HESI Milestone 2 Exam Test V1 2025
Questions and Verified Answers with Rationales
100% Guaranteed Pass
QUESTION
Placenta Abruption
Answer:
Separation of the placenta from the uterine wall
Emergency measures include starting two large-bore IV lines with normal saline or lactated
Ringer's solution to combat hypovolemia, obtaining blood specimens for evaluating
hemodynamic status values and for typing and cross-matching, and frequently monitoring fetal
and maternal well-being
Classic manifestations of abruptio placentae include painful, dark-red vaginal bleeding (port-
wine color) because the bleeding comes from the clot that was formed behind the placenta;
"knife-like" abdominal pain; uterine tenderness; contractions; and decreased fetal movement.
Rapid assessment is essential to ensure prompt, effective interventions to prevent maternal
and fetal morbidity and mortality
Depending on severity the women can be monitored through a vaginal birth but if it is a risk they
will do c-section
QUESTION
Shoulder Dystocia Action
Answer:
McRoberts Manuver and Superpubic Pressure
From Google:
The technique is performed by flexing the mother's thighs toward her shoulders while she is
lying on her back. No specific degree of elevation or flexion of the patient's legs has been
defined for the McRoberts maneuver.
,QUESTION
Umbilical Cord Prolaspe Action
,Answer:
Umbilical cord prolapse is a rare obstetric emergency that occurs when the cord precedes the
fetus out
Typically, the examiner places a sterile gloved hand into the vagina and holds the presenting part
off the umbilical cord until delivery. Changing the woman's position to a modified Sims,
Trendelenburg, or knee-chest position also helps relieve cord pressure. Do not attempt to replace
the cord in the uterus. Monitor FHR, maintain bed rest, and administer oxygen if ordered.
QUESTION
Boggy Uterus Action
Answer:
Massage the boggy uterus to stimulate contractions and expression of any accumulated blood
clots while supporting the lower uterine segment
QUESTION
Cystic Fibrosis Management
Answer:
Therapeutic management of cystic fibrosis is aimed toward minimizing pulmonary complications,
maximizing lung function, preventing infection, and facilitating growth.
Provide CPT, use of the vest airway clearance system, use of the flutter-valve devise, and/or
positive expiratory pressure therapy in order to clear secretions and maintain airway patency. For
children with cystic fibrosis, CPT is a critical intervention.
Administer pancreatic enzyme supplements (pancrelipase [Creon, Pancreaze, Zenpep]) must be
administered with all meals and snacks to promote adequate digestion and absorption of
nutrients Prevent Infection
QUESTION
Complications of Tetralogy of Fallot
, Answer:
From Google:
Blood clots (which may be in the brain causing stroke)
Questions and Verified Answers with Rationales
100% Guaranteed Pass
QUESTION
Placenta Abruption
Answer:
Separation of the placenta from the uterine wall
Emergency measures include starting two large-bore IV lines with normal saline or lactated
Ringer's solution to combat hypovolemia, obtaining blood specimens for evaluating
hemodynamic status values and for typing and cross-matching, and frequently monitoring fetal
and maternal well-being
Classic manifestations of abruptio placentae include painful, dark-red vaginal bleeding (port-
wine color) because the bleeding comes from the clot that was formed behind the placenta;
"knife-like" abdominal pain; uterine tenderness; contractions; and decreased fetal movement.
Rapid assessment is essential to ensure prompt, effective interventions to prevent maternal
and fetal morbidity and mortality
Depending on severity the women can be monitored through a vaginal birth but if it is a risk they
will do c-section
QUESTION
Shoulder Dystocia Action
Answer:
McRoberts Manuver and Superpubic Pressure
From Google:
The technique is performed by flexing the mother's thighs toward her shoulders while she is
lying on her back. No specific degree of elevation or flexion of the patient's legs has been
defined for the McRoberts maneuver.
,QUESTION
Umbilical Cord Prolaspe Action
,Answer:
Umbilical cord prolapse is a rare obstetric emergency that occurs when the cord precedes the
fetus out
Typically, the examiner places a sterile gloved hand into the vagina and holds the presenting part
off the umbilical cord until delivery. Changing the woman's position to a modified Sims,
Trendelenburg, or knee-chest position also helps relieve cord pressure. Do not attempt to replace
the cord in the uterus. Monitor FHR, maintain bed rest, and administer oxygen if ordered.
QUESTION
Boggy Uterus Action
Answer:
Massage the boggy uterus to stimulate contractions and expression of any accumulated blood
clots while supporting the lower uterine segment
QUESTION
Cystic Fibrosis Management
Answer:
Therapeutic management of cystic fibrosis is aimed toward minimizing pulmonary complications,
maximizing lung function, preventing infection, and facilitating growth.
Provide CPT, use of the vest airway clearance system, use of the flutter-valve devise, and/or
positive expiratory pressure therapy in order to clear secretions and maintain airway patency. For
children with cystic fibrosis, CPT is a critical intervention.
Administer pancreatic enzyme supplements (pancrelipase [Creon, Pancreaze, Zenpep]) must be
administered with all meals and snacks to promote adequate digestion and absorption of
nutrients Prevent Infection
QUESTION
Complications of Tetralogy of Fallot
, Answer:
From Google:
Blood clots (which may be in the brain causing stroke)
