OB/MATERNITY HESI EXAM 2024
LATEST UPDATE 2 DIFFERENT
VERSIONS WITH RATIONALES NEXT
GEN (NGN)GUARANTEED PASS
What position does the Pavlik harness put infants with developmental dysplasia of the
hip stay in? - >>>The Pavlik harness keeps the infant in an abducted position allowing
the hips and knees flexed
When should jaundice in a newborn be concerning? - >>>If jaundice is present less than
24 hours of delivery, it may indicate excess bilirubin
What is the action of terbutaline sulfate (Brethine)? - >>>Stop labor contractions
Primary side effects of terbutaline sulfate (Brethine)? - >>>Tachycardia and
nervousness along with increased CO, restlessness, and headache
When does the anterior fontanel close? - >>>12-18 months
When does the posterior fontanel close? - >>>End of second month
Why is erythromycin indicated 2 hours post-delivery of a newborn? - >>>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? - >>>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? - >>>Placenta previa
Is bleeding a small amount of bright red blood life-threatening to the fetus? - >>>It is not
at risk for hypovolemia or life-threatening.
What may sudden onset bleeding with present uterine contractions indicate? -
>>>Abruptio placenta
When is child-birth class recommended? - >>>30 weeks
What should a primigravida who has present leg swelling d/t sitting 8 hrs a day do to
minimize the swelling? - >>>Move around every hour
What is important to do for an amniotomy? - >>>Monitor FHR before, during, and after
procedure. The fluid should also be assessed for color, odor, and consistency.
When is an amniotomy indicated? - >>>(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? -
>>>Maternal BP should be assessed every 15 to 20 minutes during labor
Why is maternal temperature important to monitor after an amniotomy? - >>>Maternal
temperature is monitored hourly after the membranes are ruptured to detect
development of amnionitis.
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