HESI OB Maternity Version 1 (V1) Verified Questions And Answers Guaranteed A+

HESI OB Maternity Version 1 (V1) Verified
Questions And Answers Guaranteed A+
Normalyreactionyfromyfirstytimeymomy-yCorrectyanswer-
tentativelyytouchybaby'syprofileyfirstythenywillingytoypullybabyyclose

What'sytheyFIRSTythingytoydoywhenymomyhasytheybabyywithyjustyyouyinytheyroom?
yandythenywhat?y-yCorrectyanswer-FIRSTypushytheycallylight

thenywarm,dryystimulate

Folateysourcesy-yCorrectyanswer-driedyroastypeanutsyNOTystrawberries

IfyaymomyscheduledyforyayC-
sectionytellsy"IyateyaybigybreakfastyandyhadyOJ",ywhatydoyyouydo?y-yCorrectyanswer-
TELLytheyanesthesiologist;ysheyisyatyriskyforyaspiration

Spinalyanesthesiaycausesyayheadacheysoywhatydoyyouytoyhelpyit...y-yCorrectyanswer-
ybloodypatch



what'sytheymainys/eyofyepidural?y-yCorrectyanswer-HTN

ptyhasys/sxyofyUTI,ywhatyshouldyyouydo?y-yCorrectyanswer-
youywouldywantytoydoyayurineyculture

Whatyisytheymostyimportantyteachingyforypregnantyteens?y-yCorrectyanswer-goodynutrition

Urinaryyfrequencyywithiny24yhoursyPPy-yCorrectyanswer-
Checkytheyamountyofytheynextyvoidy&ypalpateytheybladder

Whyydoyyouynotygiveysolidyfoodsyduringylabor?y-yCorrectyanswer-
preventyaspiration;yalsoygiveyantacidsybeforeyCS

Ayworriedynewyfatherysaysyhisywifeyisycryingyaylotyandyheyisyconcerned..ywhatydoyyouytelly
him?y-yCorrectyanswer-
Babyybluesyareynormal,yheyneedsytoybringyheryinyifyitygetsysevereyorypersistsyforytwoywee
ks
Reviewythisybcytheyanswerychoicesyareytricky!!
Notyjustybeythereywithyher..yWATCHyheryandysymptoms

Painywheneverytheybabyymoves,yuterineytendernessyuponypalpation,yandyayfevery-
yCorrectyanswer-Chorioamnitoitis



Temperatureyofy100.4y<y-yCorrectyanswer-reportyb/cyinfection

Momysaysysheyhasyaynewbornybabyyandyheyisyalreadyylearningytoywalk..y-
yCorrectyanswer-Steppingyreflexyisynormalyinynewbornybabies

,3ymonthsypregnant,ythinywateryysecretionsy-yCorrectyanswer-normalylochia

Herbalyrememedyyforynauseayinypregnancyy-yCorrectyanswer-GingeryNOTypeppermint

Caputyv.ycephalohematomay(knowydifferences)y-yCorrectyanswer-
Caput:yCrossesylines,ysquishy

Cephalohematoma:yWatchyforyhyperbilirubinemia,yjaundice

Rubellayvacciney-yCorrectyanswer--yNotyforypregnantywomenybcyliveyattenuatedyvirus
-yIfyyouyareychild-bearingyageyandygetytheyvacciney-
ymakeysureytheyyareyusingyayreliableybirthycontrolyforyatyleastyaymonthyafterwardsyoryyouyh

aveytoyworryyaboutyrubellaycongenitalysyndrome

Bestybirthycontrolyforyaybreastfeedingymomy-yCorrectyanswer-
NOTytheycombinedypillybcyofytheyestrogen

Answer:ycondomywithyspermocideygelyNothin
gywithyhormonesyinyit

NOTyTRUE:ysheydoesynotyneedybirthycontrolybcysheyisybreastfeeding

Howydetermineyestimatedydeliveryydate?y-yCorrectyanswer-
subtracty3ymonthsyfromyLMPythenyaddysevenydaysyandychangeytheyyearyifyneeded

Whatydoyyouywantytoywatchyforyinysmallyinfantsyorypostymature?y-yCorrectyanswer-
watchyhypoglycemia
Smallyinfant:ydon'tyhaveyfatypadsyyet
Postymature:yalreadyyusedyupytheyfatypads

Supineyhypotensiony-yCorrectyanswer--
yAnytimeysheyhasyayhypotensiveybloodypressure:yfirstythingyyouywantytoylookyforyisyputting

yaywedgeyunderytheyhipyoryturningyheryonytheystretcher

Bcytheybabyyisypushingyonytheyvenaycava
-yPreferredymethod:ywedge

WhenydoyyouygiveyRhogamyandywhy?y-
yCorrectyanswer-28yweeksyandypostpartumyYouygiveybcyyouywantytoypreventyantibodi

esyfromyformingyagainstytheyRh+ybaby

Momywasyinyaycaryaccidentyandyityisyaytraumaysituation..whatyareyyouyworriedyabout?y-
yCorrectyanswer-Rhystatusyofytheymomyandybaby



Ironysupplementationy-yCorrectyanswer-A/E:yconstipation,ydiarrhea,ygastricyirritation,yn/v

Nursingyimplications:

,- BestyabsorbedyonyanyemptyystomachyandytoybeytakenywithyVityCysourcey(OJ)ytoyi
ncreaseyabsorption.
- Shouldynotybeytakenyw/ycereal,yeggsyorymilky(decreasesyabsorption)
- Shouldybeytakenyinytheyeveningyifyproblemyexistsyw/ymorningysickness
-Stoolsywillyturnydarkygreenytoyblacky(meansythey'reygettingytheyiron-
yifynormalystools,ynotyenoughyiron)

- LabyvaluesyshouldybeycheckedyforyincreasedyreticulocytesyandyrisingyHgbyandyHct

Masititsypatientyteachingy-yCorrectyanswer-
breastyfeedingyisyokayyunlessycontraindicatedyb/cytheyabxythey'reyon

Contractionystressytestyisyconsideredypositiveywhenytheybabyyhasylateydecelerationsy-
yCorrectyanswer-youyneedytoytellytheyHCPyisyhappening



Ifytheyuterusyisyfirmybutythereyisyayconstantytrickleyofyblood,ywhatycouldythisyindicate?y-
yCorrectyanswer-cervicalylacerationyorysuperficialytearysomewhere



Whatydoyyouyneedytoyknowybeforeygettingyanyorderyforyanyepidural?y-yCorrectyanswer-
ywhatystageyofylaborysheyisyin...youywouldywantyitytoybeyinytheyactiveyphase



Riskyforypsychosocialydistressy-yCorrectyanswer-
Immigrantythatyjustymovedywithyheryhusband,yfirstybaby,ynewycountry

Whatyequipmentydoyyouyneedytoyhaveyforyaycervicalycheck?y-yCorrectyanswer-
Gloves,ylubricant
YouydoyNOTyneedyayspecula

Magnesiumysulfatey-yCorrectyanswer--yCalciumygluconateyopposesysoykeepyityatybedside
- Floppyybabyytheiryrelflexesyareydecreasedy-
yIfyyouyareyaboutytoygiveyyourynextydoseyofymagnesiumysulfateyandyheryRRyisy7yoryuriney

outputylessythany25ymLyayhr,yoryDTRsyareyabsentyorydiminshedyDOyNOTyGIVE
- Ityisynormalyforymomytoyhaveyaywarmyflushedyfeelingywithymagnesiumysulfate

Magensiumysulfateyindicationy-yCorrectyanswer--
yCNSydepressantyadministeredytoyaypreeclampticypatientytoypreventyseizures

- mayybeyusedyasyaytocolyticytoystopypretermylaborycontractions

Womanywithygestationalydiabetes,ysheywantsytoyfastyforyholidayy-yCorrectyanswer--
yWorkywithyheryHCPytoymodifyyheryinsulinyregimen

- Anytimeythereyisyayreligiousyquestion,ydoywhateveryyouycanytoyprotectytheirybeliefsyandy
preferences

Terbutalineyindicationy-yCorrectyanswer-

Terbutalineyadverseyreactiony-yCorrectyanswer-

, Terbutalineynursingyimplicationsy-yCorrectyanswer-•yAdministeryIV.
• Increaseyinfusionyrateyeveryy15yminutes,
ydependingyonyuterineyresponseyandymate

rnalysideyeffects.
• Obtainymaternalyelectrocardiogramy(ECG)
yandylabyvaluesypriorytoybeginningyinfusion.

• Placeymotheryonybedsideycardiacymonitor.
• Monitoryfetusycontinuously.
• Monitoryvitalysignsyeveryy15ymin.
• Maternalypulseyshouldynotyexceedy140
ybpm.

• FHRyshouldynotyexceedy180ybpm.
• I&O;yweighydaily.
• Prepareywomanyforysideyeffects.
• Notifyyhealthycareyprovideryof:
→yHighypulse,yFHRychanges,yabnormalylabyvalues
→ySignsyofyhearytyfailure:ydyspnea,yjugularyveinydistention,ydryycough,yralesyinylungyb
ases
→yHaveyantidoteyavailabley(e.g.,yaybeta-yblockingyagentysuchyasypropranololy[Inderal]).

Nifedipiney(Procardia)yindicationsy-yCorrectyanswer-

Nifedipiney(Procardia)yadverseyreactionsy-yCorrectyanswer-

Nifedipiney(Procardia)ynursingyimplicationsy-yCorrectyanswer-
•yCheckyBPyforyhypotensionyimmediatelyybeforeygivingymedication.
• Avoidyuseywithymagnesiumysulfate;ycanycauseysevereyhypotension.
• Riseyslowlyyfromylyingytoysittingyposition,ythenydangleyfeetyatysideyofybed.
• Doynotyuseysublingualyrouteyofyadministration.

Indomecthaciny(Indocin)yindicationsy-yCorrectyanswer-

Indomecthaciny(Indocin)yadverseyreactionsy-yCorrectyanswer-

Indomecthaciny(Indocin)ynursingyimplicationsy-yCorrectyanswer-
•yAdministeryfory48yhoursyoryless.
• Doynotyuseyforywomenywithybleeding
potentialy(coagulopathy,ythrombocytope-ynia),yNSAID-
sensitiveyasthma,ypepticyulcerydisease,ysignificantyrenalyoryhepaticyimpair-
yment,yoligohydramnios.

• Determineyamnioticyfluidyvolumeyandyfunctionyofyfetalyductusyarteriosusybeforeyinitiatingy
therapyyandywithiny48yhoursyofydiscontinuingytherapy;yassessmentyisycriticalyifytherapyyco
ntinuesyforymoreythany48yhours.
• AdministerywithyfoodyoryuseyrectalyrouteytoydecreaseyGIydistress.
• Monitoryforysignsyofypostparytumyhemorrhage.