1
Maternity HESI Antepartum Nursing Care
Exam Questions and Answers
1. Who can only prescribe prenatal vitamins? - ANSWER Health care provider
2. What is the recommended intake of milk or yogurt for a pregnant woman per
day? - ANSWER 3 cups of milk or yogurt per day
3. What is recommended to ensure that the daily calcium needs are met and to
help elevate leg cramps? - ANSWER 3 cups of milk or yogurt per day
4. What is the optimal maternal position that provides optimal fetal and placental
perfusion during pregnancy? - ANSWER Knee to chest position BUT
5. The ideal position of comfort for mother which supports fetal, maternal and
placental perfusion is the side ling posuition b/c it removes the pressure from
the abdominal vessels - vena cava and aorta
6. Name the major discomforts of the 1st trimester and one suggestion for
amelioration of each - ANSWER Nausea and vomiting - crackers before
rising
7. What are signs of healthy psychosocial maternal fetal bonding? - ANSWER
Massaging the abdomen
8. For many women, when does battering, emotional or physical abuse begin? -
ANSWER During pregnancy
9. What the most appropriate way to assess for abuse? - ANSWER In private,
away from partner, by a nurse who is familiar with local resources and knows
how to determine the safety of the client
10.EDB using Nagele rule - ANSWER Count back 3 months from the 1st day of
LMP and add 7 days
11.Average vital signs during pregnancy? - ANSWER BP: 90-140/60-90
Pulse: 60-90 bpm
, 2
Resp: 16-24 breaths/min
Temp: 36.1-37.7 C
12.At what weeks of gestation does the plasma volume increase 25-40% resulting
in hemodilution of pregnancy and Hct values? - ANSWER 28-32 wks
13.If the blood plasma volume increases ABOVE 38% , what is this associated
with? - ANSWER gestational hypertension
14.If the Hgb levels rise ABOVE 13 g/dL, what is that associated with? -
ANSWER Gestational hypertension
15.If high Hct values look good, should we assume this is normal rise ? -
ANSWER No, they may in reality represent a gestational hypertension
disorder and a depleted vascular space
16.Can Hgb and Hct be used to evaluate nutritional status? - ANSWER yes
i.e. 22 yr old primigravida at 12 wks has a Hgb of 9.6 g/dL and a Hct of 31 %. She
has gained 3 lbs during 1st trimester. A weight gain of 2-4 lb during first trimester
is recommended.
Since the client is anemic, supplemental iron and a diet higher in iron are
needed
17.As pregnancy advances, what abdominal vessels does the uterus press on? -
ANSWER Vena Cava
18.What position can you teach the woman to be in to relieve supine hypotension
and increase perfusion to uterus, placenta and fetus? - ANSWER Left-side
lying position
19.What is the normal FHR? - ANSWER 110-140 bpm
20.What are the FIRST and MOST IMPORTANT indicators of compromised
blood flow to the fetus?
21.Do they require action? - ANSWER Changes in FHR
22.How is fetal well being determined? - ANSWER Assessing:
, 3
- fundal height
- fetal heart tones and rate,
-fetal movement,
-uterine activity
23.What is the best way to optimize maternal and fetal outcome? - ANSWER
Early intervention
24.What are possible indications of preclampsia and eclampsia? - ANSWER
Visual disturbances
25.What do most providers prescribe to ensure client receives adequate intake of
vitamins? - ANSWER prenatal vitamins
Fatigue- rest periods and naps and 7-8 hrs of sleep a night
26.If the 1st day of a womans LMP was Feb 3, what is EDB using the Nagel
rule? - ANSWER November 10
Count back 3 months and add 7 days- Feb has 28 days
27.At 20 wks, the fundal height would be ____; the fetus would weight approx
____ and would look like _____ - ANSWER At the umbillicus
300-400g
a baby with hair, lanugo and vernix but w/o any subcut fat
28.State the normal psycho-social responses to pregnancy in the 2nd trimester -
ANSWER Ambivalence wains and acceptance of the pregnancy occurs
Pregnancy becomes real
Signs of maternal bonding occur
29.The hemodilution of pregnancy peaks at _____ weeks and results in an ____
in a womans Hct - ANSWER 28-32 wks
30.State 3 principles relative to the pattern of weight gain in pregnancy -
ANSWER Total gain should average 11340-15876 g (25-35 lbs)
, 4
Gain should be consistent through out pregancy
An avg of 1 lb/wk should be gained in the 2nd and 3rd trimesters
31.During pregnancy a woman should add _____ calories to her diet and drink
____ milk per day - ANSWER 300 calories
236.5 ml /8 oz/day
32.FHR can be auscultated by Doppler at ____ weeks - ANSWER 10-12
33.Describe the schedule of prenatal visits for a low risk pregnant woman -
ANSWER once every 4 weeks until 28 days
34.Pregnancy signs - PRESUMPTIVE - ANSWER Amenorrhea
Nausea and vomiting
increased size and increased feeling of fullness in breasts
Pronounced nipples
Urinary Frequency
Quickening - 1st perception of fetal movement by the mother at the 16-20th
week
Fatigue
Discoloration of the vaginal mucosa
35.Quickening - ANSWER 1st perception of fetal movement by the mother at the
16-20th week
36.Pregnancy- PROBABLE SIGNS - ANSWER Uterine enlargement
Hegars sign
Goodells sign
Chadwicks sign
Maternity HESI Antepartum Nursing Care
Exam Questions and Answers
1. Who can only prescribe prenatal vitamins? - ANSWER Health care provider
2. What is the recommended intake of milk or yogurt for a pregnant woman per
day? - ANSWER 3 cups of milk or yogurt per day
3. What is recommended to ensure that the daily calcium needs are met and to
help elevate leg cramps? - ANSWER 3 cups of milk or yogurt per day
4. What is the optimal maternal position that provides optimal fetal and placental
perfusion during pregnancy? - ANSWER Knee to chest position BUT
5. The ideal position of comfort for mother which supports fetal, maternal and
placental perfusion is the side ling posuition b/c it removes the pressure from
the abdominal vessels - vena cava and aorta
6. Name the major discomforts of the 1st trimester and one suggestion for
amelioration of each - ANSWER Nausea and vomiting - crackers before
rising
7. What are signs of healthy psychosocial maternal fetal bonding? - ANSWER
Massaging the abdomen
8. For many women, when does battering, emotional or physical abuse begin? -
ANSWER During pregnancy
9. What the most appropriate way to assess for abuse? - ANSWER In private,
away from partner, by a nurse who is familiar with local resources and knows
how to determine the safety of the client
10.EDB using Nagele rule - ANSWER Count back 3 months from the 1st day of
LMP and add 7 days
11.Average vital signs during pregnancy? - ANSWER BP: 90-140/60-90
Pulse: 60-90 bpm
, 2
Resp: 16-24 breaths/min
Temp: 36.1-37.7 C
12.At what weeks of gestation does the plasma volume increase 25-40% resulting
in hemodilution of pregnancy and Hct values? - ANSWER 28-32 wks
13.If the blood plasma volume increases ABOVE 38% , what is this associated
with? - ANSWER gestational hypertension
14.If the Hgb levels rise ABOVE 13 g/dL, what is that associated with? -
ANSWER Gestational hypertension
15.If high Hct values look good, should we assume this is normal rise ? -
ANSWER No, they may in reality represent a gestational hypertension
disorder and a depleted vascular space
16.Can Hgb and Hct be used to evaluate nutritional status? - ANSWER yes
i.e. 22 yr old primigravida at 12 wks has a Hgb of 9.6 g/dL and a Hct of 31 %. She
has gained 3 lbs during 1st trimester. A weight gain of 2-4 lb during first trimester
is recommended.
Since the client is anemic, supplemental iron and a diet higher in iron are
needed
17.As pregnancy advances, what abdominal vessels does the uterus press on? -
ANSWER Vena Cava
18.What position can you teach the woman to be in to relieve supine hypotension
and increase perfusion to uterus, placenta and fetus? - ANSWER Left-side
lying position
19.What is the normal FHR? - ANSWER 110-140 bpm
20.What are the FIRST and MOST IMPORTANT indicators of compromised
blood flow to the fetus?
21.Do they require action? - ANSWER Changes in FHR
22.How is fetal well being determined? - ANSWER Assessing:
, 3
- fundal height
- fetal heart tones and rate,
-fetal movement,
-uterine activity
23.What is the best way to optimize maternal and fetal outcome? - ANSWER
Early intervention
24.What are possible indications of preclampsia and eclampsia? - ANSWER
Visual disturbances
25.What do most providers prescribe to ensure client receives adequate intake of
vitamins? - ANSWER prenatal vitamins
Fatigue- rest periods and naps and 7-8 hrs of sleep a night
26.If the 1st day of a womans LMP was Feb 3, what is EDB using the Nagel
rule? - ANSWER November 10
Count back 3 months and add 7 days- Feb has 28 days
27.At 20 wks, the fundal height would be ____; the fetus would weight approx
____ and would look like _____ - ANSWER At the umbillicus
300-400g
a baby with hair, lanugo and vernix but w/o any subcut fat
28.State the normal psycho-social responses to pregnancy in the 2nd trimester -
ANSWER Ambivalence wains and acceptance of the pregnancy occurs
Pregnancy becomes real
Signs of maternal bonding occur
29.The hemodilution of pregnancy peaks at _____ weeks and results in an ____
in a womans Hct - ANSWER 28-32 wks
30.State 3 principles relative to the pattern of weight gain in pregnancy -
ANSWER Total gain should average 11340-15876 g (25-35 lbs)
, 4
Gain should be consistent through out pregancy
An avg of 1 lb/wk should be gained in the 2nd and 3rd trimesters
31.During pregnancy a woman should add _____ calories to her diet and drink
____ milk per day - ANSWER 300 calories
236.5 ml /8 oz/day
32.FHR can be auscultated by Doppler at ____ weeks - ANSWER 10-12
33.Describe the schedule of prenatal visits for a low risk pregnant woman -
ANSWER once every 4 weeks until 28 days
34.Pregnancy signs - PRESUMPTIVE - ANSWER Amenorrhea
Nausea and vomiting
increased size and increased feeling of fullness in breasts
Pronounced nipples
Urinary Frequency
Quickening - 1st perception of fetal movement by the mother at the 16-20th
week
Fatigue
Discoloration of the vaginal mucosa
35.Quickening - ANSWER 1st perception of fetal movement by the mother at the
16-20th week
36.Pregnancy- PROBABLE SIGNS - ANSWER Uterine enlargement
Hegars sign
Goodells sign
Chadwicks sign
