HESI OB MATERNITY EXAM TEST BANK
4 VERSIONS WITH QUESTIONS AND
ANSWERS ALREADY GRADED A+
Ovulation occurs how many days before the next menstrual period? (AKA between
ovulation & beginning of next menstrual cycle, there are how many days?) -
ANSWERS-14
To prevent pregnancy, a couple must avoid unprotected sex for ______days before
anticipated ovulation & for ___ days after ovulation to prevent pregnancy - ANSWERS-
Several days before antcipated ovulation & 3 days after ovulation
---sperm live approx 3 days
---eggs live about 24 hrs
Because some women experience _____ or _____, they do not know they are pregnant
- ANSWERS-implantation bleeding OR spotting
Signs of maternal-fetal bonding in utero? - ANSWERS-talking to fetus in utero
massaging abdomen
nicknaming fetus
For women, battering (emotional/physcial abuse) begins during preg. How should
women be assessed for abuse? - ANSWERS-In private, away from male partner, by
nurse who is familiar w/ local resources & knows how to determine safety of the client
A women who is 6 wks preg has the following maternal history: -healthy 2 yo daughter
-miscarriage at 10 wks
-elective abortion at 6 weeks
-5 years earlier
,(what is her GTPAL?) - ANSWERS-4-1-0-2-1
gravida 4, para 1 (only 1 delivery after 20 wks gestation)
What is EBD using Nagele's rule?
--Woman's last menstrual period Oct. 17 - ANSWERS-Count back 3 months +7 days
--July 24
When does plasma volume increase during preg? - ANSWERS-At approx 28 to 32
weeks, plasma volume increase 25-40%, resulting in hemodilution of Hct values 32-
42%
--High Hct values may look good, BUT in reality they represent a gestational HTN
disorder & depleted vascular space
Foods high in iron - ANSWERS--fish & red meats
-cereals & yellow vegetables
-green leafy vegetables & citrus fruits
-egg yolks and dried fruits
What position increases perfusion to uterus, placenta, and fetus? - ANSWERS-L side-
lying
Changes in ______ are the 1st & most important indicators of compromised blood flow
to fetus, & these changes require action! - ANSWERS-changes in FHR
--fetal well-being determined by fundal height, fetal heart tones & rate, and uterine
activity (contractions)
Possible indications of preeclampsia & eclampsia are? - ANSWERS--*visual
disturbances*
-*swelling of face, fingers, or sacrum*
-*severe, continuous headache*
-*persistant vomiting*
-*epigastric pain*
-infection signs (*chills, temp >100.4, dysuria, pain in abd*)
-*fluid discharge* or *bleeding from vagina* (anything besides norm leukorrhea)
-*change in fetal movement* or *increased FHR*
Nurse's responsibility regarding prenatal vitamins? - ANSWERS-Teach about proper
diet & about taking prescribed vitamins as they have been prescribed by HCP
---only HCP can prescribe prenatal vitamins (aka ensure client receives adequate intake
of vitamins)
What should preg women eat to ensure daily calcium needs are met to help alleviate leg
cramps? - ANSWERS-equivalent of 3 cups of milk or yogurt per day
Name major discomforts of 1st trimester & suggestions to help relieve each -
ANSWERS--N/V: crackers before rising
, -fatigue: rest periods & naps & 7-8 hrs sleep at night
At 20 weeks gestation, the fundal height would be___; the fetus would weight approx
____ and would look like ____ - ANSWERS-at umbilicus; 300-400g; a baby (w/ hair,
lanugo, & vernix, BUT w/o any subq fat)
Norm psychological responses to preg in 2nd trimester - ANSWERS--ambivalence
wanes & acceptance of pregnancy occurs
-preg becomes "real"
-signs of maternal-fetal bonding occur
Hemodilution of preg peaks at ____ weeks & result in an ____ in a women's Hct? -
ANSWERS-28-32 weeks; decrease
3 principles relative to pattern of weight gain in preg - ANSWERS--average 25-35
pounds
-gain should be consistent throughout preg
-an avg of 1lb/week in 2nd & 3rd trimesters
During preg woman should add ____ cals & drink ____ cups of milk per day? -
ANSWERS-300 cals; 3 cups
FHR can be auscultated by Doppler at ____ wks gestation - ANSWERS-10 to 12
weeks
Describe schedule of prenatal visits for low-risk preg woman - ANSWERS--Once every
4 wks until 28 wks
-Every 2 wks from 28 to 36 wks
-Once per wk until delivery
In some states, screening for neural tube defects by testing either _____ or _____ is
mandated by state law. This screening test is highly associated w/ both false positives &
false negatives - ANSWERS-maternal serum alphafetoprotein (AFP) or amniotic fluid
AFP levels
When amniocentesis is done early in preg, bladder must be ____ vs done late bladder
must be _____ - ANSWERS-*Early in preg:* bladder must be full to help support the
uterus & help push uterus up into abd for easy access
*Late in preg:* bladder must be empty to avoid puncture
Early decels, caused by _____ & ______, usually occur _____& ______ - ANSWERS-
Caused by head compression & fetal descent
Usually occur btw 4 and 7 cm & in 2nd stage of labor
---check for labor progress if early decels are noted
4 VERSIONS WITH QUESTIONS AND
ANSWERS ALREADY GRADED A+
Ovulation occurs how many days before the next menstrual period? (AKA between
ovulation & beginning of next menstrual cycle, there are how many days?) -
ANSWERS-14
To prevent pregnancy, a couple must avoid unprotected sex for ______days before
anticipated ovulation & for ___ days after ovulation to prevent pregnancy - ANSWERS-
Several days before antcipated ovulation & 3 days after ovulation
---sperm live approx 3 days
---eggs live about 24 hrs
Because some women experience _____ or _____, they do not know they are pregnant
- ANSWERS-implantation bleeding OR spotting
Signs of maternal-fetal bonding in utero? - ANSWERS-talking to fetus in utero
massaging abdomen
nicknaming fetus
For women, battering (emotional/physcial abuse) begins during preg. How should
women be assessed for abuse? - ANSWERS-In private, away from male partner, by
nurse who is familiar w/ local resources & knows how to determine safety of the client
A women who is 6 wks preg has the following maternal history: -healthy 2 yo daughter
-miscarriage at 10 wks
-elective abortion at 6 weeks
-5 years earlier
,(what is her GTPAL?) - ANSWERS-4-1-0-2-1
gravida 4, para 1 (only 1 delivery after 20 wks gestation)
What is EBD using Nagele's rule?
--Woman's last menstrual period Oct. 17 - ANSWERS-Count back 3 months +7 days
--July 24
When does plasma volume increase during preg? - ANSWERS-At approx 28 to 32
weeks, plasma volume increase 25-40%, resulting in hemodilution of Hct values 32-
42%
--High Hct values may look good, BUT in reality they represent a gestational HTN
disorder & depleted vascular space
Foods high in iron - ANSWERS--fish & red meats
-cereals & yellow vegetables
-green leafy vegetables & citrus fruits
-egg yolks and dried fruits
What position increases perfusion to uterus, placenta, and fetus? - ANSWERS-L side-
lying
Changes in ______ are the 1st & most important indicators of compromised blood flow
to fetus, & these changes require action! - ANSWERS-changes in FHR
--fetal well-being determined by fundal height, fetal heart tones & rate, and uterine
activity (contractions)
Possible indications of preeclampsia & eclampsia are? - ANSWERS--*visual
disturbances*
-*swelling of face, fingers, or sacrum*
-*severe, continuous headache*
-*persistant vomiting*
-*epigastric pain*
-infection signs (*chills, temp >100.4, dysuria, pain in abd*)
-*fluid discharge* or *bleeding from vagina* (anything besides norm leukorrhea)
-*change in fetal movement* or *increased FHR*
Nurse's responsibility regarding prenatal vitamins? - ANSWERS-Teach about proper
diet & about taking prescribed vitamins as they have been prescribed by HCP
---only HCP can prescribe prenatal vitamins (aka ensure client receives adequate intake
of vitamins)
What should preg women eat to ensure daily calcium needs are met to help alleviate leg
cramps? - ANSWERS-equivalent of 3 cups of milk or yogurt per day
Name major discomforts of 1st trimester & suggestions to help relieve each -
ANSWERS--N/V: crackers before rising
, -fatigue: rest periods & naps & 7-8 hrs sleep at night
At 20 weeks gestation, the fundal height would be___; the fetus would weight approx
____ and would look like ____ - ANSWERS-at umbilicus; 300-400g; a baby (w/ hair,
lanugo, & vernix, BUT w/o any subq fat)
Norm psychological responses to preg in 2nd trimester - ANSWERS--ambivalence
wanes & acceptance of pregnancy occurs
-preg becomes "real"
-signs of maternal-fetal bonding occur
Hemodilution of preg peaks at ____ weeks & result in an ____ in a women's Hct? -
ANSWERS-28-32 weeks; decrease
3 principles relative to pattern of weight gain in preg - ANSWERS--average 25-35
pounds
-gain should be consistent throughout preg
-an avg of 1lb/week in 2nd & 3rd trimesters
During preg woman should add ____ cals & drink ____ cups of milk per day? -
ANSWERS-300 cals; 3 cups
FHR can be auscultated by Doppler at ____ wks gestation - ANSWERS-10 to 12
weeks
Describe schedule of prenatal visits for low-risk preg woman - ANSWERS--Once every
4 wks until 28 wks
-Every 2 wks from 28 to 36 wks
-Once per wk until delivery
In some states, screening for neural tube defects by testing either _____ or _____ is
mandated by state law. This screening test is highly associated w/ both false positives &
false negatives - ANSWERS-maternal serum alphafetoprotein (AFP) or amniotic fluid
AFP levels
When amniocentesis is done early in preg, bladder must be ____ vs done late bladder
must be _____ - ANSWERS-*Early in preg:* bladder must be full to help support the
uterus & help push uterus up into abd for easy access
*Late in preg:* bladder must be empty to avoid puncture
Early decels, caused by _____ & ______, usually occur _____& ______ - ANSWERS-
Caused by head compression & fetal descent
Usually occur btw 4 and 7 cm & in 2nd stage of labor
---check for labor progress if early decels are noted
