OB FINAL HESI EXAM REVIEW
QUESTIONS AND ANSWERS
What measurement can only be made with IUPC? - Answer-intensity of contraction
(montevideo units)
What should you assess after spontaneous rupture of membranes? - Answer-color of
fluid, how much, odor, time
What complication is likely to occur with shoulder dystocia? - Answer-damage to upper
brachial plexus
What is a common complication of spinal anesthesia? - Answer-post-dural headache
What causes painless, vaginal bleeding near term? - Answer-placenta previa
What is a major complication associated with Pitocin use? - Answer-tachysystole
What should you do for engorged breasts in a bottle-feeding mom? - Answer-bind
breast & ice packs
What should you do for engorged breasts in a breastfeeding mom? - Answer-pump,
more frequent feedings, cabbage leaves, warm-moist heat and massage
What assessment should you avoid if you suspect placenta previa? - Answer-no
cervical exam
What do small for gestational age babies have trouble with? - Answer-regulating
temperature
What nursing intervention helps the uterus to contract postpartally? - Answer-massage
A mom, 24 hours after delivery, should have a fundus located where? - Answer-at or
1cm below umbillicus
A mom, 30 minutes after delivery, should have a fundus located where? - Answer-half
way between pubic symphasis and umbilicus
What assessment finding might you have with an addicted newborn that you don't
generally see in normal newborns? - Answer-hyperactive reflexes, jittery, don't sleep
well, inconsolible
Why should we worry about bladder distention in our postpartal patients? - Answer-
proper uterine contractibility
, What is it called when jaundice occurs within the first 24 hours? - Answer-pathological
jaundice (r/t blood incompatibility with mom and baby)
When is HIV likely to be transmitted? - Answer-delivery & breastfeeding
What antepartal assessment finding might be indicative of twins? - Answer-large fundal
height
What is it called when a deceleration occurs after the peak of the contraction? - Answer-
late deceleration
What is a deceleration that occurs at the beginning of the contraction? - Answer-early
decelerations (change positions, check them)
What are decelerations that occur without regard to contractions? - Answer-variables
(sharp V)--reposition mom because it's r/t cord compression
What is a deceleration that lasts a significant period of time? - Answer-prolonged
deceleration (>2min)--longer than 10min is a new baseline
What tocolytic drug is used SQ and PO? - Answer-tributaline
What is the first concern after airway, breathing, and circulation in a newborn? -
Answer-temperature
Why should you change diapers frequently in newborns? - Answer-prevent skin
breakdown
What happens to cardiac output in pregnancy? - Answer-it increases
What drug is given to reverse narcotics? - Answer-Narcan
What are newborn signs of respiratory distress? - Answer-retractions, nasal flaring,
grunting
What are the most common positions of a baby in vertex presentation? -
Answer-ROA/LOA
Fetal head is engaged when it reaches what? - Answer-0--station of ischial spine
What makes up stage 2 of labor? - Answer-10cm/urge to push
When should you get an epidural? - Answer-before you start pushing (active stage), 4-6
cm
QUESTIONS AND ANSWERS
What measurement can only be made with IUPC? - Answer-intensity of contraction
(montevideo units)
What should you assess after spontaneous rupture of membranes? - Answer-color of
fluid, how much, odor, time
What complication is likely to occur with shoulder dystocia? - Answer-damage to upper
brachial plexus
What is a common complication of spinal anesthesia? - Answer-post-dural headache
What causes painless, vaginal bleeding near term? - Answer-placenta previa
What is a major complication associated with Pitocin use? - Answer-tachysystole
What should you do for engorged breasts in a bottle-feeding mom? - Answer-bind
breast & ice packs
What should you do for engorged breasts in a breastfeeding mom? - Answer-pump,
more frequent feedings, cabbage leaves, warm-moist heat and massage
What assessment should you avoid if you suspect placenta previa? - Answer-no
cervical exam
What do small for gestational age babies have trouble with? - Answer-regulating
temperature
What nursing intervention helps the uterus to contract postpartally? - Answer-massage
A mom, 24 hours after delivery, should have a fundus located where? - Answer-at or
1cm below umbillicus
A mom, 30 minutes after delivery, should have a fundus located where? - Answer-half
way between pubic symphasis and umbilicus
What assessment finding might you have with an addicted newborn that you don't
generally see in normal newborns? - Answer-hyperactive reflexes, jittery, don't sleep
well, inconsolible
Why should we worry about bladder distention in our postpartal patients? - Answer-
proper uterine contractibility
, What is it called when jaundice occurs within the first 24 hours? - Answer-pathological
jaundice (r/t blood incompatibility with mom and baby)
When is HIV likely to be transmitted? - Answer-delivery & breastfeeding
What antepartal assessment finding might be indicative of twins? - Answer-large fundal
height
What is it called when a deceleration occurs after the peak of the contraction? - Answer-
late deceleration
What is a deceleration that occurs at the beginning of the contraction? - Answer-early
decelerations (change positions, check them)
What are decelerations that occur without regard to contractions? - Answer-variables
(sharp V)--reposition mom because it's r/t cord compression
What is a deceleration that lasts a significant period of time? - Answer-prolonged
deceleration (>2min)--longer than 10min is a new baseline
What tocolytic drug is used SQ and PO? - Answer-tributaline
What is the first concern after airway, breathing, and circulation in a newborn? -
Answer-temperature
Why should you change diapers frequently in newborns? - Answer-prevent skin
breakdown
What happens to cardiac output in pregnancy? - Answer-it increases
What drug is given to reverse narcotics? - Answer-Narcan
What are newborn signs of respiratory distress? - Answer-retractions, nasal flaring,
grunting
What are the most common positions of a baby in vertex presentation? -
Answer-ROA/LOA
Fetal head is engaged when it reaches what? - Answer-0--station of ischial spine
What makes up stage 2 of labor? - Answer-10cm/urge to push
When should you get an epidural? - Answer-before you start pushing (active stage), 4-6
cm
