NSG 222 Family Nursing HESI Review! | 82 Real Questions with Rationaled Solutions| Updated 2026/2027

This comprehensive NSG 222 Family Nursing HESI Review is designed for nursing students preparing for the HESI exam in 2026–2027. It includes real exam questions with rationales, covering essential maternity, newborn, pediatric, and women’s health topics. Key areas include pregnancy signs, labor and delivery complications, postpartum care, neonatal assessment, pediatric illnesses, pharmacology, and emergency interventions. Perfect for last-minute review or semester-long study, this guide helps reinforce critical thinking and clinical judgment for safe, patient-centered family nursing practice. NSG 222 Family Nursing HESI Review! | 82 Real Questions with Rationaled Solutions| Updated 2026/2027 Pregnancy test hormone - ANSWER️-An hCG level 5 mIU/mL is considered negative for pregnancy Anything 25 mIU/mL is considered positive for pregnancy. · ELISA- measures the blood & urine; 99% effective! Heartburn and Indigestion - ANSWER️-The pain may radiate to the neck and throat. It worsens when the woman lies down, bends over after eating, or wears tight clothes Pregnancy-positive sign - ANSWER️-Visualizing the fetus by ultrasound, palpating for fetal movements, & hearing a fetal heartbeat are all signs that make the pregnancy a certainty. Vaginal discharge-pregnancy - ANSWER️-Most women experience an increase in a whitish vaginal discharge, called leukorrhea, during pregnancy. · This is normal except when it is accompanied by itching & irritation, possibly suggesting Candida albicans, a monilial vaginitis Urinary changes - ANSWER️-As more blood flows to the kidneys, the glomerular filtration rate (GFR) increases, leading to an increase in urine flow and volume, Weight gain in pregnancy - ANSWER️-· A woman who is underweight before pregnancy or who has a low maternal weight gain pattern should be monitored carefully because she is at risk of giving birth to a low-birth-weight infant (lighter than 2,500 g or 5.5 lb). Encourage the woman to eat snacks that are high in calories such as nuts, peanut butter, milkshakes, cheese, fruit, yogurt, & ice cream. Indigestion-3rd trimester - ANSWER️-Avoid spicy or greasy foods and eat small frequent meals. · Sleep on several pillows so that your head is elevated 30 degrees. · Stop smoking & avoid caffeinated drinks to reduce stimulation. · Avoid lying down for at least three hrs after meals. · Try drinking sips of water to reduce burning sensation. · Avoid foods that trigger symptoms—fried foods, citrus, soda, chocolate Exercise-prepare for labor - ANSWER️-· At least 30 min of moderate-intense physical activity daily is recommended. Federal physical activity guidelines recommend at least 150 minutes of moderate-intensity exercise per week during pregnancy Pregnancy-air travel - ANSWER️-Is generally safe for the pregnant woman up to 36 weeks of gestation. The woman should be counseled to avoid long periods of sitting because of the risk of developing thromboembolism Vaginal Examination - ANSWER️-After donning sterile gloves, the examiner inserts their index and middle fingers into the vaginal introitus. Next, the cervix is palpated to assess dilation, effacement, and position (e.g., posterior or anterior). If the cervix is open to any degree, the presenting fetal part, fetal position, station, and presence of molding can be assessed. In addition, the membranes can be evaluated and described as intact, bulging, or ruptured. Rupture of Membranes - ANSWER️-When membranes rupture, the priority focus should be on assessing fetal heart rate (FHR) first to identify a deceleration, which might indicate cord compression secondary to cord prolapse. If the membranes are ruptured when the woman comes to the hospital, the (HCP) should ascertain when this occurred. Food in labor - ANSWER️-Maternal physiologic responses in labor include decreased gastric motility & decreased food absorption, which may increase the risk of nausea & vomiting during the transition stage of labor. Gastric emptying & gastric pH decrease, which increases the risk of vomiting & aspiration. Pitocin - ANSWER️-Synthetic oxytocin (Pitocin) is also used to induce or augment labor by stimulating uterine contractions. Oral Contraception - ANSWER️-OCs should be taken at the same time daily POPs must be taken at a certain time every 24 hrs. POPs are appropriate for women who cannot or should not take estrogen in combined OCs, for example, a woman older than 35 yrs who smokes cigarettes Genetics-PKU - ANSWER️-Autosomal recessive inherited disorders occur when both parents have the gene! intimate partner violence - ANSWER️-If assessment reveals suspicion or actual indication of abuse, nurses can explain to the woman that they are required by law to report it. Cervix - ANSWER️-Between weeks 6 & 8 of pregnancy, the cervix begins to soften (Goodell sign) d/t Vaso congestion & the influence of estrogen Cervical ripening (softening, effacement, & increased distensibility) begins about 4 wks before birth. Prenatal care for women with Type 1 DM - ANSWER️-. Women should be checking their blood sugars 4 times a day, eat 3 meals plus 3 snacks a day to promote glycemic control, be physically active daily. Women should be doing daily fetal movements counts once movement is felt to monitor fetal well-being. Childbirth Education Classes - ANSWER️-As part of health promotion and evidence-based interventions, nurses should be encouraging and educating all women about breastfeeding while respecting the parents' ultimate decision. Many childbirth classes support the concept of natural childbirth (a birth without pain-relieving medications) so that the woman can be in control throughout the experience as much as she chooses. It is administered piggybacked into the primary IV line w/ an infusion pump titrated to uterine activity. The most common adverse effect of oxytocin is uterine hyperstimulation, leading to fetal compromise & impaired oxygenation Symptoms to watch for include headache & vomiting. Assessments after delivery - ANSWER️-During the first hr after birth, vital signs are taken every 15 min, then every 30 min for the next hr if needed . A decrease may indicate uterine hemorrhage; an elevation might suggest preeclampsia.