ANTEPARTUM NURSING - OB HESI
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
VS During first prenatal visit - Answer-1. BP should rise no more than 30 points systolic
and 15 points diastolic from baseline normal. Average BP is 90-140 over 60-90
2. Average pulse is 60 to 90
3. Average resp is 16 - 24
4. Average temp is 97 to 100
Low risk client schedule for office visits - Answer-1. Every 4 weeks until 28 weeks
2. Every 2 weeks from 28 to 36 weeks
3. Every week from 36 weeks to delivery
H&H values during pregnancy - Answer-Hgb > 11
Hct > 33
At approximately 28 to 32 weeks what happens to plasma volume? - Answer-It
increases by 25-40% resulting in normal hemodilution of pregnancy and Hct values of
32-42%. High Hct values may look good, but in reality they represent a gestational HTN
disorder and a depleted vascular space
A 22 year old primigravida at 12 weeks has an Hbg of 9.6 and a Hct of 31, she has
gained 3 pounds during the first trimester - Answer-A weight gain of 2 to 4 pounds
during the first trimester is recommended, this client is anemic. Supplemental iron and a
diet higher in iron are needed
Foods high in iron - Answer-Fish and red meats
cereals
yellow vegetables
green leafy vegetables
citrus fruits
egg yolks
dried fruits
Activities to perform during subsequent office visits - Answer-1. Check Urine
2. Graph Weight Gain
3. Check Fundal Height
4. Check Fetal HR
5. Teach importance of continuing prenatal care
6. Provide anticipatory guidance per current trimester
, Albumin in urine during pregnancy - Answer-no more than a trace in a normal finding;
related to preeclampsia
glucose in urine during pregnancy - Answer-no more than 1+ in a normal finding; related
to gestational diabetes
protein in urine during pregnancy - Answer-trace amount may be present, higher may
indicate contamination by vaginal secretions, kidney disease, or preeclampsia (>30 or
1+ mg/dL mild preeclampsia; 2+ to 3+ protein on dipstick severe preeclampsia
Weight gain during pregnancy - Answer-1. 2 to 4 lbs during first trimester
2. 1 lb per week thereafter (>2 lb/week related to preeclampsia edema)
3. Total weight gain during pregnancy should be between 25 to 35 pounds
Fundal Height at 12 to 13 weeks - Answer-fundus rises above symphysis
Fundal Height at 18 to 32 weeks - Answer-the height of the fundus, measured in
centimeters and with an empty bladder, is approximately the same as the number of
weeks of gestation
How to teach pt to relieve supine HTN and increase perfusion to uterus, placenta and
fetus - Answer-Left side-lying position, because the uterus presses on the abdominal
vessels (vena cava and aorta)
Detecting Fetal HR at at 10 to 12 weeks - Answer-detectable using a Doppler
Detecting Fetal HR at 15 to 20 weeks - Answer-detectable using a fetoscope
Normal range of fetal HR - Answer-110-160 bpm
Fetal well being can be determined by assessing - Answer-fundal height
fetal heart tones & rate
fetal movement
uterine activity (contractions)
Changes in FHR are.... - Answer-first and most important indicators of compromised
blood flow to the fetus, these changes require action, normal FHR is 110-160
Anticipatory guidance for the first trimester - Answer-1. Discomforts such as nausea,
fatigue, urinary frequency subside after 13 weeks
2. Sleep needs increase to 8 hr/day
3. rest periods should be planned
4. Exercise is fine as long as woman is able to converse easily while exercising
5. Work is acceptable if there is no exposure to hazardous chemicals or toxins
6. Bathing is acceptable until membranes rupture ( usually within hours of delivery)
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
VS During first prenatal visit - Answer-1. BP should rise no more than 30 points systolic
and 15 points diastolic from baseline normal. Average BP is 90-140 over 60-90
2. Average pulse is 60 to 90
3. Average resp is 16 - 24
4. Average temp is 97 to 100
Low risk client schedule for office visits - Answer-1. Every 4 weeks until 28 weeks
2. Every 2 weeks from 28 to 36 weeks
3. Every week from 36 weeks to delivery
H&H values during pregnancy - Answer-Hgb > 11
Hct > 33
At approximately 28 to 32 weeks what happens to plasma volume? - Answer-It
increases by 25-40% resulting in normal hemodilution of pregnancy and Hct values of
32-42%. High Hct values may look good, but in reality they represent a gestational HTN
disorder and a depleted vascular space
A 22 year old primigravida at 12 weeks has an Hbg of 9.6 and a Hct of 31, she has
gained 3 pounds during the first trimester - Answer-A weight gain of 2 to 4 pounds
during the first trimester is recommended, this client is anemic. Supplemental iron and a
diet higher in iron are needed
Foods high in iron - Answer-Fish and red meats
cereals
yellow vegetables
green leafy vegetables
citrus fruits
egg yolks
dried fruits
Activities to perform during subsequent office visits - Answer-1. Check Urine
2. Graph Weight Gain
3. Check Fundal Height
4. Check Fetal HR
5. Teach importance of continuing prenatal care
6. Provide anticipatory guidance per current trimester
, Albumin in urine during pregnancy - Answer-no more than a trace in a normal finding;
related to preeclampsia
glucose in urine during pregnancy - Answer-no more than 1+ in a normal finding; related
to gestational diabetes
protein in urine during pregnancy - Answer-trace amount may be present, higher may
indicate contamination by vaginal secretions, kidney disease, or preeclampsia (>30 or
1+ mg/dL mild preeclampsia; 2+ to 3+ protein on dipstick severe preeclampsia
Weight gain during pregnancy - Answer-1. 2 to 4 lbs during first trimester
2. 1 lb per week thereafter (>2 lb/week related to preeclampsia edema)
3. Total weight gain during pregnancy should be between 25 to 35 pounds
Fundal Height at 12 to 13 weeks - Answer-fundus rises above symphysis
Fundal Height at 18 to 32 weeks - Answer-the height of the fundus, measured in
centimeters and with an empty bladder, is approximately the same as the number of
weeks of gestation
How to teach pt to relieve supine HTN and increase perfusion to uterus, placenta and
fetus - Answer-Left side-lying position, because the uterus presses on the abdominal
vessels (vena cava and aorta)
Detecting Fetal HR at at 10 to 12 weeks - Answer-detectable using a Doppler
Detecting Fetal HR at 15 to 20 weeks - Answer-detectable using a fetoscope
Normal range of fetal HR - Answer-110-160 bpm
Fetal well being can be determined by assessing - Answer-fundal height
fetal heart tones & rate
fetal movement
uterine activity (contractions)
Changes in FHR are.... - Answer-first and most important indicators of compromised
blood flow to the fetus, these changes require action, normal FHR is 110-160
Anticipatory guidance for the first trimester - Answer-1. Discomforts such as nausea,
fatigue, urinary frequency subside after 13 weeks
2. Sleep needs increase to 8 hr/day
3. rest periods should be planned
4. Exercise is fine as long as woman is able to converse easily while exercising
5. Work is acceptable if there is no exposure to hazardous chemicals or toxins
6. Bathing is acceptable until membranes rupture ( usually within hours of delivery)
