OB HESI V2 EXAM REVIEW QUESTIONS
WITH COMPLETE ANSWERS
During the postpartum period a client tells a nurse that she has been having leg cramps.
Which foods should the nurse encourage the client to eat?
1
Liver and raisins
Cheese and broccoli
3
Eggs and lean meats
4
Whole-wheat breads and cereals - answer-cheese and broccoli
Need calcium
A pregnant client with severe preeclampsia is receiving iv magnesium sulfate. What
should the nurse keep at the bedside to prepare for the possibility of magnesium sulfate
toxicity?
1oxygen
2naloxone
3calcium gluconate
4suction equipment - answer-calcium gluconate
The antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffective if the
action of magnesium is not reversed. Naloxone is unnecessary; it is an opioid
antagonist. Suction equipment may be necessary if the client has excessive secretions
after a seizure. The priority intervention is trying to prevent a seizure.
A client arrives at the clinic in preterm labor, and terbutaline (brethine) is prescribed. For
what therapeutic effect should the nurse monitor the client?
1increased blood pressure and pulse
2reduction of pain in the perineal area
3gradual cervical dilation as labor progresses
4decreased frequency and duration of contractions - answer-decreased frequency and
duration of contractions
, Terbutaline sulfate (brethine) is a β-mimetic that acts on the smooth muscles of the
uterus to reduce contractility, which in turn inhibits dilation and the frequency and
duration of contractions. Although terbutaline may increase blood pressure and pulse,
this is a side, not a therapeutic, effect requiring frequent assessments. Terbutaline is not
an analgesic. It should stop cervical dilation rather than increase it.
Greenish amniotic fluid indicates - answer-meconium in amniotic fluid and dr should be
notified immediately
Pt on magnesium sulfide, what base line assessment is needed - answer-repsiration
rate
Loc is also affected but do not need a baseline
Hydatidiform mole - answer-causes extra large utereus
Lepolds maneuver on patient with placental previa expects - answer-high floating,
presenting part
A client's membranes rupture during labor. The nurse immediately assesses the
electronic fetal heart rate. Variable decelerations lasting more than 90 seconds,
followed by bradycardia, are observed on the monitoring strip. What does the nurse
suspect as the cause of this change?
1fetal acidosis
2prolapsed cord
3head compression
4uteroplacental insufficiency - answer-prolapsed cord
This variable pattern with bradycardia is an ominous sign; it is indicative of cord
compression, which can result in fetal hypoxia. Immediate intervention is required. Fetal
acidosis occurs with uteroplacental insufficiency, not in response to a prolapsed cord.
Early decelerations are associated with head compression and are benign. Late
decelerations and tachycardia are associated with uteroplacental insufficiency, not a
prolapsed cord.
Heart burn while pregnant - answer-don't take antacids with sodium
A 36-year-old woman comes to the emergency department complaining of severe
abdominal cramping and heavy bleeding. She informs the nurse that she is 10 weeks
pregnant. Cervical examination reveals heavy bleeding; the cervical os is open and
tissue is present. Which type of miscarriage is the client experiencing?
WITH COMPLETE ANSWERS
During the postpartum period a client tells a nurse that she has been having leg cramps.
Which foods should the nurse encourage the client to eat?
1
Liver and raisins
Cheese and broccoli
3
Eggs and lean meats
4
Whole-wheat breads and cereals - answer-cheese and broccoli
Need calcium
A pregnant client with severe preeclampsia is receiving iv magnesium sulfate. What
should the nurse keep at the bedside to prepare for the possibility of magnesium sulfate
toxicity?
1oxygen
2naloxone
3calcium gluconate
4suction equipment - answer-calcium gluconate
The antagonist of magnesium sulfate is calcium gluconate. Oxygen is ineffective if the
action of magnesium is not reversed. Naloxone is unnecessary; it is an opioid
antagonist. Suction equipment may be necessary if the client has excessive secretions
after a seizure. The priority intervention is trying to prevent a seizure.
A client arrives at the clinic in preterm labor, and terbutaline (brethine) is prescribed. For
what therapeutic effect should the nurse monitor the client?
1increased blood pressure and pulse
2reduction of pain in the perineal area
3gradual cervical dilation as labor progresses
4decreased frequency and duration of contractions - answer-decreased frequency and
duration of contractions
, Terbutaline sulfate (brethine) is a β-mimetic that acts on the smooth muscles of the
uterus to reduce contractility, which in turn inhibits dilation and the frequency and
duration of contractions. Although terbutaline may increase blood pressure and pulse,
this is a side, not a therapeutic, effect requiring frequent assessments. Terbutaline is not
an analgesic. It should stop cervical dilation rather than increase it.
Greenish amniotic fluid indicates - answer-meconium in amniotic fluid and dr should be
notified immediately
Pt on magnesium sulfide, what base line assessment is needed - answer-repsiration
rate
Loc is also affected but do not need a baseline
Hydatidiform mole - answer-causes extra large utereus
Lepolds maneuver on patient with placental previa expects - answer-high floating,
presenting part
A client's membranes rupture during labor. The nurse immediately assesses the
electronic fetal heart rate. Variable decelerations lasting more than 90 seconds,
followed by bradycardia, are observed on the monitoring strip. What does the nurse
suspect as the cause of this change?
1fetal acidosis
2prolapsed cord
3head compression
4uteroplacental insufficiency - answer-prolapsed cord
This variable pattern with bradycardia is an ominous sign; it is indicative of cord
compression, which can result in fetal hypoxia. Immediate intervention is required. Fetal
acidosis occurs with uteroplacental insufficiency, not in response to a prolapsed cord.
Early decelerations are associated with head compression and are benign. Late
decelerations and tachycardia are associated with uteroplacental insufficiency, not a
prolapsed cord.
Heart burn while pregnant - answer-don't take antacids with sodium
A 36-year-old woman comes to the emergency department complaining of severe
abdominal cramping and heavy bleeding. She informs the nurse that she is 10 weeks
pregnant. Cervical examination reveals heavy bleeding; the cervical os is open and
tissue is present. Which type of miscarriage is the client experiencing?
