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Exam (elaborations)

HURST Maternity Nursing Q&A Guide 2025/2026 Includes 500 Extended Questions with Comprehensive Answers

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This complete HURST Maternity Nursing Q&A guide for 2025/2026 is designed to help nursing students excel in maternal health exams including ATI, HESI, NCLEX-RN, and in-class tests. This enhanced edition now includes over 500 extended questions and detailed answers that align with modern nursing standards. Topics covered include: - Prenatal care and physiological changes - Labor and delivery nursing interventions - Fetal monitoring and emergency management - Postpartum care and complications - Pharmacologic interventions, including oxytocin and epidurals - Newborn care, APGAR scoring, and breastfeeding education Perfect for BSN, ADN, and LPN students preparing for coursework, clinicals, and licensure exams

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Institution
Maternal /newborn
Course
Maternal /newborn

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HURST: Maternity Nursing questions and
answers (passing guarantee) 2025/2026
what weeks are included in the first trimester? - Answer wk 1-13 "i'm so excited" or "oh no"



what hormone controls amenorrhea - Answer progesterone



presumptive sign of pregnancy: - Answer Amenorrhea

n/v

breast tenderness- bc of too much hormones

urinary frequency- can be the 1st sign



probable signs of pregnancy:



-what are other signs of increase hCG? - Answer positive pregnancy test (based on hCG levels), uterine
enlargement, and braxton hicks contractions (this is throughout pregnancy; it is moving blood through
the placenta)



-hydatidiform mole AND drugs



Goodell's sign- when does it occur and what is it - Answer 2nd month. softening of the cervix (probably
sign of pregnancy )



Chadwick's sign- when does it occur and what is it - Answer first 4 wks; bluish color of vaginal mucosa
and cervix (probably a sign you are pregnant)



Hegar's sign- when does it occur and what is it - Answer occurs in the2nd/3rdmonth. it is the softening
of the lower uterine segment



color changes in the skin that are probable signs of pregnancy: - Answer linea nigra (line down center of
belly button)

,abdominal striae (stretch marks)

facial cholasma (mask of pregnancy)

darkening of the areola (around the nipple)



POSITIVE signs of pregnancy: - Answer fetal heart beat

fetoscope

fetal movement

ultra sound



when can you hear the fetal heart beat with a doppler? - Answer 10-12 weeks



when can you hear the fetal heart beat with a fetoscope? - Answer 17-20 weeks



gravidity

parity

viability - Answer -# of times a woman has been pregnant (even miscarriage)

-# of pregnancies in which the fetus reaches 20 wks

-24 weeks=infant has the ability to live outside the uterus



is a 20 week baby considered viability? - Answer NO



TPAL - Answer term, pre term, abortion (spontaneous and elective abortions), living children



Naegele's rule - Answer



Naegel's rule for determining due date - Answer add 7 days.. subtract 3 months.. add one year to the
LMP



nutrition considerations for preg women:

,calories? adolescent?

protein? what is the norm? - Answer 4 food groups:

-increase calories by 300/day after the first trimester

Adolescent: increase calories by 500 after first trimester

-increase protein to 60 grams per day (normal: 40-45 g/day)



how many pounds should women gain the first trimester? - Answer 4



why don't women like to take iron?

what do we take iron with?

folic acid prevents?

daily dose of folic acid? - Answer -it causes constipation and GI upset

-VIT C to enhance absorption

-neural tube defects (like spin bifida)

-400 mcg/day



exercise rule for pregnant women:

no? why no heat?

what is the exercise rule?

what is the BEST exercise for preg? - Answer no high impact, no heavy or unaccustomed exercise
program, no overheating (no hot tubs or electric blanket); increase body temp=birth defects

-don't let your HR get above 140= decrease CO & uterine perfusion will drop

-walking and swimming is the best



what are danger signs in pregnancy: - Answer -sudden gush of vaginal fluid

-bleeding

-persistent vomiting

-severe H/A

-abdominal pain

, -increase temp

-edema

-no fetal movement



common discomforts in pregnancy: - Answer N/V, breast tenderness, urinary frequency, tender gums,
fatigue, heartburn, increased vaginal secretions, nasal stuffiness, varicose veins, ankle edema,
hemorrhoids, constipation, backache, leg cramps



what are you going to tell the prey person about taking meds? - Answer don't, unless you ask dr



smoking: what are you going to tell them? - Answer stop, SGA baby



DR visits: how often should a pregnant client visit the physician?

first 28 wks:

28-26 wks:

36 wks: - Answer -1 a month

-1 a month

-every 2 week

-weekly until delivery



what do we want the patient to do before an ultra sound?

what about an ultrasound prior to a procedure (like amniocentesis)? - Answer drink water (it distends
the bladder and makes it easier to see the uterus)

-void



second trimester: week?

how many pounds a week are expected in the second trimester?

should the client still be having N/V, breast tenderness, and urinary frequency? - Answer -wk 14-26

-one

-n/v (NO), breast tenderness (YES), urinary frequency (NO)

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Institution
Maternal /newborn
Course
Maternal /newborn

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Uploaded on
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Number of pages
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Written in
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