ALL MATERNITY HESI QUESTIONS
UPDATED & CORRECT ANSWERS
PASSED & GRADED A+
objective signs of ovulation - correct 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
what maternal position provides optimal fetal and placental perfusion - correct answer ✔✔-side
lying (removes pressure from abdominal vessels)
-knee-chest
ovulation occurs how many days before the next menstrual period? - correct answer ✔✔14
4 ways to identify gestational age - correct answer ✔✔-10 lunar months
-9 calendar months
-40 weeks
-280 days
makor discomforts of the first trimester and one suggestion for each - correct answer ✔✔-
nausea and vomiting: eat crackers upon rising in the morning
-fatigue: take planned naps and sleep 7-8 hours/night
,how do you calculate EDD from LMP - correct 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 - correct answer ✔✔at the umbilicus
at 20 weeks gestation the fetus would weigh approximately - correct answer ✔✔300-400g
normal psychosocial responses to pregnancy in the second trimester - correct answer
✔✔ambivalence wanes, woman begins to accept pregnancy, pregnancy becomes "real", signs
of maternal-fetal bonding occur
at 20 weeks gestation the fetus would look like - correct answer ✔✔have hair, lanugo, vernix, no
subcutaneous fat
hemodilution of pregnancy peaks at how many weeks? what happens to Hct? - correct answer
✔✔28-32 weeks; decreases
what happens with weight gain during pregnancy? - correct 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 - correct answer ✔✔300 calories/day
how many cups of milk should a woman drink per day - correct answer ✔✔2 cups or 8 ounces
FHR can be auscultated by doppler at how many weeks gestation - correct answer ✔✔10-12
, schedule of prenatal visits - correct answer ✔✔every 4 weeks until 28 weeks, every 2 weeks
until 36 weeks, every week until delivery
variables associated with high risk pregnancy - correct answer ✔✔preeclampsia, DM, cardiac
disease, <3 months between pregnancies, <17 and >34 years old, parity >5
how do you diagnose IUGR - correct answer ✔✔serial ultrasounds
what does BPP determine - correct answer ✔✔fetal well-being
necessary actions before first trimester ultrasound - correct 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 - correct 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 - correct 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? - correct
answer ✔✔L/S ratio
should be 2:1
UPDATED & CORRECT ANSWERS
PASSED & GRADED A+
objective signs of ovulation - correct 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
what maternal position provides optimal fetal and placental perfusion - correct answer ✔✔-side
lying (removes pressure from abdominal vessels)
-knee-chest
ovulation occurs how many days before the next menstrual period? - correct answer ✔✔14
4 ways to identify gestational age - correct answer ✔✔-10 lunar months
-9 calendar months
-40 weeks
-280 days
makor discomforts of the first trimester and one suggestion for each - correct answer ✔✔-
nausea and vomiting: eat crackers upon rising in the morning
-fatigue: take planned naps and sleep 7-8 hours/night
,how do you calculate EDD from LMP - correct 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 - correct answer ✔✔at the umbilicus
at 20 weeks gestation the fetus would weigh approximately - correct answer ✔✔300-400g
normal psychosocial responses to pregnancy in the second trimester - correct answer
✔✔ambivalence wanes, woman begins to accept pregnancy, pregnancy becomes "real", signs
of maternal-fetal bonding occur
at 20 weeks gestation the fetus would look like - correct answer ✔✔have hair, lanugo, vernix, no
subcutaneous fat
hemodilution of pregnancy peaks at how many weeks? what happens to Hct? - correct answer
✔✔28-32 weeks; decreases
what happens with weight gain during pregnancy? - correct 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 - correct answer ✔✔300 calories/day
how many cups of milk should a woman drink per day - correct answer ✔✔2 cups or 8 ounces
FHR can be auscultated by doppler at how many weeks gestation - correct answer ✔✔10-12
, schedule of prenatal visits - correct answer ✔✔every 4 weeks until 28 weeks, every 2 weeks
until 36 weeks, every week until delivery
variables associated with high risk pregnancy - correct answer ✔✔preeclampsia, DM, cardiac
disease, <3 months between pregnancies, <17 and >34 years old, parity >5
how do you diagnose IUGR - correct answer ✔✔serial ultrasounds
what does BPP determine - correct answer ✔✔fetal well-being
necessary actions before first trimester ultrasound - correct 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 - correct 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 - correct 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? - correct
answer ✔✔L/S ratio
should be 2:1
