OB MATERNITY HESI EXAM 2024 WITH
QUESTIONS AND VERIFIED ANSWERS ||
GUARANTEED PASS || ALREADY GRADED A+ ||
BEST EXAM VERSION!!!
What may occur if gonorrhea goes untreated? - ANSWER- Obstructed fallopian tubes from fibrous tissue that hardens and constricts the lumen causing sterility and a high risk for ectopic pregnancy
Where does fertilization normally take place? - ANSWER- Fallopian tubes
Where does sperm production take place? - ANSWER- Testes
What hormones are the reason why pregnant women commonly experience water retention and fatigue? - ANSWER- Increased estrogen and progesterone cause sodium retention--which lead to fluid retention and fatigue
What is the major function of amniotic fluid? - ANSWER- Maintain fetal temperature and stability (cushion, aid in dilation of cervix, temp---ABCs)
What is a suspected reason why pregnancy induced hypertension (PIH) occurs in LES groups? - ANSWER- Less protein involved in the diet
What is a major function of the placenta? - ANSWER- Provides an exchange of nutrients and waste products between the mother and fetus
- / 3
Key characteristic of placenta previa? - ANSWER- Painless bleeding
A pregnant woman who is a known cocaine user is at risk for developing what condition? - ANSWER- Abruptio placentae--cocaine causes vasoconstriction and contraction of uterine smooth muscle which can result in preterm labor and abruptio placentae (as well as hypertension, CV failure, and other complications)
Ptyalism - ANSWER- Excessive salivation commonly seen with hyperemesis gravidarum
Polyhydramnios - ANSWER- Excessive amniotic fluid
Vena cava syndrome - ANSWER- Compression of the IVC by the uterus in the third trimester
At what wks gestation can the fetal heartbeat be heard? - ANSWER- 18-20 wks.This is also when the mother can feel the fetus move.
How are contractions timed? - ANSWER- From the beginning of one contraction to the beginning of the next
What does pregnancy-induced hypertension increase the risk for? - ANSWER- This increases the risk for placentae abruption
What medication is often given after the delivery of a newborn? - ANSWER- IV oxytocin (Pitocin) to allow uterine contractions and deliver the placenta
What is the most common cause of postpartal hemorrhage? - ANSWER- Uterine atony--control the bleeding by staying tightly contracted. 2 / 3
Uterine atony often happens to multiparas
A nurse assesses a patient in labor with a prolapsed umbilical cord. What position should the patient be in? - ANSWER- Knee-chest position or slight Trendelenburg position to relieve the pressure of the presenting part away from the cord DO NOT feed a newborn if... - ANSWER- Respirations are over 60 (Inform physician and anticipate gavage feedings in order to prevent further energy utilization and possible aspiration)
Newborn transitional period... - ANSWER- First 6 to 8 hours of life
Normal Newborn Temperature - ANSWER- 97.7 to 99.4 (36.5 to 37.4)
Normal Newborn Heart Rate - ANSWER- 110 to 160
Normal Newborn Respiration Rate - ANSWER- 30 to 60
Normal Newborn Blood Pressure - ANSWER- 80/50
Normal glucose levels in a term neonate... - ANSWER- 40 to 80
Symptoms taught to parents to report to doctor or clinic immediately... - ANSWER- Lethargy, Temperature less than 100 (37.7), vomiting, green stools or refusal of two feeds in a row.
- / 3