HESI: OB, Maternity Questions And Answers Verified Solutions

HESI: OB, Maternity Questions And Answers Verified Solutions 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 lifethreatening 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 ex