NSG 222 FAMILY NURSING HESI UPDATED FINAL
EXAMS QUESTIONS AND ANSWERS SURE A+
✔✔Exercise-prepare for labor - ✔✔· 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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔Synthetic oxytocin (Pitocin) is also used to induce or augment labor by
stimulating uterine contractions.
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 - ✔✔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.
✔✔Rooting - ✔✔A reflex when touched on the cheek, the infant turns the head looking
for food
Most newborns will give clues about their hunger status by crying, placing their fingers
or fist in their mouth, rooting around, & sucking.
✔✔Fundal massage - ✔✔Assess fundal height, position, & firmness every 15 min
during the first hr following birth. The fundus needs to remain firm to prevent excessive
postpartum bleeding.
The fundus should be firm (feels like the size & consistency of a grapefruit), located in
the mid line & below the umbilicus.
If it is not firm (boggy), gently massage it until it is firm
EXAMS QUESTIONS AND ANSWERS SURE A+
✔✔Exercise-prepare for labor - ✔✔· 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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔Synthetic oxytocin (Pitocin) is also used to induce or augment labor by
stimulating uterine contractions.
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 - ✔✔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.
✔✔Rooting - ✔✔A reflex when touched on the cheek, the infant turns the head looking
for food
Most newborns will give clues about their hunger status by crying, placing their fingers
or fist in their mouth, rooting around, & sucking.
✔✔Fundal massage - ✔✔Assess fundal height, position, & firmness every 15 min
during the first hr following birth. The fundus needs to remain firm to prevent excessive
postpartum bleeding.
The fundus should be firm (feels like the size & consistency of a grapefruit), located in
the mid line & below the umbilicus.
If it is not firm (boggy), gently massage it until it is firm
