HESI NSG222/ NSG 222: (2024/ 2025
Update) Family Nursing Review| Questions
and Verified Answers| 100% Correct| A
Grade – Herzing
QUESTION
Abruptio Placenta
Answer:
Placental abruption is the early separation of a normally implanted placenta after the 20th week
of gestation prior to birth, which leads to hemorrhage
Rapid assessment is essential to ensure prompt, effective interventions to prevent maternal and
fetal morbidity and mortality.
When the woman arrives at the facility, place her on strict bed rest and in a left lateral position to
prevent pressure on the vena cava. This position provides uninterrupted perfusion to the fetus.
QUESTION
Signs and Symptoms of Abrutpio Placenta
Answer:
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.
QUESTION
HIV Positive Delivery
Answer:
Breastfeeding is a major contributing factor for mother-to-child transmission, and the infected
mother must be informed about this
Drug therapy is the mainstay of treatment for pregnant women infected with HIV. The standard
treatment is oral antiretroviral drugs given daily until giving birth, IV administration during
labor, and oral zidovudine (AZT) for the newborn within 6 to 12 hours of birth
,QUESTION
Prolasped Cord Position
Answer:
If pressure or compression of the cord occurs, assist with measures to relieve the compression.
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.
Google: Encourage into left lateral position with head down and pillow placed under left hip OR
knee-chest position. This will relieve pressure off the cord from the presenting part.
QUESTION
Genetics PKU
Answer:
Google: PKU is inherited in an autosomal recessive pattern. Recessive genetic disorders occur
when an individual inherits an abnormal gene from each parent. If an individual receives one
normal gene copy and one abnormal gene copy, they will be a carrier for the condition, but will
not have symptoms
QUESTION
Caput Succedaneum
Answer:
Google: Caput succedaneum is swelling of the scalp in a newborn. It is most often brought on by
pressure from the uterus or vaginal wall during a head-first (vertex) delivery. Caput
succedaneum is a very common and usually benign neonatal condition resulting from normal
pressure and compression on the baby's head as it passes through the birth canal. Caput
succedaneum itself is harmless as the swelling is limited to the scalp and is not a symptom of a
deeper injury to the skull or brain.
, QUESTION
Leopold Manuevers
Answer:
Maneuver 1: What fetal part (head or buttocks) is located in the fundus (top of the uterus)?
Maneuver 2: On which maternal side is the fetal back located? (Fetal heart tones are best
auscultated through the back of the fetus.)
Maneuver 3: What is the presenting part?
Maneuver 4: Is the fetal head flexed and engaged in the pelvis
QUESTION
Vaginal exam-labor Ruptured membranes
Answer:
The integrity of the membranes can be determined during the vaginal examination. Typically, if
intact, the membranes will be felt as a soft bulge that is more prominent during a contraction. If
the membranes have ruptured, the woman may have reported a sudden gush of fluid. Membrane
rupture may also occur as a slow trickle of fluid. When membranes rupture, the priority focus
should be on assessing fetal heart rate (FHR) first to identify a deceleration, which might indicate
cord compression secondary to cord prolapse. If the membranes are ruptured when the woman
comes to the hospital, the health care provider should ascertain when this occurred. Prolonged
ruptured membranes increase the risk of infection as a result of ascending vaginal pathologic
organisms for both mother and fetus
QUESTION
Pregnancy and Weight Gain
Answer:
During the first trimester, for women whose prepregnancy weight is within the normal weight
range, weight gain should be about 3.5 to 5 lb. For underweight women, weight gain should be at
least 5 lb. For overweight women, weight gain should be about 2 lb. Much of the weight gained
during the first trimester is caused by growth of the uterus and expansion of the blood volume.
During the second and third trimesters, the following pattern is recommended: For women whose
prepregnancy weight is within the normal weight range, weight gain should be about 1 lb per
week. For underweight women, weight gain should be slightly more than 1 lb per week. For
overweight women, weight gain should be about 2/3 lb per week
Underweight (BMI less than 18.5) total weight gain range = 28-40 lb
Normal weight (BMI = 18.5-24.9) total weight gain range = 25-35 lb
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