HESI Mid Program Maternity
a women should abstain from unprotected sexual intercourse during her fertile days of
ovulation. - ANS-Avoid in pregnancy
the day before ovulation and the day of ovulation
the fertile period begins 4-5 days prior to ovulation and ends 24-48 hrs after ovulation. -
ANS-most fertile days for pregnancy
approximately 4-5 days and eggs survive approximately 24-48 hours after being released. -
ANS-Sperm can survive in a women's body for
massaging the abdomen
nicknaming the fetus
talking to the fetus in utero - ANS-Signs of healthy psychosocial maternal-fetal bonding include
GTPAL 4-1-1-1-2 (G-4 pregnancies (twins, miscarriage, elective abortion, current pregnancy)),
T-1 (twins count as one birth), P-1 (22 week miscarriage) A-1 (elective abortion 6 weeks) L-2
(Twins) - ANS-Practice determining gravidity and parity. A women who is 6 weeks pregnant has
the following maternal history.
She has a healthy 2 year old male fraternal twins
She had a miscarriage at 22 weeks
She had an elective abortion at 6 weeks, 5 years earlier
September 16. count back 3 months and add 7 days - ANS-Calculating EDB. If the first day of a
women's last menstrual period was December 9 what is her EDB, using Nagele rule?
BP- 90-140/60-90
Pulse- 60-90 bpm
RR- 16-24
temp- 36.1-37.7*C - ANS-Baby's vital signs
a
relives supine hypotension and increases perfusion to the uterus, placenta and the fetus. -
ANS-As pregnancy advances, the uterus presses on the abdominal vessels ( vena cava and
aorta). What position is best for increasing perfucion according to the latest research?
A. Left side lying position
B. Knee chest position
C. Side lying position
D. Right side lying position
, Determined using fundal height, fetal heart tones and rate, fetal movement, and uterine activity
(contractions) - ANS-Fetal well being
visual disturbances
swelling of face, fingers and sacrum
Severe, continuous headache
persistent vomiting
epigastric pain - ANS-Possible indications of preeclampsia and eclampsia are
Chills, temperature over 38*C, dysuria, pain in the abdomen
Fluid discharge or bleeding from vagina
Change in fetal movement increased FHR - ANS-Signs of infection
consume the equivalent of three cups of milk or yogurt per day. This ensures calcium needs are
met and prevents the occurrence of leg cramps. - ANS-It is recommended that women consume
how much milk?
0-13 weeks - ANS-1st trimester
14-26 weeks - ANS-2nd trimester
27-40 weeks - ANS-3rd trimester
an early sonogram rather than a later one - ANS-Gestational age is best determined by
Full to help support the uterus and help push the uterus up in the abdomen for easy access. -
ANS-When an amniocentesis is performed in early pregnancy, the bladder must be ?
Empty so it will not be punctured. - ANS-When an amniocentesis is performed in late pregnancy,
the bladder must be?
postmaturity, preeclampsia, diabetes mellitus, cardiac disease and abruptio placentae. -
ANS-Late decelerations indicate UPI and are associated with conditions such as
changing maternal position
discontinuing oxytocin (Pitocin) infusion
administrating oxygen
notifying the HCP - ANS-Nursing interventions for late decelerations, variable decelerations
can be preformed during pregnancy under ultrasound for prenatal diagnosis and therapy. -
ANS-Percutaneous umbilical blood sample
lung surfactant (L/S) ratio (2:1 or higher) - ANS-The most import determinant of fetal maturity for
extrauterine survival is the lung maturity:
a women should abstain from unprotected sexual intercourse during her fertile days of
ovulation. - ANS-Avoid in pregnancy
the day before ovulation and the day of ovulation
the fertile period begins 4-5 days prior to ovulation and ends 24-48 hrs after ovulation. -
ANS-most fertile days for pregnancy
approximately 4-5 days and eggs survive approximately 24-48 hours after being released. -
ANS-Sperm can survive in a women's body for
massaging the abdomen
nicknaming the fetus
talking to the fetus in utero - ANS-Signs of healthy psychosocial maternal-fetal bonding include
GTPAL 4-1-1-1-2 (G-4 pregnancies (twins, miscarriage, elective abortion, current pregnancy)),
T-1 (twins count as one birth), P-1 (22 week miscarriage) A-1 (elective abortion 6 weeks) L-2
(Twins) - ANS-Practice determining gravidity and parity. A women who is 6 weeks pregnant has
the following maternal history.
She has a healthy 2 year old male fraternal twins
She had a miscarriage at 22 weeks
She had an elective abortion at 6 weeks, 5 years earlier
September 16. count back 3 months and add 7 days - ANS-Calculating EDB. If the first day of a
women's last menstrual period was December 9 what is her EDB, using Nagele rule?
BP- 90-140/60-90
Pulse- 60-90 bpm
RR- 16-24
temp- 36.1-37.7*C - ANS-Baby's vital signs
a
relives supine hypotension and increases perfusion to the uterus, placenta and the fetus. -
ANS-As pregnancy advances, the uterus presses on the abdominal vessels ( vena cava and
aorta). What position is best for increasing perfucion according to the latest research?
A. Left side lying position
B. Knee chest position
C. Side lying position
D. Right side lying position
, Determined using fundal height, fetal heart tones and rate, fetal movement, and uterine activity
(contractions) - ANS-Fetal well being
visual disturbances
swelling of face, fingers and sacrum
Severe, continuous headache
persistent vomiting
epigastric pain - ANS-Possible indications of preeclampsia and eclampsia are
Chills, temperature over 38*C, dysuria, pain in the abdomen
Fluid discharge or bleeding from vagina
Change in fetal movement increased FHR - ANS-Signs of infection
consume the equivalent of three cups of milk or yogurt per day. This ensures calcium needs are
met and prevents the occurrence of leg cramps. - ANS-It is recommended that women consume
how much milk?
0-13 weeks - ANS-1st trimester
14-26 weeks - ANS-2nd trimester
27-40 weeks - ANS-3rd trimester
an early sonogram rather than a later one - ANS-Gestational age is best determined by
Full to help support the uterus and help push the uterus up in the abdomen for easy access. -
ANS-When an amniocentesis is performed in early pregnancy, the bladder must be ?
Empty so it will not be punctured. - ANS-When an amniocentesis is performed in late pregnancy,
the bladder must be?
postmaturity, preeclampsia, diabetes mellitus, cardiac disease and abruptio placentae. -
ANS-Late decelerations indicate UPI and are associated with conditions such as
changing maternal position
discontinuing oxytocin (Pitocin) infusion
administrating oxygen
notifying the HCP - ANS-Nursing interventions for late decelerations, variable decelerations
can be preformed during pregnancy under ultrasound for prenatal diagnosis and therapy. -
ANS-Percutaneous umbilical blood sample
lung surfactant (L/S) ratio (2:1 or higher) - ANS-The most import determinant of fetal maturity for
extrauterine survival is the lung maturity:
