Maternity HESI Study Guide
Antepartum Care
•Prenatal labs: CBC, blood type/Rh, rubella, HIV, syphilis, GBS at 35-37 weeks.
•Complications: Preeclampsia (HTN, proteinuria, edema), Gestational diabetes, Ectopic pregnancy.
Intrapartum Care
•Stages of labor: Stage 1 dilation, Stage 2 delivery, Stage 3 placenta, Stage 4 recovery.
•Fetal monitoring: Early decels = head compression (benign), Late decels = uteroplacental
insufficiency (intervene).
Postpartum Care
•Fundal checks: firm, midline, at umbilicus post-delivery.
•Lochia: Rubra (1-3d), Serosa (4-10d), Alba (11-6wks).
•Watch for postpartum hemorrhage (>500ml vaginal, >1000ml C-section).
Newborn Care
•Apgar: Appearance, Pulse, Grimace, Activity, Respiration.
•Reflexes: Moro, rooting, grasp.
•Thermoregulation: prevent cold stress. Signs of hypoglycemia: jittery, lethargy.
High-Risk Pregnancy
•Placenta previa: painless bleeding, no vaginal exams.
•Placental abruption: painful bleeding, rigid abdomen.
•Preterm labor: contractions before 37 weeks.
Common Medications
•Magnesium sulfate: prevent seizures in preeclampsia. SE: resp depression, decreased reflexes.
Antidote: Calcium gluconate.
•Oxytocin: induce labor, control PPH. Risks: uterine rupture, fetal distress. Monitor contractions and
FHR.
•RhoGAM: given to Rh- mothers at 28 weeks and postpartum if baby is Rh+.
•Betamethasone: promotes fetal lung maturity in preterm labor.
