HESI OB MATERNITY 2 Versions Exam 2024/2025 GUARANTEED A+
Questions & Answers Included!!!
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.
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
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 is important to tell the HCP during the third trimester of pregnancy? -
ANSWER-Signs of preeclampsia--heartburn not relieved by antacids and chronic
headaches behind the eye
Normal signs of the last trimester of pregnancy? - ANSWER--Increase in fetal
heart rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
Milia - ANSWER-White pinpoint spots found on the nose and chin that represent
blockage of sebaceous glands
Questions & Answers Included!!!
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.
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
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 is important to tell the HCP during the third trimester of pregnancy? -
ANSWER-Signs of preeclampsia--heartburn not relieved by antacids and chronic
headaches behind the eye
Normal signs of the last trimester of pregnancy? - ANSWER--Increase in fetal
heart rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
Milia - ANSWER-White pinpoint spots found on the nose and chin that represent
blockage of sebaceous glands
