All Maternity HESI Questions With 100% Correct Answers | Verified | Latest Update 2026/2027 | Guaranteed Success

All Maternity HESI Questions With 100% Correct Answers | Verified | Latest Update 2026/2027 | Guaranteed Success objective signs of ovulation - answer--abundant, thin, clear cervical mucus -spinnbarkeit (egg white stretchiness) of cervical mucus -open cervical os -slight drop in BBT and then a 0.5-1˚F rise -ferning under microscope ovulation occurs how many days before the next menstrual period? - answer-14 4 ways to identify gestational age - answer--10 lunar months -9 calendar months -40 weeks -280 days what maternal position provides optimal fetal and placental perfusion - answer--side lying (removes pressure from abdominal vessels) -knee-chest makor discomforts of the first trimester and one suggestion for each - answer--nausea and vomiting: eat crackers upon rising in the morning -fatigue: take planned naps and sleep 7-8 hours/nighthow do you calculate EDD from LMP - answer-count back 3 months from day 1 of LMP and add 7 days (always give February 28 days) at 20 weeks gestation the fundal height would be - answer-at the umbilicus at 20 weeks gestation the fetus would weigh approximately - answer-300-400g at 20 weeks gestation the fetus would look like - answer-have hair, lanugo, vernix, no subcutaneous fat normal psychosocial responses to pregnancy in the second trimester - answer-ambivalence wanes, woman begins to accept pregnancy, pregnancy becomes "real", signs of maternal-fetal bonding occur hemodilution of pregnancy peaks at how many weeks? what happens to Hct? - answer-28-32 weeks; decreases what happens with weight gain during pregnancy? - answer--total weight gain should be 25-35 lbs -average 1 lb/week in 2nd and 3rd trimesters how many calories should a woman add to her diet - answer-300 calories/day how many cups of milk should a woman drink per day - answer-2 cups or 8 ounces FHR can be auscultated by doppler at how many weeks gestation - answer-10-12schedule of prenatal visits - answer-every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, every week until delivery variables associated with high risk pregnancy - answer-preeclampsia, DM, cardiac disease, 3 months between pregnancies, 17 and 34 years old, parity 5 how do you diagnose IUGR - answer-serial ultrasounds what does BPP determine - answer-fetal well-being necessary actions before first trimester ultrasound - answer-have patient fill bladder and don't allow them to empty bladder until after lay supine and elevate uterus with splint advantage of CVS over amniocentesis - answer-CVS can be done 8-12 weeks while amniocentesis can't be done until 14-16 weeks CVS results come back within a week, so you can terminate pregnancy if indicated why are serum amniotic AFP levels done prenatally - answer-elevated AFP may indicate neural tube defects, decreased levels may indicate trisomy 21 what is the most important determinant of fetal maturity for extrauterine survival? - answer-L/S ratio should be 2:1most common complications of amniocentesis - answer-spontaneous abortion, fetal injury, infection periodic changes of FHR and causes for each - answer--accelerations: reassuring, require no treatment, caused by burst of sympathetic activity -early decelerations: caused by head compressions, benign, alert nurse to monitor labor progress and fetal descent -variable decelerations: caused by cord compression, change in maternal position should be tried first -late decelerations: caused by uteroplacental insufficiency, should be treated by turning pt on side and administering O2 most important indicator of fetal autonomic nervous system integrity and health - answer-FHR variability (15 beats from baseline for 15 seconds after contraction) four causes of decreased FHR variability - answer--hypoxia -acidosis -drugs -fetal sleep most important action if cord prolapse occurs - answer-position mother to relieve pressure on the cord or push presenting part off cord until emergency c/s can occur knee to chest position what is a reactive normal stress test - answer-FHR accelerations of 15 bpm for 15 seconds two times in 2 minutes in response to fetal movementdangers of nipple stimulation test - answer-inability to control oxytocin "dosage" and chance of hyperstimulation normal fetal scalp pH - answer-7.25-7.35 fetal pH that indicates true acidosis - answer-7.2 prodromal signs of labor - answer-lightening braxton hicks increased bloody show loss of mucus plug burst of energy nesting behaviors true labor - answer-regular, rhythmic contractions that intensify with ambulation pain in abdomen that radiates to lower back cervical changes false labor - answer-irregular rhythm pain localized in abdomen that decreases with ambulation two ways to determine membranes have truly ruptured - answer-nitrazine test: paper turns dark blue or blackfluid ferning under microscope psychoprophylactic breathing techniques - answer-use based on pts discomfort and should change technique if no longer working two reasons to withhold anesthesia or analgesia in mid active phase of stage 1 labor - answertoo early will retard labor too late will caused fetal distress what results from hyperventilation and how do you relieve it - answer-respiratory alkalosis can develop; prevent by breathing into paper bag or cupped hands