TEST BANK FOR HESI OB Maternity Version 1 (V1) Verified
Questions And Answers 2023 Guaranteed A+
Terbutaline nursing implications - Correct answer-• Administer IV.
• Increase infusion rate every 15
minutes, depending on uterine response
and maternal side effects.
• Obtain maternal electrocardiogram
(ECG) and lab values prior to beginning
infusion.
• Place mother on bedside cardiac monitor.
• Monitor fetus continuously.
• Monitor vital signs every 15 min.
• Maternal pulse should not
exceed 140 bpm.
• FHR should not exceed 180 bpm.
• I&O; weigh daily.
• Prepare woman for side effects.
• Notify health care provider of:
→ High pulse, FHR changes, abnormal lab values
→ Signs of hear t failure: dyspnea, jugular vein distention, dry cough, rales in lung
bases
→ Have antidote available (e.g., a beta- blocking agent such as propranolol [Inderal]).
Nifedipine (Procardia) indications - Correct answer-
Nifedipine (Procardia) adverse reactions - Correct answer-
Nifedipine (Procardia) nursing implications - Correct answer-• Check BP for hypotension
immediately before giving medication.
• Avoid use with magnesium sulfate; can cause severe hypotension.
• Rise slowly from lying to sitting position, then dangle feet at side of bed.
• Do not use sublingual route of administration.
Indomecthacin (Indocin) indications - Correct answer-
Indomecthacin (Indocin) adverse reactions - Correct answer-
Indomecthacin (Indocin) nursing implications - Correct answer-• Administer for 48 hours
or less.
• Do not use for women with bleeding
potential (coagulopathy, thrombocytope- nia), NSAID-sensitive asthma, peptic ulcer
disease, significant renal or hepatic impair- ment, oligohydramnios.
• Determine amniotic fluid volume and function of fetal ductus arteriosus before
initiating therapy and within 48 hours of discontinuing therapy; assessment is critical if
therapy continues for more than 48 hours.
• Administer with food or use rectal route to decrease GI distress.
• Monitor for signs of postpar tum hemorrhage.
,What do you for the baby delivered vaginally by a mom w/ HIV? - Correct answer-give
azithromycin
Circumcision - Correct answer-- Monitor the first void after
- Yellow film indicates healing unless other signs of infection are also present such as
fever, redness
- Yellow, even crusty, is okay be sure to teach mom so she is not concerned
Nutrition - Correct answer-- Folic acid 400mcg
- Calcium 1000mg
- Refined white carbs can spike blood glucose and then you crash
- Mom is having dizziness or tingling finger.. breathe into cupped hands or paper bag
Infant formula calories - Correct answer-20 calories/oz
A baby will need 50 calories/lbs
HESI HINT - Correct answer-A 7lb 8oz baby would need 50 calories X 7lbs = 350
calories + 25 calories (1/2 lb or 8oz) = 375 calories per day. Dividing 375 by 20 = 18.75
oz of formula needed per day
Weight gain per trimester - Correct answer-2-4 lbs weight tain in the first trimester
1lb per week in second and third trimester
total: 25- 35 lbs
twins: 35-45lbs
frequent pregnancies at risk for... - Correct answer-malnutrition b/c you do not have time
to build vitamins & mineral back up
what happens when a women is pregnant? - Correct answer-increased metabolic
demands by 20%
What is the majority of pregnancy weight gain? - Correct answer-fetus, placenta and
amniotic fluid; during the first trimester, uterus is growing and blood volume is increased
Increased calories per trimester - Correct answer-1st: none, DO NOT CHANGE
2nd and 3rd- extra 300 k cals/day if normal BMI
what should you do if a mom is gaining more than a pound a week? - Correct answer-
have them do a food diary
What can obesity cause? - Correct answer-GDM, macrosomia which may lead to
should dystocia
Foods to avoid in pregnancy - Correct answer-Deli meats
,Sausage, cheeses
Queso - soft cheese concerned for listeriosis
Smoked meat
Limited caffeine or avoid??
Protein needs during pregnancy - Correct answer-60g (14g over normal)
What should you watch for in vegetarians? - Correct answer-vitamin b deficiency
♣ - Correct answer-8-12
♣ - Correct answer-one breast for one feed is fine, you don't need to feed from both
breasts every feeding
♣ - Correct answer-average feed is 76 mL
♣ - Correct answer-you will know if the baby is eating enough by diaper count
⎥ - Correct answer-6-8 wet diapers
⎥ - Correct answer-1 wet/dirty diaper/day and increases respectively per day until about
7 and then levels off
♣ - Correct answer-cow's milk can cause hemolytic anemia
⎥ - Correct answer-bc it does not have enough vitamin E, iron
⎥ - Correct answer-you can start giving at 1 year
o - Correct answer-s/sx lactose intolerance in the baby
♣ - Correct answer-diarrhea
♣ - Correct answer-lose appetite
♣ - Correct answer-bloating
o - Correct answer-Breastmilk
♣ - Correct answer-Whey proteins are higher and lower caesin proteins
o - Correct answer-Contraindications for breastfeeding
♣ - Correct answer-HIV
♣ - Correct answer-Active TB
, ♣ - Correct answer-Herpes lesion on the breast or the nipple
♣ - Correct answer-Ceratin medications (seizure meds)
♣ - Correct answer-Drug addiction
o - Correct answer-How do you know if a baby is feeding well
♣ - Correct answer-Look for swallowing
o - Correct answer-Breast milk storage
♣ - Correct answer-Fresh milk four hours at room temp
♣ - Correct answer-Refrigerator up to a week
♣ - Correct answer-Or freeze within 48 hours of pumping
⎥ - Correct answer-Regular freezer good for 3 months
⎥ - Correct answer-Deep freezer good for 6 months
♣ - Correct answer-Store in a glass or plastic bottle
⎥ - Correct answer-Not plastic bag bc plastic will bind to IgA
♣ - Correct answer-DO NOT defrost in the microwave
⎥ - Correct answer-If you need to defrost, place in a bowl of warm water or refrigerate
o - Correct answer-Specialty formulas are available
o - Correct answer-If you are running low on formula do NOT dilute buy more
o - Correct answer-48 hours in a can in the fridge, 24 hours if you mixed the formula
and put it in the bottle
o - Correct answer-if the baby did not finish the bottle - throw it out!! Do not put it in the
fridge to save for later
o - Correct answer-Powder is the cheapest kind of formula
♣ - Correct answer-Ready to feed liquids are more expensive
o - Correct answer-Do not mix WELL WATER with you powder formula!
Questions And Answers 2023 Guaranteed A+
Terbutaline nursing implications - Correct answer-• Administer IV.
• Increase infusion rate every 15
minutes, depending on uterine response
and maternal side effects.
• Obtain maternal electrocardiogram
(ECG) and lab values prior to beginning
infusion.
• Place mother on bedside cardiac monitor.
• Monitor fetus continuously.
• Monitor vital signs every 15 min.
• Maternal pulse should not
exceed 140 bpm.
• FHR should not exceed 180 bpm.
• I&O; weigh daily.
• Prepare woman for side effects.
• Notify health care provider of:
→ High pulse, FHR changes, abnormal lab values
→ Signs of hear t failure: dyspnea, jugular vein distention, dry cough, rales in lung
bases
→ Have antidote available (e.g., a beta- blocking agent such as propranolol [Inderal]).
Nifedipine (Procardia) indications - Correct answer-
Nifedipine (Procardia) adverse reactions - Correct answer-
Nifedipine (Procardia) nursing implications - Correct answer-• Check BP for hypotension
immediately before giving medication.
• Avoid use with magnesium sulfate; can cause severe hypotension.
• Rise slowly from lying to sitting position, then dangle feet at side of bed.
• Do not use sublingual route of administration.
Indomecthacin (Indocin) indications - Correct answer-
Indomecthacin (Indocin) adverse reactions - Correct answer-
Indomecthacin (Indocin) nursing implications - Correct answer-• Administer for 48 hours
or less.
• Do not use for women with bleeding
potential (coagulopathy, thrombocytope- nia), NSAID-sensitive asthma, peptic ulcer
disease, significant renal or hepatic impair- ment, oligohydramnios.
• Determine amniotic fluid volume and function of fetal ductus arteriosus before
initiating therapy and within 48 hours of discontinuing therapy; assessment is critical if
therapy continues for more than 48 hours.
• Administer with food or use rectal route to decrease GI distress.
• Monitor for signs of postpar tum hemorrhage.
,What do you for the baby delivered vaginally by a mom w/ HIV? - Correct answer-give
azithromycin
Circumcision - Correct answer-- Monitor the first void after
- Yellow film indicates healing unless other signs of infection are also present such as
fever, redness
- Yellow, even crusty, is okay be sure to teach mom so she is not concerned
Nutrition - Correct answer-- Folic acid 400mcg
- Calcium 1000mg
- Refined white carbs can spike blood glucose and then you crash
- Mom is having dizziness or tingling finger.. breathe into cupped hands or paper bag
Infant formula calories - Correct answer-20 calories/oz
A baby will need 50 calories/lbs
HESI HINT - Correct answer-A 7lb 8oz baby would need 50 calories X 7lbs = 350
calories + 25 calories (1/2 lb or 8oz) = 375 calories per day. Dividing 375 by 20 = 18.75
oz of formula needed per day
Weight gain per trimester - Correct answer-2-4 lbs weight tain in the first trimester
1lb per week in second and third trimester
total: 25- 35 lbs
twins: 35-45lbs
frequent pregnancies at risk for... - Correct answer-malnutrition b/c you do not have time
to build vitamins & mineral back up
what happens when a women is pregnant? - Correct answer-increased metabolic
demands by 20%
What is the majority of pregnancy weight gain? - Correct answer-fetus, placenta and
amniotic fluid; during the first trimester, uterus is growing and blood volume is increased
Increased calories per trimester - Correct answer-1st: none, DO NOT CHANGE
2nd and 3rd- extra 300 k cals/day if normal BMI
what should you do if a mom is gaining more than a pound a week? - Correct answer-
have them do a food diary
What can obesity cause? - Correct answer-GDM, macrosomia which may lead to
should dystocia
Foods to avoid in pregnancy - Correct answer-Deli meats
,Sausage, cheeses
Queso - soft cheese concerned for listeriosis
Smoked meat
Limited caffeine or avoid??
Protein needs during pregnancy - Correct answer-60g (14g over normal)
What should you watch for in vegetarians? - Correct answer-vitamin b deficiency
♣ - Correct answer-8-12
♣ - Correct answer-one breast for one feed is fine, you don't need to feed from both
breasts every feeding
♣ - Correct answer-average feed is 76 mL
♣ - Correct answer-you will know if the baby is eating enough by diaper count
⎥ - Correct answer-6-8 wet diapers
⎥ - Correct answer-1 wet/dirty diaper/day and increases respectively per day until about
7 and then levels off
♣ - Correct answer-cow's milk can cause hemolytic anemia
⎥ - Correct answer-bc it does not have enough vitamin E, iron
⎥ - Correct answer-you can start giving at 1 year
o - Correct answer-s/sx lactose intolerance in the baby
♣ - Correct answer-diarrhea
♣ - Correct answer-lose appetite
♣ - Correct answer-bloating
o - Correct answer-Breastmilk
♣ - Correct answer-Whey proteins are higher and lower caesin proteins
o - Correct answer-Contraindications for breastfeeding
♣ - Correct answer-HIV
♣ - Correct answer-Active TB
, ♣ - Correct answer-Herpes lesion on the breast or the nipple
♣ - Correct answer-Ceratin medications (seizure meds)
♣ - Correct answer-Drug addiction
o - Correct answer-How do you know if a baby is feeding well
♣ - Correct answer-Look for swallowing
o - Correct answer-Breast milk storage
♣ - Correct answer-Fresh milk four hours at room temp
♣ - Correct answer-Refrigerator up to a week
♣ - Correct answer-Or freeze within 48 hours of pumping
⎥ - Correct answer-Regular freezer good for 3 months
⎥ - Correct answer-Deep freezer good for 6 months
♣ - Correct answer-Store in a glass or plastic bottle
⎥ - Correct answer-Not plastic bag bc plastic will bind to IgA
♣ - Correct answer-DO NOT defrost in the microwave
⎥ - Correct answer-If you need to defrost, place in a bowl of warm water or refrigerate
o - Correct answer-Specialty formulas are available
o - Correct answer-If you are running low on formula do NOT dilute buy more
o - Correct answer-48 hours in a can in the fridge, 24 hours if you mixed the formula
and put it in the bottle
o - Correct answer-if the baby did not finish the bottle - throw it out!! Do not put it in the
fridge to save for later
o - Correct answer-Powder is the cheapest kind of formula
♣ - Correct answer-Ready to feed liquids are more expensive
o - Correct answer-Do not mix WELL WATER with you powder formula!
