HESI: NUR202/ NUR 202 (New 2024/ 2025
Update) Maternal Newborn Nursing Guide |
Questions and Verified Answers| 100%
Correct| A Grade– Fortis
QUESTION
Hegar's sign
Answer:
softening of isthmus of cervix
QUESTION
Goodell's sign
Answer:
softening of cervix
QUESTION
Chadwick's sign
Answer:
bluing of vagina
QUESTION
Ballottement
Answer:
rebounding of fetus against examiner's fingers on palpation
,QUESTION
Nursing interventions 8 weeks
Answer:
prevention of nausea - dry crackers b4 rising from bed, small frequent meals, avoid fatty food &
avoid meal skipping
safety - avoid hot tubs, saunas & steam rooms thru-out preg
Prep for preg - discuss attitude toward preg, CBE education, early preg classes, & include family
QUESTION
12 weeks fetal
Answer:
embryo becomes a fetus
heart discernable by ultrasound
lower body develops, sex discernable
kidneys produce urine
fetus weighs 19-28g
QUESTION
12 weeks maternal
Answer:
uterus rises above pelvic brim
Braxton Hicks contractions may be felt
UTI risk increases
2-4lbs gain
placenta fully functioning
QUESTION
12 weeks nursing interventions
,Answer:
UTI prevention - 3L/day, void q 2 hrs while awake, void b4 & after sex, wipe front to back
Diet & exercise - increase calories by 300 calories per day, stress value of regular exercise
discuss effects of pregnancy on sex
QUESTION
16 week fetal
Answer:
becomes more proportionate
scalp hair appears
meconium in bowel, anus opens
ultrasound can detect bones, joints & muscle movements
heart muscle well developed, blood form active in spleen
fibers appear in lungs, bronchioles appear
sense organs differentiated
testes in position to descend, vagina open
QUESTION
16 week maternal
Answer:
quickening - 16-20 weeks
colostrum can be expressed as early as 16 weeks
cholesterol increases
insulin resistance rises
weight gain 1lb per week
QUESTION
16 week nursing interventions
Answer:
, explain maternal serum alpha-fetoprotein test - high levels = neural tube defects & multiple
gestations; low levels = downs
explain multiple marker or triple screen blood test to detect downs syndrome & other
chromosomal abonormalities
QUESTION
20 week fetal
Answer:
vernix protects body
lanugo covers body
eyebrows, lashes & head hair develop
fetus sleeps, sucks & kicks
weighs 200-400g
QUESTION
20 week maternal
Answer:
fundus reaches umbilicus
begin secreting colostrum if not already, areola darkens
amniotic sac - 400mL
postural hypotension may occur
quickening noted if not already
nasal stuffiness, leg cramps, varicose veins & constipation may develop
QUESTION
20 week nursing interventions
Answer:
comfort measures - remain active, sit with feet elevated, avoid pressure on lower thighs, support
stockings, dorsiflex foot to relieve cramps, heat to muscles, saline nasal spray or cool-air
vaporizer for stuffiness
avoid constipation - raw fruit, veggies, cereals with bran; 3L fluids daily, exercise
