Exam (elaborations)
OB/Maternity HESI Exam Questions and Correct Answers 2024/5. 180 Q&A. 100% Verified Solution.
- Course
- Institution
OB/Maternity HESI Exam Questions and Correct Answers 2024/5. 180 Q&A. 100% Verified Solution.
[Show more]
Seller
Follow
ACADEMICAIDSTORE
Reviews received
Content preview
OB/Maternity HESI Exam Questions andCorrect Answers 2024/5. 180 Q&A. 100%
Verified Solution.
Ovulation occurs how many days before the next menstrual period? (AKA between ovulation &
beginning of next menstrual cycle, there are how many days?)
14
To prevent pregnancy, a couple must avoid unprotected sex for ______days before anticipated ovulation
& for ___ days after ovulation to prevent pregnancy
Several days before antcipated ovulation & 3 days after ovulation
---sperm live approx 3 days
---eggs live about 24 hrs
Because some women experience _____ or _____, they do not know they are pregnant
implantation bleeding OR spotting
Signs of maternal-fetal bonding in utero?
talking to fetus in utero
massaging abdomen
nicknaming fetus
For women, battering (emotional/physcial abuse) begins during preg. How should women be assessed
for abuse?
In private, away from male partner, by nurse who is familiar w/ local resources & knows how to
determine safety of the client
A women who is 6 wks preg has the following maternal history: -healthy 2 yo daughter
-miscarriage at 10 wks
-elective abortion at 6 weeks
-5 years earlier
(what is her GTPAL?)
4-1-0-2-1
gravida 4, para 1 (only 1 delivery after 20 wks gestation)
What is EBD using Nagele's rule?
--Woman's last menstrual period Oct. 17
Count back 3 months +7 days
--July 24
,When does plasma volume increase during preg?
At approx 28 to 32 weeks, plasma volume increase 25-40%, resulting in hemodilution of Hct values 32-
42%
--High Hct values may look good, BUT in reality they represent a gestational HTN disorder & depleted
vascular space
Foods high in iron
-fish & red meats
-cereals & yellow vegetables
-green leafy vegetables & citrus fruits
-egg yolks and dried fruits
What position increases perfusion to uterus, placenta, and fetus?
L side-lying
Changes in ______ are the 1st & most important indicators of compromised blood flow to fetus, & these
changes require action!
changes in FHR
--fetal well-being determined by fundal height, fetal heart tones & rate, and uterine activity
(contractions)
Possible indications of preeclampsia & eclampsia are?
-visual disturbances
-swelling of face, fingers, or sacrum
-severe, continuous headache
-persistant vomiting
-epigastric pain
-infection signs (chills, temp >100.4, dysuria, pain in abd)
-fluid discharge or bleeding from vagina (anything besides norm leukorrhea)
-change in fetal movement or increased FHR
Nurse's responsibility regarding prenatal vitamins?
Teach about proper diet & about taking prescribed vitamins as they have been prescribed by HCP
---only HCP can prescribe prenatal vitamins (aka ensure client receives adequate intake of vitamins)
What should preg women eat to ensure daily calcium needs are met to help alleviate leg cramps?
equivalent of 3 cups of milk or yogurt per day
Name major discomforts of 1st trimester & suggestions to help relieve each
-N/V: crackers before rising
-fatigue: rest periods & naps & 7-8 hrs sleep at night
, At 20 weeks gestation, the fundal height would be___; the fetus would weight approx ____ and would
look like ____
at umbilicus; 300-400g; a baby (w/ hair, lanugo, & vernix, BUT w/o any subq fat)
Norm psychological responses to preg in 2nd trimester
-ambivalence wanes & acceptance of pregnancy occurs
-preg becomes "real"
-signs of maternal-fetal bonding occur
Hemodilution of preg peaks at ____ weeks & result in an ____ in a women's Hct?
28-32 weeks; decrease
3 principles relative to pattern of weight gain in preg
-average 25-35 pounds
-gain should be consistent throughout preg
-an avg of 1lb/week in 2nd & 3rd trimesters
During preg woman should add ____ cals & drink ____ cups of milk per day?
300 cals; 3 cups
FHR can be auscultated by Doppler at ____ wks gestation
10 to 12 weeks
Describe schedule of prenatal visits for low-risk preg woman
-Once every 4 wks until 28 wks
-Every 2 wks from 28 to 36 wks
-Once per wk until delivery
In some states, screening for neural tube defects by testing either _____ or _____ is mandated by state
law. This screening test is highly associated w/ both false positives & false negatives
maternal serum alphafetoprotein (AFP) or amniotic fluid AFP levels
When amniocentesis is done early in preg, bladder must be ____ vs done late bladder must be _____
Early in preg: bladder must be full to help support the uterus & help push uterus up into abd for easy
access
Late in preg: bladder must be empty to avoid puncture
Early decels, caused by _____ & ______, usually occur _____& ______
Caused by head compression & fetal descent
Usually occur btw 4 and 7 cm & in 2nd stage of labor
---check for labor progress if early decels are noted
If cord prolapse is detected, what should examiner do?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now