HESI MATERNITY OB EXAM VERSION 1 LATEST QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
Which medication would the nurse identify as a potential cause for the for- mation of abnormally small eyes in th
newborn if used during pregnancy?
estrogens
nitrofurantoin
methotrexate #ertyuiop{^&*()_
valproic acid(ANSWER) b. nitrofurantoin
Nitrofurantoin, an antimicrobial medication, causes formation of abnormally small eyes in the newborn. Sex hormone supplements, such as estrogens, may cause congenital
defects of female reproductive organs. Methotrexate can cause congenital abnormalities (central nervous system and limbs malformations) and fetal death. Valproic acid
is high teratogenic and cause neural tube defects, atrial septal defect, cleft palate, hypospadias, polydactyly, and craniosynostosis.
The nurse understands which antihypertensive medication is contraindicated in lactating women?
atenolol
labetalol
metoprolol
propranolol(ANSWER) a. atenolol
Atenolol is contraindicated in lactating women because it enters the breastmilk and may cause adverse ettects to the neonate. Labetalol and propanolol are safe to administer
during lactation. Metoprolol is considered a safe medication to be taken during lactation
Which hormone levels do not require monitoring during the ministration of menotropins for infertility?
estrogen
luteinizing hormone
follicle-stimulating hormone
gonadotropin-releasing hormone(ANSWER) d. gonadotropin-releasing hormone
Menotropins that are administered for infertility act at the pituitary level. Gonadotropin-releasing hormones act at the hypothalamus level; therefore this hormone does not ne
to be monitored. Menotropins is a standardized mixture of follicle-stimulating hormone and luteinizing; these hormones should be monitored. Also, estrogen levels need to be
monitored because the luteinizing hormone directly stimulates the production of estrogen.
, HESI MATERNITY OB EXAM VERSION 1 LATEST QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
Which birth control agent requires administration once every three months?
Progestin-only pills
Intramuscular progestin
Combination biphasic forms
Combination monophasic forms(ANSWER)#ertyuiop{^&*()_
b. intramuscular progestin
Intramuscular progestin requires the administration of a single injection every three months. Progressed-only oral contraceptive pills should be taken on a daily basis because of
higher incidence of ovulatory cycles. Combination biphasic and monophasic forms are administered as either a 21 or 28 day course.
Which medication with the nurse identify as being used both for cervical ripening during labor and has a stomach
protectant?
raloxifene
clomiphene
misoprostol
dinoprostone(ANSWER) c. misoprostol
Misoprostol can be used for cervical ripening and as a stomach protectant. Raloxifene is used to prevent post- menopausal osteoporosis. Clomiphene is used for ovulation.
Dinoprostone can be used for cervical ripening, but this medication does not act as a stomach protectant.
Which effect with the nurse identify as seen when the fetus is exposed to a teratogen during embryonic period?
delay in growth
gross malformations
death of the conceptus
disruption of brain development(ANSWER) b. gross malformations
Gross malformations occur if there is exposure to a teratogen during the embryonic period or the first trimester. During the fetal period, exposure to a teratogen causes delays in
growth and development of the fetus. Death of the conceptus occurs if exposed to a lethal dose of teratogen during the pre-implantation period. Exposure to a teratogen during the
fetal period (second or third trimester) causes disruption of brain development.
, HESI MATERNITY OB EXAM VERSION 1 LATEST QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
Which medication may be used to treat postpartum hemorrhage?
clomiphene
menotropins #ertyuiop{^&*()_
dinoprostone
methylergonovine(ANSWER) d. methylergonovine
Methylergonovine is a medication of choice used to treat postpartum hemorrhage. Clomiphene and menotropins are ovulation stimulants given to induce ovulation in infertile
women. Dinoprostone is used to induce cervical ripening and cause termination of a pregnancy.
Which teratogenic effect is seen because of lithium?
stillbirth
shortened limbs
Ebstein anomaly
neural tube defects(ANSWER) c. Ebstein anomaly
Ebstein anomaly (cardiac defects) in the newborn occurs because of taking lithium during pregnancy. Stillbirth may occur because of alcohol use. Shortened limbs may occu
because of thalidomide. Neural tube defects are due to anti seizure medications.
Which medication may cause malformations of the male external genitalia?
Etretinate
Dutasteride
Methimazole
Propylthiouracil(ANSWER) b. Dutasteride
Dutasteride is a 5-alpha-reductase inhibitor that causes malformations of external genitalia in males. Etretinate is a vitamin A derivative that may cause multiple CNS defects.
Methimazole and propylthiouracil are antithyroid medications that may cause goiters and hypothyroidism.
A client in active labor who is 90% effaced, 7 cm dilated with a vertex present- ing at 2+ station, complains of pain and a
for medication. Which medication with the nurse anticipate causing respiratory depression in the newborn?
Naloxone
Lorazepam
|ALREADY GRADED A+
Which medication would the nurse identify as a potential cause for the for- mation of abnormally small eyes in th
newborn if used during pregnancy?
estrogens
nitrofurantoin
methotrexate #ertyuiop{^&*()_
valproic acid(ANSWER) b. nitrofurantoin
Nitrofurantoin, an antimicrobial medication, causes formation of abnormally small eyes in the newborn. Sex hormone supplements, such as estrogens, may cause congenital
defects of female reproductive organs. Methotrexate can cause congenital abnormalities (central nervous system and limbs malformations) and fetal death. Valproic acid
is high teratogenic and cause neural tube defects, atrial septal defect, cleft palate, hypospadias, polydactyly, and craniosynostosis.
The nurse understands which antihypertensive medication is contraindicated in lactating women?
atenolol
labetalol
metoprolol
propranolol(ANSWER) a. atenolol
Atenolol is contraindicated in lactating women because it enters the breastmilk and may cause adverse ettects to the neonate. Labetalol and propanolol are safe to administer
during lactation. Metoprolol is considered a safe medication to be taken during lactation
Which hormone levels do not require monitoring during the ministration of menotropins for infertility?
estrogen
luteinizing hormone
follicle-stimulating hormone
gonadotropin-releasing hormone(ANSWER) d. gonadotropin-releasing hormone
Menotropins that are administered for infertility act at the pituitary level. Gonadotropin-releasing hormones act at the hypothalamus level; therefore this hormone does not ne
to be monitored. Menotropins is a standardized mixture of follicle-stimulating hormone and luteinizing; these hormones should be monitored. Also, estrogen levels need to be
monitored because the luteinizing hormone directly stimulates the production of estrogen.
, HESI MATERNITY OB EXAM VERSION 1 LATEST QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
Which birth control agent requires administration once every three months?
Progestin-only pills
Intramuscular progestin
Combination biphasic forms
Combination monophasic forms(ANSWER)#ertyuiop{^&*()_
b. intramuscular progestin
Intramuscular progestin requires the administration of a single injection every three months. Progressed-only oral contraceptive pills should be taken on a daily basis because of
higher incidence of ovulatory cycles. Combination biphasic and monophasic forms are administered as either a 21 or 28 day course.
Which medication with the nurse identify as being used both for cervical ripening during labor and has a stomach
protectant?
raloxifene
clomiphene
misoprostol
dinoprostone(ANSWER) c. misoprostol
Misoprostol can be used for cervical ripening and as a stomach protectant. Raloxifene is used to prevent post- menopausal osteoporosis. Clomiphene is used for ovulation.
Dinoprostone can be used for cervical ripening, but this medication does not act as a stomach protectant.
Which effect with the nurse identify as seen when the fetus is exposed to a teratogen during embryonic period?
delay in growth
gross malformations
death of the conceptus
disruption of brain development(ANSWER) b. gross malformations
Gross malformations occur if there is exposure to a teratogen during the embryonic period or the first trimester. During the fetal period, exposure to a teratogen causes delays in
growth and development of the fetus. Death of the conceptus occurs if exposed to a lethal dose of teratogen during the pre-implantation period. Exposure to a teratogen during the
fetal period (second or third trimester) causes disruption of brain development.
, HESI MATERNITY OB EXAM VERSION 1 LATEST QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
Which medication may be used to treat postpartum hemorrhage?
clomiphene
menotropins #ertyuiop{^&*()_
dinoprostone
methylergonovine(ANSWER) d. methylergonovine
Methylergonovine is a medication of choice used to treat postpartum hemorrhage. Clomiphene and menotropins are ovulation stimulants given to induce ovulation in infertile
women. Dinoprostone is used to induce cervical ripening and cause termination of a pregnancy.
Which teratogenic effect is seen because of lithium?
stillbirth
shortened limbs
Ebstein anomaly
neural tube defects(ANSWER) c. Ebstein anomaly
Ebstein anomaly (cardiac defects) in the newborn occurs because of taking lithium during pregnancy. Stillbirth may occur because of alcohol use. Shortened limbs may occu
because of thalidomide. Neural tube defects are due to anti seizure medications.
Which medication may cause malformations of the male external genitalia?
Etretinate
Dutasteride
Methimazole
Propylthiouracil(ANSWER) b. Dutasteride
Dutasteride is a 5-alpha-reductase inhibitor that causes malformations of external genitalia in males. Etretinate is a vitamin A derivative that may cause multiple CNS defects.
Methimazole and propylthiouracil are antithyroid medications that may cause goiters and hypothyroidism.
A client in active labor who is 90% effaced, 7 cm dilated with a vertex present- ing at 2+ station, complains of pain and a
for medication. Which medication with the nurse anticipate causing respiratory depression in the newborn?
Naloxone
Lorazepam
