Exam (elaborations)
OB-MATERNITY HESI-NCLEX HINTS EXAM QUESTIONS WITH CORRECT ANSWERS
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OB-MATERNITY HESI-NCLEX HINTS EXAM QUESTIONS WITH CORRECT ANSWERS
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OB-MATERNITY HESI-NCLEX HINTS EXAMQUESTIONS WITH CORRECT ANSWERS
The menstrual phase varies in length in most women - CORRECT ANSWER-HESI HINT: 1
Anatomy and Physiology of Reproduction and Antepartum
Between ovulation and the beginning of the next menstrual cycle, there are usually exactly 14 days. In
other words, ovulation occurs 14 days before the next menstrual period. - CORRECT ANSWER-HESI HINT:
2
Anatomy and Physiology of Reproduction and Antepartum
Sperm live approximately 3 days (48 to 72 hours), and eggs live about 24 hours. A couple must avoid
unprotected intercourse for several days before the anticipated ovulation and for 3 days after ovulation
to prevent pregnancy. - CORRECT ANSWER-HESI HINT: 3
Anatomy and Physiology of Reproduction and Antepartum
Because some women experience implantation bleeding or spotting, they do not know they are
pregnant. - CORRECT ANSWER-HESI HINT: 4
Anatomy and Physiology of Reproduction and Antepartum
Look for signs of maternal-fetal bonding during pregnancy, for example, talking to fetus in utero,
massaging abdomen, and nicknaming fetus are all healthy psychosocial activities - CORRECT ANSWER-
HESI HINT: 5
Anatomy and Physiology of Reproduction and Antepartum
For many women, battering (emotional or physical abuse) begins during pregnancy. Women should be
assessed for abuse in private, away from the male partner, by a nurse who is familiar with local
resources and knows how to determine the safety of the client - CORRECT ANSWER-HESI HINT: 6
Anatomy and Physiology of Reproduction and Antepartum
Practice determining gravidity and parity, A women who is 6 weeks pregnant has the following maternal
history:
OB-Maternity HESI-NCLEX Hints EXAM QUESTIONS WITH CORRECT ANSWERS
,-2-year-old healthy daughter
-miscarriage at 10 weeks
-abortion at 6 weeks, 5 years earlier
-Current pregnancy, she is gravida 4, para 1, (only 1 delivery after 20 weeks gestation)
GTPAL = 4-1-0-2-1 - CORRECT ANSWER-HESI HINT: 7
Anatomy and Physiology of Reproduction and Antepartum
Practice calcualting EDB. If the first day of a women's last normal menstrual period was October 17,
what is her ED, busing Nagele rule? July 24.
Count back 3 months and add 7 days (always give February 28 days) - CORRECT ANSWER-HESI HINT: 8
Anatomy and Physiology of Reproduction and Antepartum
At approximately 28 to 32 weeks' gestation, a plasma volume increase of 25%-40% occurs, resulting in
normal hemodilution of pregnancy and Hct values of 32%-42%. High Hct values may look good, but in
reality, they represent a gestational hypertension disorder and a depleted vascular space - CORRECT
ANSWER-HESI HINT: 9
Anatomy and Physiology of Reproduction and Antepartum
Hgb and Hct data can be used to evaluate nutritional status. Example: A 22-year old primigravida at 12
weeks gestation has a Hgb of 9.6 and Hct of 31%. She has gained 3 pounds during the first trimester. A
weight gain of 2-4 pounds during the 1st trimester is recommended and this client is anemic.
Supplemental iron and a diet high in iron are needed.
High iron foods:
-fish and red meats
-cereals and yellow vegetables
-green leafy vegetables and citrus fruits
-egg yolks and dried fruits - CORRECT ANSWER-HESI HINT: 10
Anatomy and Physiology of Reproduction and Antepartum
OB-Maternity HESI-NCLEX Hints EXAM QUESTIONS WITH CORRECT ANSWERS
, As pregnancy advances, the uterus presses on abdominal vessels (vena cava and aorta) Teach the
woman that a left side-lying position relieves supine hypotension and increases perfusion to uterus,
placenta, and fetus - CORRECT ANSWER-HESI HINT: 11
Anatomy and Physiology of Reproduction and Antepartum
Fetal well-being is determined by assessing fundal height, fetal heart tones and rate, fetal movement,
and uterine activity (contractions). Changes in FHR are the first and most important indicators of
compromised blood flow to the fetus and these changes require action!
Remember: normal FHR is 110-160 - CORRECT ANSWER-HESI HINT: 12
Anatomy and Physiology of Reproduction and Antepartum
Teach clients to report immediately any of the following danger signs. Early intervention can optimize
maternal and fetal outcome. Possible indications of preeclampsia and eclampsia are:
-Visual disturbances
-Swelling of face, fingers, or sacrum
-Severe, continuous headache
-Persistent vomiting
-Epigastric pain
-Infecetion. Signs include: chills, temp >100.4, dysuria, abdominal pain
-fluid discharge or bleeding from vagina (anything orhter than normal leukorrhea)
-Change in fetal movement or increased FHR - CORRECT ANSWER-HESI HINT: 13
Anatomy and Physiology of Reproduction and Antepartum
Most providers prescribe prenatal vitamins to ensure that the client receives an adequate intake of
vitamins. However, only the health care provider can prescribe prenatal vitamins. It is the nurse's
responsibility to teach about the proper diet and about taking prescribed vitamins as they have been
prescribed by the HCP - CORRECT ANSWER-HESI HINT: 14
Anatomy and Physiology of Reproduction and Antepartum
OB-Maternity HESI-NCLEX Hints EXAM QUESTIONS WITH CORRECT ANSWERS
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