HESI MATERNITY AND PEDIATRICS LATEST ACTUAL
EXAM WITH VERIFIED QUESTIONS & CORRECT
ANSWERS
Question 1.
How is EDD calculated using Nagele's rule?
ANSWER
1. Determine the first day
of the LMP
2. Subtract 3 months
3. Add 7 days
4. Adjust the year
Question 2.
What is gravidity?
ANSWER
the number of preg- nancies including current pregnancy. includes miscarriages, ectopic pregnancies,
stillbirths.
Question 3.
What is parity?
ANSWER
number of births in which the fetus is carried past 20 weeks gestation(not number of fetuses [e.g.,
twins]
Question 4.
GTPAL
ANSWER
Gravida, Term, Preterm, Abortions, Living
Question 5.
What are presumptive signs of pregnancy?
ANSWER
Subjective signs perceived by the woman - Signs: amenorrhea, breast changes & tenderness, nausea
- Symptoms: N/V, urinary freq, weight gain, fatigue, quickening (fetal movement), discoloration of
vaginal mucosa Goodell's sign, Chadwick's sign, Hegar's sign, Ballottement, + Pregnancy test,
Braxton Hicks contractions
1
,Question 6.
Goodell's sign
ANSWER
softening of the cervix
Question 7.
Chadwick's sign
ANSWER
Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased
vascular congestion.
Question 8.
Hegar's sign
ANSWER
softening of the lower uterine segment
Question 9.
Ballottement
ANSWER
The rebounding of the fetus against the examiner's fingers on palpation
Question 10.
Positive signs of pregnancy
ANSWER
audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of fetus
2
,Question 11.
How to measure Fundal Height
ANSWER
Symphysis pubis to top of uterine fundus. # of cm is tation age, give or take 1-2 cm --At 36 weeks
fetus moves down into the pelvis, measurement not as reliable
Question 12.
Smoking tobacco during pregnancy can lead to
ANSWER
low birth weight, a higher incidence of birth defects, and still births
Question 13.
Cholasma
ANSWER
Pigmented area of the face (mask of pregnancy)
Question 14.
"Linea Nigra" of pregnancy
ANSWER
Dark line of hyperpigmentation down the midline of the abdomen
3
, Question 15.
stiae gravidarum
ANSWER
stretch marks
Question 16.
What are some interventions that the nurse can teach the patient for nausea and vomiting in
pregnancy(occurs during 1st trimester)?
ANSWER
Eat crackers before rising in the morning, eat small, frequent and low fat meals, drink liquids between
meals rather than at meals, avoid fried and spicy foods. Ask HCP if vit. B6 would be helpful.
Question 17.
What are some interventions for syncope during pregnancy?
ANSWER
sit with feet elevated and change positions slowly. Instruct the pregnant client to avoid lying in the
supine position.
Question 18.
What are some interventions for urinary frequency occurring during pregnancy?
ANSWER
Limit fluid intake during the evening, void at regular intervals, kegal exercises, avoid caffeine
Question 19.
What are some interventions of ptyalism during pregnancy?
ANSWER
Small, frequent meals, gum chewing and oral lozenges
4
EXAM WITH VERIFIED QUESTIONS & CORRECT
ANSWERS
Question 1.
How is EDD calculated using Nagele's rule?
ANSWER
1. Determine the first day
of the LMP
2. Subtract 3 months
3. Add 7 days
4. Adjust the year
Question 2.
What is gravidity?
ANSWER
the number of preg- nancies including current pregnancy. includes miscarriages, ectopic pregnancies,
stillbirths.
Question 3.
What is parity?
ANSWER
number of births in which the fetus is carried past 20 weeks gestation(not number of fetuses [e.g.,
twins]
Question 4.
GTPAL
ANSWER
Gravida, Term, Preterm, Abortions, Living
Question 5.
What are presumptive signs of pregnancy?
ANSWER
Subjective signs perceived by the woman - Signs: amenorrhea, breast changes & tenderness, nausea
- Symptoms: N/V, urinary freq, weight gain, fatigue, quickening (fetal movement), discoloration of
vaginal mucosa Goodell's sign, Chadwick's sign, Hegar's sign, Ballottement, + Pregnancy test,
Braxton Hicks contractions
1
,Question 6.
Goodell's sign
ANSWER
softening of the cervix
Question 7.
Chadwick's sign
ANSWER
Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased
vascular congestion.
Question 8.
Hegar's sign
ANSWER
softening of the lower uterine segment
Question 9.
Ballottement
ANSWER
The rebounding of the fetus against the examiner's fingers on palpation
Question 10.
Positive signs of pregnancy
ANSWER
audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of fetus
2
,Question 11.
How to measure Fundal Height
ANSWER
Symphysis pubis to top of uterine fundus. # of cm is tation age, give or take 1-2 cm --At 36 weeks
fetus moves down into the pelvis, measurement not as reliable
Question 12.
Smoking tobacco during pregnancy can lead to
ANSWER
low birth weight, a higher incidence of birth defects, and still births
Question 13.
Cholasma
ANSWER
Pigmented area of the face (mask of pregnancy)
Question 14.
"Linea Nigra" of pregnancy
ANSWER
Dark line of hyperpigmentation down the midline of the abdomen
3
, Question 15.
stiae gravidarum
ANSWER
stretch marks
Question 16.
What are some interventions that the nurse can teach the patient for nausea and vomiting in
pregnancy(occurs during 1st trimester)?
ANSWER
Eat crackers before rising in the morning, eat small, frequent and low fat meals, drink liquids between
meals rather than at meals, avoid fried and spicy foods. Ask HCP if vit. B6 would be helpful.
Question 17.
What are some interventions for syncope during pregnancy?
ANSWER
sit with feet elevated and change positions slowly. Instruct the pregnant client to avoid lying in the
supine position.
Question 18.
What are some interventions for urinary frequency occurring during pregnancy?
ANSWER
Limit fluid intake during the evening, void at regular intervals, kegal exercises, avoid caffeine
Question 19.
What are some interventions of ptyalism during pregnancy?
ANSWER
Small, frequent meals, gum chewing and oral lozenges
4
