HESI: OB, maternity
What position does the Pavlik harness put infants with developmental dysplasia of the hip stay
in? - ANSThe Pavlik harness keeps the infant in an abducted position allowing the hips and
knees flexed
When should jaundice in a newborn be concerning? - ANSIf jaundice is present less than 24
hours of delivery, it may indicate excess bilirubin
What is the action of terbutaline sulfate (Brethine)? - ANSStop labor contractions
Primary side effects of terbutaline sulfate (Brethine)? - ANSTachycardia and nervousness along
with increased CO, restlessness, and headache
When does the anterior fontanel close? - ANS12-18 months
When does the posterior fontanel close? - ANSEnd of second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? - ANSPrevent 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? - ANSCall 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? -
ANSPlacenta previa
Is bleeding a small amount of bright red blood life-threatening to the fetus? - ANSIt is not at risk
for hypovolemia or life-threatening.
What may sudden onset bleeding with present uterine contractions indicate? - ANSAbruptio
placenta
When is child-birth class recommended? - ANS30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs a day do to minimize
the swelling? - ANSMove around every hour
, What is important to do for an amniotomy? - ANSMonitor FHR before, during, and after
procedure. The fluid should also be assessed for color, odor, and consistency.
When is an amniotomy indicated? - ANS(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? - ANSMaternal BP
should be assessed every 15 to 20 minutes during labor
Why is maternal temperature important to monitor after an amniotomy? - ANSMaternal
temperature is monitored hourly after the membranes are ruptured to detect development of
amnionitis.
Is it ok for a breastfeeding mother to drink alcohol? - ANSNo, 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? - ANSHave the pt breathe into her cupped
hands. She is hyperventilating and excreting too much carbon dioxide.
When does ovulation occur? - ANS14 days before first day of menstrual period
What is the goal for labor augmentation (administration of Oxytocin/pitocin) - ANSproduce firm
contractions that occur every 2 to 3 minutes, with a duration of 60 to 70 seconds, and without
evidence of fetal stress.
Is it normal for FHR to increase during contractions and return to baseline? - ANSYes it is
normal for FHR to increase, but this is indicative to increase the pitocin infusion to stimulate the
intensity and frequency of the contractions
What should be done if fetal stress is present during labor? - ANS-Place a wedge on the pts left
side
-Administer 10L oxygen nasal cannula
What is important to tell the HCP during the third trimester of pregnancy? - ANSSigns of
preeclampsia--heartburn not relieved by antacids and chronic headaches behind the eye
Normal signs of the last trimester of pregnancy? - ANS-Increase in fetal heart rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
Milia - ANSWhite pinpoint spots found on the nose and chin that represent blockage of
sebaceous glands
What position does the Pavlik harness put infants with developmental dysplasia of the hip stay
in? - ANSThe Pavlik harness keeps the infant in an abducted position allowing the hips and
knees flexed
When should jaundice in a newborn be concerning? - ANSIf jaundice is present less than 24
hours of delivery, it may indicate excess bilirubin
What is the action of terbutaline sulfate (Brethine)? - ANSStop labor contractions
Primary side effects of terbutaline sulfate (Brethine)? - ANSTachycardia and nervousness along
with increased CO, restlessness, and headache
When does the anterior fontanel close? - ANS12-18 months
When does the posterior fontanel close? - ANSEnd of second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? - ANSPrevent 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? - ANSCall 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? -
ANSPlacenta previa
Is bleeding a small amount of bright red blood life-threatening to the fetus? - ANSIt is not at risk
for hypovolemia or life-threatening.
What may sudden onset bleeding with present uterine contractions indicate? - ANSAbruptio
placenta
When is child-birth class recommended? - ANS30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs a day do to minimize
the swelling? - ANSMove around every hour
, What is important to do for an amniotomy? - ANSMonitor FHR before, during, and after
procedure. The fluid should also be assessed for color, odor, and consistency.
When is an amniotomy indicated? - ANS(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? - ANSMaternal BP
should be assessed every 15 to 20 minutes during labor
Why is maternal temperature important to monitor after an amniotomy? - ANSMaternal
temperature is monitored hourly after the membranes are ruptured to detect development of
amnionitis.
Is it ok for a breastfeeding mother to drink alcohol? - ANSNo, 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? - ANSHave the pt breathe into her cupped
hands. She is hyperventilating and excreting too much carbon dioxide.
When does ovulation occur? - ANS14 days before first day of menstrual period
What is the goal for labor augmentation (administration of Oxytocin/pitocin) - ANSproduce firm
contractions that occur every 2 to 3 minutes, with a duration of 60 to 70 seconds, and without
evidence of fetal stress.
Is it normal for FHR to increase during contractions and return to baseline? - ANSYes it is
normal for FHR to increase, but this is indicative to increase the pitocin infusion to stimulate the
intensity and frequency of the contractions
What should be done if fetal stress is present during labor? - ANS-Place a wedge on the pts left
side
-Administer 10L oxygen nasal cannula
What is important to tell the HCP during the third trimester of pregnancy? - ANSSigns of
preeclampsia--heartburn not relieved by antacids and chronic headaches behind the eye
Normal signs of the last trimester of pregnancy? - ANS-Increase in fetal heart rate
-Shoes and ring are right
-Inability to sleep for more than 2 hours
Milia - ANSWhite pinpoint spots found on the nose and chin that represent blockage of
sebaceous glands
