OB final exam & HESI assessment exams with correct questions and answers.

The nurse should be concerned after the assessment finding on what during a magnesium sulfate infusion for preeclampsia? A. a sleepy, sedated effect B. a respiratory rate of 10 bpm C. DTR of 2+ D. absence of ankle clonus - CORRECT ANSWERS️️B should alert the nurse for respiratory depression. The other findings are considered normal. the most common medical complication of pregnancy - CORRECT ANSWERS️️hypertension preeclampsia results in what - CORRECT ANSWERS️️decreased function of organs (placenta, liver, kidneys, brain) due to vasospasms diminishing the diameter of blood vessels . a woman being treated with magnesium sulfate should be considered to be treated successfully if... - CORRECT ANSWERS️️no seizures occur Mag is a CNS depressant, NOT an antihypertensive medication antidote for magnesium sulfate - CORRECT ANSWERS️️calcium gluconate HELLP syndrome - CORRECT ANSWERS️️Hemolysis Elevated Liver enzymes Low Platelets A pregnant woman who is at 21 weeks of gestation has an elevated blood pressure of 140/98. Past medical history reveals that the woman has been treated for hypertension. On the basis of this information, the nurse would classify this patient as having: - CORRECT ANSWERS️️superimposed preeclampsia positive ankle clonus indicates... - CORRECT ANSWERS️️hyperactivity and is a cause for concern which antihypertensive medication would cause a pregnant woman to have a false positive Coombs test? - CORRECT ANSWERS️️methyldopa (aldomet) lab values for preeclampsia - CORRECT ANSWERS️️elevated hemoglobin elevated LDH decreased platelets (below 100,000) increased BUN the most important cause of perinatal loss in diabetic pregnancy is... - CORRECT ANSWERS️️congenital malformations hypothyroidism in mother could cause - CORRECT ANSWERS️️miscarriage preeclampsia and hypertension placental abruption stillbirth low birth weight, premature A patient who is pregnant already has Type 2 diabetes with a hemoglobin A1c value of 7. The nurse would categorize this patient as having: - CORRECT ANSWERS️️pregestational DM priority assessment for pregnant woman experiencing nausea and vomiting - CORRECT ANSWERS️️ketonuria A pregnant woman has maternal phenylketonuria (PKU) and is interested in whether or not she will be able to breastfeed her baby. Which reaction by the nurse indicates accurate information? - CORRECT ANSWERS️️the patient should be advised to not breastfeed the infant because her breast milk will contain large amounts of phenylalanine what interventions would the nurse anticipate to be ordered by the physician for a patient in a thyroid storm during delivery? - CORRECT ANSWERS️️administer oxygen antipyretics PTU preeclampsia protein levels - CORRECT ANSWERS️️mild: 1+ on dipstick (0.3-2 g/24 hours) severe: 3+ dipstick (more than 5 g/24 hr) mag toxicity - CORRECT ANSWERS️️flushing sweating hypotension depressed DTR respiratory depression creatinine levels of severe preeclampsia - CORRECT ANSWERS️️elevated (above 1.2) platelet levels of severe preeclampsia - CORRECT ANSWERS️️decreased (below 100,000) incompetent cervix - CORRECT ANSWERS️️premature dilation tx: surgical placement of cervical cerclage 10-14 weeks gestation to constrict the internal os provide bed rest, hydration, tocolysis (to inhibit ctx), no sex or standing for a long time removed at 37 weeks gestation or prior to c/s leading cause of life-threatening perinatal infections - CORRECT ANSWERS️️GBS can lead to sepsis, pneumonia, or meningitis causing permanent neuro disability dx with vag and rectal cultures at 35-37 weeks tx with antibiotics opthalmia neonatorum is caused by what organism - CORRECT ANSWERS️️gonorrhea (neisseria gonorrhoeae) mechanisms of labor - CORRECT ANSWERS️️1. engagement (lightening, dropping) 2. descent 3. flexion 5. internal rotation 6.. extension (begins after the head crowns) 7. restitution (realignment of the fetal head with the body after the head emerges) 8. external rotation (of the shoulders) 9. explusion variable decels - CORRECT ANSWERS️️cord compression are not as uniform as early and late decels could be nonperiodic (unrelated to ctx times) they are significant when FHR repeatedly declines to less than 70 bpm and persists at level for at least 60 seconds before returning to baseline TX: change position, administer oxygen, d/c pit, assess mother's vitals, assist with amnioinfusion to decompress cord as prescribed Four Stages of Labor - CORRECT ANSWERS️️STAGE 1 a) Latent 1-4 cm dilation w/ UC 15-30 minutes apart and 15-30 seconds duration b) Active 4-7 cm dilation w/ UC 3-5 minutes apart for 30-60 seconds c) Transition 8-10 cm w/ UC 2-3 min apart for 45-90 seconds