HESI Maternity and Pediatrics Exam Practice
Questions and Answers 100% Pass
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
What is gravidity? - ANSWER✔✔-the number of pregnancies including current
pregnancy.
includes miscarriages, ectopic pregnancies, stillbirths.
What is parity? - ANSWER✔✔-number of births in which the fetus is carried past 20
weeks gestation(not number of fetuses [e.g., twins]
GTPAL - ANSWER✔✔-Gravida, Term, Preterm, Abortions, Living
What are presumptive signs of pregnancy? - ANSWER✔✔-Subjective signs perceived
by the woman
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,- Signs: amenorrhea, breast changes & tenderness, nausea
- Symptoms: N/V, urinary freq, weight gain, fatigue, quickening (fetal movement),
discoloration of vaginal mucosa
Probable signs of pregnancy - ANSWER✔✔-Uterine enlargement, Goodell's sign,
Chadwick's sign, Hegar's sign, Ballottement, + Pregnancy test, Braxton Hicks
contractions
Goodell's sign - ANSWER✔✔-softening of the cervix
Chadwick's sign - ANSWER✔✔-Bluish purple discoloration of the cervix, vagina, and
labia during pregnancy as a result of increased vascular congestion.
Hegar's sign - ANSWER✔✔-softening of the lower uterine segment
Ballottement - ANSWER✔✔-The rebounding of the fetus against the examiner's fingers
on palpation
Positive signs of pregnancy - ANSWER✔✔-audible fetal heartbeat, fetal movement felt
by examiner, ultrasound visualization of fetus
How to measure Fundal Height - ANSWER✔✔-Symphysis pubis to top of uterine
fundus. # of cm is usually equivalent to gestation age, give or take 1-2 cm
--At 36 weeks fetus moves down into the pelvis, measurement not as reliable
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,Smoking tobacco during pregnancy can lead to - ANSWER✔✔-low birth weight, a
higher incidence of birth defects, and still births
Cholasma - ANSWER✔✔-Pigmented area of the face (mask of pregnancy)
"Linea Nigra" of pregnancy - ANSWER✔✔-Dark line of hyperpigmentation down the
midline of the abdomen
stiae gravidarum - ANSWER✔✔-stretch marks
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.
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.
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
What are some interventions of ptyalism during pregnancy? - ANSWER✔✔-Small,
frequent meals, gum chewing and oral lozenges
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, Dilution of RBC mass causing a decline in maternal hemoglobin and hematocrit -
ANSWER✔✔-physiologic anemia or pseudoanemia
Iron deficiency anemia occurs when the Hgb and Hct are? - ANSWER✔✔-Hgb less than
11 g/dL or Hct less than 33% in 1st or 3rd trimester & Hgb less than 10.5 g/dL or Hct
less than 32% in 2nd trimester
What is prescribed in pregnancy to prevent iron deficiency anemia? - ANSWER✔✔-
Ferrous Sulfate(iron supplement)
What happens to the heart rate during pregnancy? - ANSWER✔✔-heart rate increases
by 15-20 BPM.
Interventions for heartburn during pregnancy? - ANSWER✔✔-Eat small meals Q2-3H
and avoid fatty, acidic, or spicy foods. Eliminate or curtail smoking and drinking coffee
and carbonated beverages. Try chewing gum. Do not eat or drink before bedtime and
sleep with extra pillow. Walk or sit upright 1-2 hours after meals. May take liquid
antacids. Avoid bending over.
What is round ligament pain? - ANSWER✔✔-Sharp pain in the side or inguinal area,
usually on the right side.
Interventions for round ligament pain? - ANSWER✔✔-Use good body mechanics, do
not make sudden position changes or sudden movements. Avoid stretching and
twisting at the same time. Bend toward pain, squat or bring knees up to chest. Apply
heat and lie on right side.
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