full and heavy: Question: vaginal hematoma
17. CNS depressant: Question: Classification of magnesium sulfate
18. Dyspnea: Question: Pt. receiving Lovenox for DVT, what sign is most concern-ing?
19. Keep room dark and quiet: Question: When a patient is on magnesium sulfate
20. indicates respiratory depression
(If decreased DTR, it means CNS is too depressed, and it can lead to decreasedbreathing
reflexes): Question: magnesium sulfate and the importance of deep tendon reflexes
21. Document amount of bleeding: Question: nursing intervention for pt. with
placental previa
22. Uterine cord prolapse: Question: after internal fetal heart monitor placement,MD
listens to fetal heart rate for 1 full minute to monitor
23. hypertension: Question: risk factor for abruptio placentae
24. Late decelerations of the fetal heart rate are occurring with each contrac-tion.
, OB HESI: ULTIMATE QUESTION PACK
also uteroplacental insufficiency: Question: Positive Contraction stress test indi-cates
25. Stimulate surfactant production.
Corticosteroids stimulate surfactant production; they also have been shownto reduce
the incidence of intraventricular hemorrhage. Betamethasone (Ce-lestone) does not
affect the labor process, increase placental perfusion, or affect the intensity of
contractions.: A nurse administers two serial intramuscularinjections of betamethasone
(Celestone) to a woman at 32 weeks gestation who has been admitted to preterm labor. The
nurse knows that this medication is givenin order to:
26. Painless vaginal bleeding
(PLACENTA PREVIA): Question: Low lying placenta in the third trimester puts momat
risk for
27. Checking pt. reflexes: Question: Pt. with pre-eclampsia is admitted after vitalsare
taken what is the next priority
28. 10 weeks and no later than 12 weeks: Question: Chorionic villi sampling whencan it
be done
29. deep tendon reflexes +2: Question: magnesium sulfate - how to know whenyou
have reached therapeutic level
30. patellar reflexes and urinary output: Question: what to assess before admin-istration
of magnesium sulfate
31. vaginal spotting, abdominal cramping, closed cervix: Question: S/S of
threatened abortion
32. tubal pregnancy: Question: risk when undergoing IVF
33. Syncope on exertion: Question: mom with mitral valve stenosis, what symptom
indicates cardiac difficulties
34. Herpes infection: Question: what contraindicates pitocin
35. 48 hours postpartum: Question: Patient with eclampsia, when does risk forseizure
decrease
36. compensating for a rapid turnover of red blood cells: Question: Folic acid ina
patient with sickle cell is important for
37. Pelvic pressure: Question: What is a danger sign for a mom with a history ofpreterm
multi gestational neonatal deaths
38. hypertensive states: Question: Type 1 diabetes in pregnancy puts mom at riskfor
1. B) cheese and broccoli
- need calcium for stopping leg cramps: During the postpartum period, a clienttells 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
2. D) Decreased frequency and duration of contractions
Terbutaline sulfate (Brethine) is a ²mimetic 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 cervicaldilation rather than increase it.:
A client arrives at the clinic in preterm labor, andterbutaline (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
3. C) Calcium gluconate
The antagonist of magnesium sulfate is calcium gluconate. Oxygen is inef- fective 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.: 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
, OB HESI: ULTIMATE QUESTION PACK
4. Meconium in amniotic fluid and MD should be notified immediately: Ques-tion:
greenish amniotic fluid indicates
5. Respiration rate
(LOC is also affected but do not need a baseline): Question: Pt on magnesiumsulfide,
what baseline assessment is needed?
6. 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 about hydatidiform mole
7. High floating, presenting part
(Possibly related to placenta blocking birth canal & cervical os): Question:Lepolds
maneuver on a patient with placental previa expects
8. 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 interven- tion 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.: A client'smembranes 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 isthe cause of this change?
A) Fetal acidosis
B) Prolapsed cord
C) Head compression
D) Uteroplacental insufficiency
9. Don't take antacids with sodium: Question: heartburn while pregnant
10. C) Inevitable
Miscarriage is inevitable because the cervical os has opened, heavy bleeding is
occurring, and tissue is present with the bleeding. In a missed miscarriage, the fetus
has died but the products of conception are retained in utero for
as long as several weeks. There may be no bleeding or cramping, and the os
, OB HESI: ULTIMATE QUESTION PACK
is closed. In a complete miscarriage all fetal tissue has already passed and the cervix
is closed; there may be slight bleeding. Symptoms of a threatenedmiscarriage include
spotting and a closed cervical os. There may be mild cramping.: A 36-year-old woman
comes to the emergency department complainingof severe abdominal cramping and heavy
bleeding. She informs the nurse that sheis 10 weeks pregnant. Cervical examination reveals
heavy bleeding; the cervical osis open and tissue is present. Which type of miscarriage is
the client experiencing?
A) Missed
B) Complete
C) Inevitable
D) Threatened
11. Incisional injury in the bladder: Question: Blood in urine in catheter backduring
c-section indicates
12. Twin gestation: Question: Risk for hypotonic uterine dystocia
13. Most likely to have it is a 30y/0m G6 P5: Question: likely to get placental previa
14. 6 weeks into pregnancy
this is when the fallopian tube is no longer able to get any larger: Question:Signs of a
ruptured tubal pregnancy occur when
15. Can cause neural tube defects
Mother needs to be started on folic acid supplements asap: Question: mega-loblastic
anemia in pregnancy
16. Pain is severe and vagina feels full and heavy: Question: vaginal hematoma
17. CNS depressant: Question: Classification of magnesium sulfate
18. Dyspnea: Question: Pt. receiving Lovenox for DVT, what sign is most concern-ing?
19. Keep room dark and quiet: Question: When a patient is on magnesium sulfate
20. indicates respiratory depression
(If decreased DTR, it means CNS is too depressed, and it can lead to decreasedbreathing
reflexes): Question: magnesium sulfate and the importance of deep tendon reflexes
21. Document amount of bleeding: Question: nursing intervention for pt. with
placental previa
22. Uterine cord prolapse: Question: after internal fetal heart monitor placement,MD
listens to fetal heart rate for 1 full minute to monitor
23. hypertension: Question: risk factor for abruptio placentae
24. Late decelerations of the fetal heart rate are occurring with each contrac-tion.
, OB HESI: ULTIMATE QUESTION PACK
also uteroplacental insufficiency: Question: Positive Contraction stress test indi-cates
25. Stimulate surfactant production.
Corticosteroids stimulate surfactant production; they also have been shownto reduce
the incidence of intraventricular hemorrhage. Betamethasone (Ce-lestone) does not
affect the labor process, increase placental perfusion, or affect the intensity of
contractions.: A nurse administers two serial intramuscularinjections of betamethasone
(Celestone) to a woman at 32 weeks gestation who has been admitted to preterm labor. The
nurse knows that this medication is givenin order to:
26. Painless vaginal bleeding
(PLACENTA PREVIA): Question: Low lying placenta in the third trimester puts momat
risk for
27. Checking pt. reflexes: Question: Pt. with pre-eclampsia is admitted after vitalsare
taken what is the next priority
28. 10 weeks and no later than 12 weeks: Question: Chorionic villi sampling whencan it
be done
29. deep tendon reflexes +2: Question: magnesium sulfate - how to know whenyou
have reached therapeutic level
30. patellar reflexes and urinary output: Question: what to assess before admin-istration
of magnesium sulfate
31. vaginal spotting, abdominal cramping, closed cervix: Question: S/S of
threatened abortion
32. tubal pregnancy: Question: risk when undergoing IVF
33. Syncope on exertion: Question: mom with mitral valve stenosis, what symptom
indicates cardiac difficulties
34. Herpes infection: Question: what contraindicates pitocin
35. 48 hours postpartum: Question: Patient with eclampsia, when does risk forseizure
decrease
36. compensating for a rapid turnover of red blood cells: Question: Folic acid ina
patient with sickle cell is important for
37. Pelvic pressure: Question: What is a danger sign for a mom with a history ofpreterm
multi gestational neonatal deaths
38. hypertensive states: Question: Type 1 diabetes in pregnancy puts mom at riskfor
