OB HESI V2 EXAM REVIEW QUESTIONS
WITH COMPLETE ANSWERS
Taking-hold phase — - answer-during this phase, parents focus on learning to care for
their new baby. Temporary mood swings and feelings of vulnerability on the part of the
new mother are not uncommon. Each partner may feel neglected as they become more
involved with the baby, overlooking their partner's needs or feelings.
Letting-go phase — - answer-the couple will continue their relationship that they had
before the birth of the baby. The older brothers and sisters get to know the baby at this
time.
Magnesium sulfate and the importance of deep tendon reflexes - answer-indicates
respiratory depression
Nursinging intervention for pt. With placental previa - answer-document amount of
bleeding
After internal fetal heart monitor placement dr listens to fetal heart rate for 1 full minute
to monitor - answer-uterine cord prolapse
Risk factor for abruptio placentae - answer-hypertension
Positive contraction stress test indicates - answer-late decelerations of the fetal heart
rate are occurring with each contraction.
Also uteroplacental insufficiency
A nurse administers two serial intramuscular injections of betamethasone (celestone) to
a woman at 32 weeks' gestation who has been admitted in preterm labor. The nurse
knows that this medication is given to: - answer-stimulate surfactant production.
Corticosteroids stimulate surfactant production; they also have been shown to reduce
the incidence of intraventricular hemorrhage. Betamethasone (celestone) does not
affect the labor process, increase placental perfusion, or affect the intensity of
contractions.
Low lying placenta in third trimester puts mom at risk for - answer-painless vaginal
bleeding
Pt. With pre-eclampsia is admitted, after vitals are taken what is next priority - answer-
checking pt. Reflexes
, Chorionic villi sampling when can it be done - answer-10 weeks and no later than 12
weeks
Magnesium sulfate: how to know when you have reached therapeutic level - answer-
deep tendon reflexes +2
What to assess before administration of magnesium sulfate - answer-patellar reflexes
and urinary output
Threatened abortion - answer-vaginal spotting, abdominal cramping, closed cervix
Vertex postion - answer-proper for delivery
Risk when undergoing ivf - answer-tubal pregnancy
Mom with mitral valve stenosis, ,what symptom indicates cardiac difficulties - answer-
syncope for exertion
What contraindicates pitocin - answer-herpes infection
Patient with eclampsia, when does risk for seizure decrease - answer-48 hours
postpartum
Folic acid in patient with sickle cell is important for - answer-compensating for a rapid
turnover of red blood cells
What is a danger sign for a mom with history of preterm mulit gestational neonatal
deaths - answer-pelvic pressure
Type 1 diabetes in pregnancy puts mom at risk for - answer-hypertensive states
What assessments are priority for pt with diagnosed abruptio placentae - answer-fundal
height, vital sighs, skin color, urine output, fhr
For patient with abuse what is priority action of the nurse - answer-develop a safety plan
Sign of preclampsia other than high blood pressure - answer-weight gain of 6 pounds in
1 month
Priority nursing intervention for pt admitted with abdominal pain and vaginal bleeding -
answer-administer oxygen
Normal l/s ratio - answer-2.0-2.5; shows fetal lung maturity
Creatinine - answer-should be between 0.4-0.9. If higher indicates kidney problems
WITH COMPLETE ANSWERS
Taking-hold phase — - answer-during this phase, parents focus on learning to care for
their new baby. Temporary mood swings and feelings of vulnerability on the part of the
new mother are not uncommon. Each partner may feel neglected as they become more
involved with the baby, overlooking their partner's needs or feelings.
Letting-go phase — - answer-the couple will continue their relationship that they had
before the birth of the baby. The older brothers and sisters get to know the baby at this
time.
Magnesium sulfate and the importance of deep tendon reflexes - answer-indicates
respiratory depression
Nursinging intervention for pt. With placental previa - answer-document amount of
bleeding
After internal fetal heart monitor placement dr listens to fetal heart rate for 1 full minute
to monitor - answer-uterine cord prolapse
Risk factor for abruptio placentae - answer-hypertension
Positive contraction stress test indicates - answer-late decelerations of the fetal heart
rate are occurring with each contraction.
Also uteroplacental insufficiency
A nurse administers two serial intramuscular injections of betamethasone (celestone) to
a woman at 32 weeks' gestation who has been admitted in preterm labor. The nurse
knows that this medication is given to: - answer-stimulate surfactant production.
Corticosteroids stimulate surfactant production; they also have been shown to reduce
the incidence of intraventricular hemorrhage. Betamethasone (celestone) does not
affect the labor process, increase placental perfusion, or affect the intensity of
contractions.
Low lying placenta in third trimester puts mom at risk for - answer-painless vaginal
bleeding
Pt. With pre-eclampsia is admitted, after vitals are taken what is next priority - answer-
checking pt. Reflexes
, Chorionic villi sampling when can it be done - answer-10 weeks and no later than 12
weeks
Magnesium sulfate: how to know when you have reached therapeutic level - answer-
deep tendon reflexes +2
What to assess before administration of magnesium sulfate - answer-patellar reflexes
and urinary output
Threatened abortion - answer-vaginal spotting, abdominal cramping, closed cervix
Vertex postion - answer-proper for delivery
Risk when undergoing ivf - answer-tubal pregnancy
Mom with mitral valve stenosis, ,what symptom indicates cardiac difficulties - answer-
syncope for exertion
What contraindicates pitocin - answer-herpes infection
Patient with eclampsia, when does risk for seizure decrease - answer-48 hours
postpartum
Folic acid in patient with sickle cell is important for - answer-compensating for a rapid
turnover of red blood cells
What is a danger sign for a mom with history of preterm mulit gestational neonatal
deaths - answer-pelvic pressure
Type 1 diabetes in pregnancy puts mom at risk for - answer-hypertensive states
What assessments are priority for pt with diagnosed abruptio placentae - answer-fundal
height, vital sighs, skin color, urine output, fhr
For patient with abuse what is priority action of the nurse - answer-develop a safety plan
Sign of preclampsia other than high blood pressure - answer-weight gain of 6 pounds in
1 month
Priority nursing intervention for pt admitted with abdominal pain and vaginal bleeding -
answer-administer oxygen
Normal l/s ratio - answer-2.0-2.5; shows fetal lung maturity
Creatinine - answer-should be between 0.4-0.9. If higher indicates kidney problems
