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Examen

OB FINAL EXAM & HESI EXAM WITH CORRECT ANSWERS 2025

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OB FINAL EXAM & HESI EXAM WITH CORRECT ANSWERS 2025

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Institución
OB FINA
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Subido en
12 de junio de 2025
Número de páginas
67
Escrito en
2024/2025
Tipo
Examen
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OB FINAL EXAM & HESI EXAM
WITH CORRECT ANSWERS 2025



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 answers >> B should alert
the nurse for respiratory depression. The other findings are
considered normal.


the most common medical complication of pregnancy correct
answers >> hypertension


preeclampsia results in what correct answers >> 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... correct answers >>
no seizures occur


Mag is a CNS depressant, NOT an antihypertensive medication

,antidote for magnesium sulfate correct answers >> calcium
gluconate


HELLP syndrome correct answers >> 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: correct answers >> superimposed preeclampsia


positive ankle clonus indicates... correct answers >>
hyperactivity and is a cause for concern


which antihypertensive medication would cause a pregnant
woman to have a false positive Coombs test? correct answers
>> methyldopa (aldomet)


lab values for preeclampsia correct answers >> elevated
hemoglobin
elevated LDH
decreased platelets (below 100,000)
increased BUN

,the most important cause of perinatal loss in diabetic pregnancy
is... correct answers >> congenital malformations


hypothyroidism in mother could cause correct answers >>
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: correct answers >> pregestational DM


priority assessment for pregnant woman experiencing nausea and
vomiting correct answers >> 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?
correct answers >> 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?
correct answers >> administer oxygen
antipyretics
PTU

, preeclampsia protein levels correct answers >> mild: 1+ on
dipstick (0.3-2 g/24 hours)


severe: 3+ dipstick (more than 5 g/24 hr)


mag toxicity correct answers >> flushing
sweating
hypotension
depressed DTR
respiratory depression


creatinine levels of severe preeclampsia correct answers >>
elevated (above 1.2)


platelet levels of severe preeclampsia correct answers >>
decreased (below 100,000)


incompetent cervix correct answers >> premature 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
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