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.
Is it normal for FHR to increase during contractions and return to baseline? - ANSWER: 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
What should be done if fetal stress is present during labor? - ANSWER: -Place a wedge on the pts left side
-Administer 10L oxygen nasal cannula
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.
Is it normal for FHR to increase during contractions and return to baseline? - ANSWER: 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
What should be done if fetal stress is present during labor? - ANSWER: -Place a wedge on the pts left side
-Administer 10L oxygen nasal cannula
