HESI Maternity and Pediatrics 2025 Q&A
GRADED A+
How is EDD calculated using Nagele's rule? - CORRECT ANSWER-1.
Determine the first day of the LMP
2. Subtract 3 months
3. Add 7 days
4. Adjust the year
What is gravidity? - CORRECT ANSWER-the number of pregnancies
including current pregnancy.
Includes miscarriages, ectopic pregnancies, stillbirths.
What is parity? - CORRECT ANSWER-number of births in which the fetus
is carried past 20 weeks gestation(not number of fetuses [e.g., twins]
GTPAL - CORRECT ANSWER-Gravida, Term, Preterm, Abortions, Living
What are presumptive signs of pregnancy? - CORRECT answersubjective
signs perceived by the woman
,- Signs: amenorrhea, breast changes & tenderness, nausea
- Symptoms: N/V, urinary freq, weight gain, fatigue, quickening (fetal
movement), discoloration of vaginal mucosa
Probable signs of pregnancy - CORRECT ANSWER-Uterine enlargement,
Goodell's sign, Chadwick's sign, Hegar's sign, Ballottement, + Pregnancy
test, Braxton Hicks contractions
Goodell's sign - CORRECT ANSWER-softening of the cervix
Chadwick's sign - CORRECT ANSWER-Bluish purple discoloration of the
cervix, vagina, and labia during pregnancy as a result of increased
vascular congestion.
Hegar's sign - CORRECT ANSWER-softening of the lower uterine
segment
Ballottement - CORRECT ANSWER-The rebounding of the fetus against
the examiner's fingers on palpation
Positive signs of pregnancy - CORRECT ANSWER-audible fetal heartbeat,
fetal movement felt by examiner, ultrasound visualization of fetus
,How to measure Fundal Height - CORRECT ANSWER-Symphysis pubis to
top of uterine fundus. # of cm is usually equivalent to gestation age,
give or take 1-2 cm
--At 36 weeks fetus moves down into the pelvis, measurement not as
reliable
Smoking tobacco during pregnancy can lead to - CORRECT ANSWER-low
birth weight, a higher incidence of birth defects, and still births
Cholasma - CORRECT ANSWER-Pigmented area of the face (mask of
pregnancy)
"Linea Nigra" of pregnancy - CORRECT ANSWER-Dark line of
hyperpigmentation down the midline of the abdomen
Stiae gravidarum - CORRECT ANSWER-stretch marks
What are some interventions that the nurse can teach the patient for
nausea and vomiting in pregnancy(occurs during 1st trimester)? -
CORRECT ANSWER-Eat crackers before rising in the morning, eat small,
frequent and low fat meals, drink liquids between meals rather than at
meals, avoid fried and spicy foods. Ask HCP if vit. B6 would be helpful.
, What are some interventions for syncope during pregnancy? - CORRECT
ANSWER-sit with feet elevated and change positions slowly. Instruct
the pregnant client to avoid lying in the supine position.
What are some interventions for urinary frequency occurring during
pregnancy? - CORRECT ANSWER-Limit fluid intake during the evening,
void at regular intervals, kegal exercises, avoid caffeine
What are some interventions of ptyalism during pregnancy? - CORRECT
ANSWER-Small, frequent meals, gum chewing and oral lozenges
Dilution of RBC mass causing a decline in maternal hemoglobin and
hematocrit - CORRECT ANSWER-physiologic anemia or pseudoanemia
Iron deficiency anemia occurs when the Hgb and Hct are? - CORRECT
ANSWER-Hgb less than 11 g/dl or Hct less than 33% in 1st or 3rd
trimester & Hgb less than 10.5 g/dl or Hct less than 32% in 2nd
trimester
What is prescribed in pregnancy to prevent iron deficiency anemia? -
CORRECT ANSWER-Ferrous Sulfate(iron supplement)
GRADED A+
How is EDD calculated using Nagele's rule? - CORRECT ANSWER-1.
Determine the first day of the LMP
2. Subtract 3 months
3. Add 7 days
4. Adjust the year
What is gravidity? - CORRECT ANSWER-the number of pregnancies
including current pregnancy.
Includes miscarriages, ectopic pregnancies, stillbirths.
What is parity? - CORRECT ANSWER-number of births in which the fetus
is carried past 20 weeks gestation(not number of fetuses [e.g., twins]
GTPAL - CORRECT ANSWER-Gravida, Term, Preterm, Abortions, Living
What are presumptive signs of pregnancy? - CORRECT answersubjective
signs perceived by the woman
,- Signs: amenorrhea, breast changes & tenderness, nausea
- Symptoms: N/V, urinary freq, weight gain, fatigue, quickening (fetal
movement), discoloration of vaginal mucosa
Probable signs of pregnancy - CORRECT ANSWER-Uterine enlargement,
Goodell's sign, Chadwick's sign, Hegar's sign, Ballottement, + Pregnancy
test, Braxton Hicks contractions
Goodell's sign - CORRECT ANSWER-softening of the cervix
Chadwick's sign - CORRECT ANSWER-Bluish purple discoloration of the
cervix, vagina, and labia during pregnancy as a result of increased
vascular congestion.
Hegar's sign - CORRECT ANSWER-softening of the lower uterine
segment
Ballottement - CORRECT ANSWER-The rebounding of the fetus against
the examiner's fingers on palpation
Positive signs of pregnancy - CORRECT ANSWER-audible fetal heartbeat,
fetal movement felt by examiner, ultrasound visualization of fetus
,How to measure Fundal Height - CORRECT ANSWER-Symphysis pubis to
top of uterine fundus. # of cm is usually equivalent to gestation age,
give or take 1-2 cm
--At 36 weeks fetus moves down into the pelvis, measurement not as
reliable
Smoking tobacco during pregnancy can lead to - CORRECT ANSWER-low
birth weight, a higher incidence of birth defects, and still births
Cholasma - CORRECT ANSWER-Pigmented area of the face (mask of
pregnancy)
"Linea Nigra" of pregnancy - CORRECT ANSWER-Dark line of
hyperpigmentation down the midline of the abdomen
Stiae gravidarum - CORRECT ANSWER-stretch marks
What are some interventions that the nurse can teach the patient for
nausea and vomiting in pregnancy(occurs during 1st trimester)? -
CORRECT ANSWER-Eat crackers before rising in the morning, eat small,
frequent and low fat meals, drink liquids between meals rather than at
meals, avoid fried and spicy foods. Ask HCP if vit. B6 would be helpful.
, What are some interventions for syncope during pregnancy? - CORRECT
ANSWER-sit with feet elevated and change positions slowly. Instruct
the pregnant client to avoid lying in the supine position.
What are some interventions for urinary frequency occurring during
pregnancy? - CORRECT ANSWER-Limit fluid intake during the evening,
void at regular intervals, kegal exercises, avoid caffeine
What are some interventions of ptyalism during pregnancy? - CORRECT
ANSWER-Small, frequent meals, gum chewing and oral lozenges
Dilution of RBC mass causing a decline in maternal hemoglobin and
hematocrit - CORRECT ANSWER-physiologic anemia or pseudoanemia
Iron deficiency anemia occurs when the Hgb and Hct are? - CORRECT
ANSWER-Hgb less than 11 g/dl or Hct less than 33% in 1st or 3rd
trimester & Hgb less than 10.5 g/dl or Hct less than 32% in 2nd
trimester
What is prescribed in pregnancy to prevent iron deficiency anemia? -
CORRECT ANSWER-Ferrous Sulfate(iron supplement)
