Maternity HESI review questions AND
ANSWERS
1. 3 approaches to perceive the chronological age of a pregnancy (gestation) -
ANSWER-a. 10 lunar months
b. Nine calendar months which include three trimesters of three months each
c. 40 wks
d. 280 days
2. A toddler is added blue, limp and w/ an HR <a hundred. The nurse dries the toddler,
suctions the oropharynx and gently stimulates the little one whilst blowing O2 over the
face. The little one nevertheless does now not reply. What is the following nursing
action? - ANSWER-a. Begin oxygenation via bag and mask at 30-50 breaths in
keeping with min
b. If HR <60 start cardiac massage at 12- events/min (30 breaths and 90
compressions)
c. Assist HCP in setting up for intubation procedure
3. A breastfeeding mother complains of very tender nipples. What nursing actions should
be taken? - ANSWER-a. Have her demonstrate infant position on breast (incorrect
positioning often causes tenderness)
b. Leave bra open to air-dry nipples for 15 min three times daily
c. Express colostrum and rub on nipples
4. A client feels faint on the way to the bathroom. What nursing assessments should be
made? - ANSWER-a. Assess BP sitting and lying
b. Assess Hgb and Hct for anemia
5. A new mother asks the nurse whether circumcision is medically indicated in the
newborn. How should the nurse respond? - ANSWER-a. Controversy concerning this
issue but we do know it causes pain and trauma to the newborn and the medial
indications (prevention of penile and cervical cancer) may be unfounded
6. A nurse discovers a postpartum client with a boggy uterus that is displaced above and to
the right of the umbilicus. What nursing action is indicated? - ANSWER-a. Perform
immediate fundal massage
b. Ambulate to bathroom/use bedpan to empty bladder b/c cardinal signs of
bladder distention are present
7. A premature baby is born and develops hypothermia. State the major nursing
interventions to treat hypothermia. - ANSWER-a. Place under radiant warmer or
incubator w/ temp skin probe over liver
b. Warm all items touching newborn
c. Place plastic wrap over neonate
8. A prolonged latent phase for multipara is ___ and for nulipara is _____. Multiparas
average cervical dilation is ___ cm/hr in active phase and nullipara is ____ cm/hr in
active phase - ANSWER-a. >14 hrs
, b. >20 hrs
c. 1.5
d. 1.2
9. A term new child wishes to take in ____ cals/lb/day. After the initial weight loss is
continued, the new child must advantage ____ consistent with day - ANSWER-a. 50
cals/lb/day
b. 1 oz30 g
10.A lady asks why she is urinating a lot inside the postpartum duration. The nurse bases
the response on what information? - ANSWER-Up to 3000 mL/day can be voided b/c
of discount in forty% plasma quantity multiplied in the course of being pregnant
11.A woman decided to take beginning manage tablets as her contraceptive method. What
must she do if she misses taking the tablet for 2 consecutive days? - ANSWER-Take
two tablets for 2 days and use exchange form of start control
12.A lady on Orinase (oral hypoglycemic) asks the nurse if she will be able to hold this
medicine at some stage in pregnancy. How ought to the nurse reply? - ANSWER-a. No.
Oral hypoglycemic meds are teratogenic to the fetus. Insulin is used instead
13.A female's white blood count number is 17,000; she is afebrile and has no signs and
symptoms of contamination. What nursing movement is indicated? - ANSWER-a.
Continue recurring tests
b. Normal leukocytosis occurs at some stage in postpartum length b/c of placental
site recuperation
14.All pregnant girls need to gain knowledge of preterm hard work reputation. Describe
caution symptoms of preterm labor - ANSWER-a. >five contractions per hour
b. Cramps
c. Low stupid backache
d. Pelvic stress
e. Alternate in vaginal discharge
15.An SGA new child is diagnosed as one that ___ - ANSWER-a. Has a weight
underneath the tenth percentile for predicted weeks of gestation
16.Are psychoprophylactic breathing techniques prescribed to be used consistent with the
level and phase of hard work? - ANSWER-• No. Clients ought to use those strategies
in line with their soreness stage and ought to exchange techniques when one is
not working for relaxation
17.At 20 weeks of pregnancy the
-fundal height would be ______
-the fetus would weight approximately _____
-the fetus might seem like _____ - ANSWER-- degree of U
-three hundred-400 g
i. Vernix protects frame
ii. Lanugo covers frame
iii. Eyebrows, eyelashes and head hair develops
iv. Fetus sleeps sucks and kicks
v. Hair
, vi. No subcut fats
18.Clients who've had a c-segment are liable to what submit-op difficulty - ANSWER-a.
Paralytic ileus, infection, thromboembolism, resp headaches and impaired
maternal-toddler bonding
19.Define cervical effacement - ANSWER-• taking over of the lower cervical segment
into the upper segment; shortening of the cervix expressed in % 0-one hundred or
whole
20.Describe discharge counseling for a girl after hydatidiform mile evacuation by way of
D&C - ANSWER-a. Prevent pregnancy for 1 12 months
b. Return to hospital or MD for month-to-month hCG ranges for 1 year
c. Post op D&C commands
d. Call if bright purple vaginal bleeding or foul smelling vaginal discharge happens
or temp spikes >104
21.Describe the maternal changes that represent the transition section of hard work -
ANSWER-• irritability and unwillingness to be touched but does not want to be left
by myself
• N/V and hiccuping
22.Describe the schedule of prenatal visits for a low-chance pregnant lady - ANSWER-a. Q
4 weeks until 28 wks
b. Q 2 wks 28-36 wks
c. Q week from 36 - transport
23.Does insulin move the placenta-breast barrier? - ANSWER-a. No. Insulin dependent
ladies may also breastfeed
24.During being pregnant a girl should upload ______calories to her weight-reduction plan
and drink ___ of milk consistent with day - ANSWER-three hundred kcal; three cups
25.During the bodily exam for the new child, the nurse notes the cry is shrill,
excessive-pitched and weak. What are the feasible causes? - ANSWER-a. CNS
anomalies, brain damage, hypoglycemia, drug withdrawal
26.FHR may be auscultated with a Doppler at ________ weeks gestation - ANSWER-10-12
weeks
27.Gentle counterpressure against the perineum in the course of an emergency delivery
prevents ____ and ______. - ANSWER-a. Maternal lacerations
b. Fetal cerebral trauma
28.Goal of diabetic control throughout labor is euglycemia. How is it defined? - ANSWER-a.
70-ninety mg/dL
29.Hemodiluation of pregnancy peaks at ___ and consequences in a(n) ____ in girl's Hct -
ANSWER-a. 28-32
b. Decreased
30.How does the nurse differentiate the symptomatology of cystisis from that of
pyelonephritis? - ANSWER-a. Pyelonephritis has the equal symptoms as cystitis
(dysuria, frequency and urgency) w/ addition of flank pain, fever and ache at CV
angle
31.How is the 4th stage of exertions described? - ANSWER-• First 1-four hrs after
placenta is introduced
ANSWERS
1. 3 approaches to perceive the chronological age of a pregnancy (gestation) -
ANSWER-a. 10 lunar months
b. Nine calendar months which include three trimesters of three months each
c. 40 wks
d. 280 days
2. A toddler is added blue, limp and w/ an HR <a hundred. The nurse dries the toddler,
suctions the oropharynx and gently stimulates the little one whilst blowing O2 over the
face. The little one nevertheless does now not reply. What is the following nursing
action? - ANSWER-a. Begin oxygenation via bag and mask at 30-50 breaths in
keeping with min
b. If HR <60 start cardiac massage at 12- events/min (30 breaths and 90
compressions)
c. Assist HCP in setting up for intubation procedure
3. A breastfeeding mother complains of very tender nipples. What nursing actions should
be taken? - ANSWER-a. Have her demonstrate infant position on breast (incorrect
positioning often causes tenderness)
b. Leave bra open to air-dry nipples for 15 min three times daily
c. Express colostrum and rub on nipples
4. A client feels faint on the way to the bathroom. What nursing assessments should be
made? - ANSWER-a. Assess BP sitting and lying
b. Assess Hgb and Hct for anemia
5. A new mother asks the nurse whether circumcision is medically indicated in the
newborn. How should the nurse respond? - ANSWER-a. Controversy concerning this
issue but we do know it causes pain and trauma to the newborn and the medial
indications (prevention of penile and cervical cancer) may be unfounded
6. A nurse discovers a postpartum client with a boggy uterus that is displaced above and to
the right of the umbilicus. What nursing action is indicated? - ANSWER-a. Perform
immediate fundal massage
b. Ambulate to bathroom/use bedpan to empty bladder b/c cardinal signs of
bladder distention are present
7. A premature baby is born and develops hypothermia. State the major nursing
interventions to treat hypothermia. - ANSWER-a. Place under radiant warmer or
incubator w/ temp skin probe over liver
b. Warm all items touching newborn
c. Place plastic wrap over neonate
8. A prolonged latent phase for multipara is ___ and for nulipara is _____. Multiparas
average cervical dilation is ___ cm/hr in active phase and nullipara is ____ cm/hr in
active phase - ANSWER-a. >14 hrs
, b. >20 hrs
c. 1.5
d. 1.2
9. A term new child wishes to take in ____ cals/lb/day. After the initial weight loss is
continued, the new child must advantage ____ consistent with day - ANSWER-a. 50
cals/lb/day
b. 1 oz30 g
10.A lady asks why she is urinating a lot inside the postpartum duration. The nurse bases
the response on what information? - ANSWER-Up to 3000 mL/day can be voided b/c
of discount in forty% plasma quantity multiplied in the course of being pregnant
11.A woman decided to take beginning manage tablets as her contraceptive method. What
must she do if she misses taking the tablet for 2 consecutive days? - ANSWER-Take
two tablets for 2 days and use exchange form of start control
12.A lady on Orinase (oral hypoglycemic) asks the nurse if she will be able to hold this
medicine at some stage in pregnancy. How ought to the nurse reply? - ANSWER-a. No.
Oral hypoglycemic meds are teratogenic to the fetus. Insulin is used instead
13.A female's white blood count number is 17,000; she is afebrile and has no signs and
symptoms of contamination. What nursing movement is indicated? - ANSWER-a.
Continue recurring tests
b. Normal leukocytosis occurs at some stage in postpartum length b/c of placental
site recuperation
14.All pregnant girls need to gain knowledge of preterm hard work reputation. Describe
caution symptoms of preterm labor - ANSWER-a. >five contractions per hour
b. Cramps
c. Low stupid backache
d. Pelvic stress
e. Alternate in vaginal discharge
15.An SGA new child is diagnosed as one that ___ - ANSWER-a. Has a weight
underneath the tenth percentile for predicted weeks of gestation
16.Are psychoprophylactic breathing techniques prescribed to be used consistent with the
level and phase of hard work? - ANSWER-• No. Clients ought to use those strategies
in line with their soreness stage and ought to exchange techniques when one is
not working for relaxation
17.At 20 weeks of pregnancy the
-fundal height would be ______
-the fetus would weight approximately _____
-the fetus might seem like _____ - ANSWER-- degree of U
-three hundred-400 g
i. Vernix protects frame
ii. Lanugo covers frame
iii. Eyebrows, eyelashes and head hair develops
iv. Fetus sleeps sucks and kicks
v. Hair
, vi. No subcut fats
18.Clients who've had a c-segment are liable to what submit-op difficulty - ANSWER-a.
Paralytic ileus, infection, thromboembolism, resp headaches and impaired
maternal-toddler bonding
19.Define cervical effacement - ANSWER-• taking over of the lower cervical segment
into the upper segment; shortening of the cervix expressed in % 0-one hundred or
whole
20.Describe discharge counseling for a girl after hydatidiform mile evacuation by way of
D&C - ANSWER-a. Prevent pregnancy for 1 12 months
b. Return to hospital or MD for month-to-month hCG ranges for 1 year
c. Post op D&C commands
d. Call if bright purple vaginal bleeding or foul smelling vaginal discharge happens
or temp spikes >104
21.Describe the maternal changes that represent the transition section of hard work -
ANSWER-• irritability and unwillingness to be touched but does not want to be left
by myself
• N/V and hiccuping
22.Describe the schedule of prenatal visits for a low-chance pregnant lady - ANSWER-a. Q
4 weeks until 28 wks
b. Q 2 wks 28-36 wks
c. Q week from 36 - transport
23.Does insulin move the placenta-breast barrier? - ANSWER-a. No. Insulin dependent
ladies may also breastfeed
24.During being pregnant a girl should upload ______calories to her weight-reduction plan
and drink ___ of milk consistent with day - ANSWER-three hundred kcal; three cups
25.During the bodily exam for the new child, the nurse notes the cry is shrill,
excessive-pitched and weak. What are the feasible causes? - ANSWER-a. CNS
anomalies, brain damage, hypoglycemia, drug withdrawal
26.FHR may be auscultated with a Doppler at ________ weeks gestation - ANSWER-10-12
weeks
27.Gentle counterpressure against the perineum in the course of an emergency delivery
prevents ____ and ______. - ANSWER-a. Maternal lacerations
b. Fetal cerebral trauma
28.Goal of diabetic control throughout labor is euglycemia. How is it defined? - ANSWER-a.
70-ninety mg/dL
29.Hemodiluation of pregnancy peaks at ___ and consequences in a(n) ____ in girl's Hct -
ANSWER-a. 28-32
b. Decreased
30.How does the nurse differentiate the symptomatology of cystisis from that of
pyelonephritis? - ANSWER-a. Pyelonephritis has the equal symptoms as cystitis
(dysuria, frequency and urgency) w/ addition of flank pain, fever and ache at CV
angle
31.How is the 4th stage of exertions described? - ANSWER-• First 1-four hrs after
placenta is introduced
