OB FINAL HESI EXAM REVIEW
QUESTIONS AND ANSWERS
What hormone is measured in urine to serum to determine pregnancy? - Answer-hCg
What hormone is thought to cause insulin resistance which leads to gestational
diabetes? - Answer-hPL (human placental lactogen)
What hormones are secreted by the anterior pituitary? - Answer-LH & FSH
What hormone is primarily responsible for maintaining the endometrial lining? - Answer-
progesterone
What hormone is responsible for producing secondary sex characteristics? - Answer-
estrogen
What hormone can act as a potent vasoconstrictor or vasodilator when needed-also
thought to stimulate labor? - Answer-estrogen
What hormone causes the uterus to contract during labor and breastfeeding? - Answer-
oxytocin
What is the synthetic name of oxytocin? - Answer-Pitocin
what hormone is closely associated with breastfeeding and the let-down reflex? -
Answer-oxytocin
What supplement is needed to prevent neural tube defects and decrease the risk of
miscarriage when taken prior to pregnancy and through 13 weeks? - Answer-folic acid
(400mcg/0.4mg)
What is the reason patients are given 1000cc of IV fluid prior to receiving an epidural? -
Answer-hypotension
What hormone has a surge just prior to ovulation? - Answer-LH surge
What is the antidote for Magnesium Sulfate? - Answer-calcium gluconate
What are 2 indications for the use of Magnesium Sulfate? - Answer-preterm labor and
eclampsia/preclampsia
What drug classification is Magnesium Sulfate? - Answer-anticonvulsant
, What is the most common complication of amniocentesis? - Answer-spontaneous
abortion r/t head punctures
What assessment should be reported after amniocentesis? - Answer-fetal heart tones
and check for ruptured membranes
What drug is used to increase cortisol levels and stimulate fetal lung maturity? -
Answer-Betamethasone
What is pernicious vomiting in pregnancy? - Answer-hyperemesis gravidrum
What are the results of an amnio showing fetal lung maturity? - Answer-L:S ratio of 2:1
To identify a true labor pattern, what must be the assessment finding? - Answer-cervical
dilation & regular contractions
When should laboring patient begin pushing? - Answer-2nd stage/10cm/urge to push
What are the triad symptoms of PIH? - Answer-hypertension, protein urea, and
generalized edema
What happens to blood pressure during a contraction? - Answer-goes up
What happens to the pulse antepartally? - Answer-goes up by 10-15 bpm
What happens to the pulse postpartally? - Answer-goes back to normal
Women at 28 weeks pregnant who become dizzy and lightheaded with prolonged
standing or lying on back are suffering from what? - Answer-supine hypotension
What does meconium in the amniotic fluid mean? - Answer-fetal distress
What are the side effects of betamethasone? - Answer-hyperglycemia & increased risk
for infection
Where should newborn heel stick be done? - Answer-on the outer aspect of the heel
What is the beginning of one contraction to the beginning of the next one called? -
Answer-frequency
What is the beginning of a contraction to the end of that same contraction called? -
Answer-duration
What measurement can only be made with IUPC? - Answer-intensity of contraction
(montevideo units)
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