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Exam (elaborations)

HESI OB, MATERNITY EXAM WITH CORRECT ANSWERS 2025

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HESI OB, MATERNITY EXAM WITH CORRECT ANSWERS 2025

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HESI OB, MATERNITY EXAM WITH
CORRECT ANSWERS 2025


What position does the Pavlik harness put infants with
developmental dysplasia of the hip stay in? correct answers
>> The Pavlik harness keeps the infant in an abducted position
allowing the hips and knees flexed


When should jaundice in a newborn be concerning? correct
answers >> If jaundice is present less than 24 hours of delivery,
it may indicate excess bilirubin


What is the action of terbutaline sulfate (Brethine)? correct
answers >> Stop labor contractions


Primary side effects of terbutaline sulfate (Brethine)? correct
answers >> Tachycardia and nervousness along with increased
CO, restlessness, and headache


When does the anterior fontanel close? correct answers >>
12-18 months


When does the posterior fontanel close? correct answers >>
End of second month


Why is erythromycin indicated 2 hours post-delivery of a
newborn? correct answers >> 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? correct answers >> 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? correct
answers >> Placenta previa


Is bleeding a small amount of bright red blood life-threatening to
the fetus? correct answers >> It is not at risk for
hypovolemia or life-threatening.


What may sudden onset bleeding with present uterine
contractions indicate? correct answers >> Abruptio placenta


When is child-birth class recommended? correct answers >>
30 weeks


What should a primigravida who has present leg swelling d/t
sitting 8 hrs a day do to minimize the swelling? correct
answers >> Move around every hour


What is important to do for an amniotomy? correct answers
>> Monitor FHR before, during, and after procedure. The fluid
should also be assessed for color, odor, and consistency.

, When is an amniotomy indicated? correct answers >>
(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? correct answers >> Maternal BP should be
assessed every 15 to 20 minutes during labor


Why is maternal temperature important to monitor after an
amniotomy? correct answers >> 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? correct
answers >> 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? correct answers >> Have the pt
breathe into her cupped hands. She is hyperventilating and
excreting too much carbon dioxide.


When does ovulation occur? correct answers >> 14 days
before first day of menstrual period


What is the goal for labor augmentation (administration of
Oxytocin/pitocin) correct answers >> produce firm
contractions that occur every 2 to 3 minutes, with a duration of
60 to 70 seconds, and without evidence of fetal stress.

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