OB FINAL HESI EXAM SCRIPT PRACTICE
QUESTIONS AND CORRECT SOLUTIONS
●● the most common medical complication of pregnancy
Answer: hypertension
●● preeclampsia results in what
Answer: decreased 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...
Answer: no seizures occur
Mag is a CNS depressant, NOT an antihypertensive medication
●● antidote for magnesium sulfate
Answer: calcium gluconate
●● HELLP syndrome
Answer: Hemolysis
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:
Answer: superimposed preeclampsia
●● positive ankle clonus indicates...
Answer: hyperactivity and is a cause for concern
●● which antihypertensive medication would cause a pregnant woman
to have a false positive Coombs test?
Answer: methyldopa (aldomet)
●● lab values for preeclampsia
Answer: elevated hemoglobin
elevated LDH
decreased platelets (below 100,000)
increased BUN
●● the most important cause of perinatal loss in diabetic pregnancy is...
Answer: congenital malformations
,●● hypothyroidism in mother could cause
Answer: miscarriage
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:
Answer: pregestational DM
●● priority assessment for pregnant woman experiencing nausea and
vomiting
Answer: ketonuria
●● 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?
Answer: the 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?
Answer: administer oxygen
antipyretics
PTU
●● preeclampsia protein levels
Answer: mild: 1+ on dipstick (0.3-2 g/24 hours)
severe: 3+ dipstick (more than 5 g/24 hr)
●● mag toxicity
Answer: flushing
sweating
hypotension
depressed DTR
respiratory depression
●● creatinine levels of severe preeclampsia
Answer: elevated (above 1.2)
●● platelet levels of severe preeclampsia
QUESTIONS AND CORRECT SOLUTIONS
●● the most common medical complication of pregnancy
Answer: hypertension
●● preeclampsia results in what
Answer: decreased 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...
Answer: no seizures occur
Mag is a CNS depressant, NOT an antihypertensive medication
●● antidote for magnesium sulfate
Answer: calcium gluconate
●● HELLP syndrome
Answer: Hemolysis
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:
Answer: superimposed preeclampsia
●● positive ankle clonus indicates...
Answer: hyperactivity and is a cause for concern
●● which antihypertensive medication would cause a pregnant woman
to have a false positive Coombs test?
Answer: methyldopa (aldomet)
●● lab values for preeclampsia
Answer: elevated hemoglobin
elevated LDH
decreased platelets (below 100,000)
increased BUN
●● the most important cause of perinatal loss in diabetic pregnancy is...
Answer: congenital malformations
,●● hypothyroidism in mother could cause
Answer: miscarriage
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:
Answer: pregestational DM
●● priority assessment for pregnant woman experiencing nausea and
vomiting
Answer: ketonuria
●● 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?
Answer: the 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?
Answer: administer oxygen
antipyretics
PTU
●● preeclampsia protein levels
Answer: mild: 1+ on dipstick (0.3-2 g/24 hours)
severe: 3+ dipstick (more than 5 g/24 hr)
●● mag toxicity
Answer: flushing
sweating
hypotension
depressed DTR
respiratory depression
●● creatinine levels of severe preeclampsia
Answer: elevated (above 1.2)
●● platelet levels of severe preeclampsia
