OBESTETRICS MASTER HESI PREP QUESTIONS WITH SOLUTIONS
1. State the objective signs that signify ovulation.: Abundant, thin, clear cervical
mucus; Spinnbarkeit (egg- white stretchiness) of cervical mucus
2. Ovulation occurs how many days before the next menstrual period?: 14 days
3. State three ways to identify the chronological age of a pregnancy
(gestation).-
: 1. 10 lunar months
2. 9 calendar months consisting of three trimesters of 3 months each.
3. 40 weeks 280 days
4. Name the major discomforts of the first trimester and one suggestion
for amelioration of each.: 1. Nausea and vomiting: crackers before rising
2. Fatigue: rest periods and naps and 7 to 8 hours of sleep at night.
5. At 20 weeks'
gestation, the fundal height would be .: At the umbilicus; 200 to 400
g; a babydwith hair, lanugo, and vernix, but without any subcutaneous fat.
6. State three principles relative to the pattern of weight gain in pregnancy.:
1. Total gain should average 11.3 to15.9kg(25to35lb.)
2. Gain should be consistent throughout pregnancy
3. An average of 1 lb/week should be gained in the second and third trimesters.
,7. FHR can be auscultated by Doppler
at weeks' gestation.: 10 to 12
8. Describe the schedule of prenatal visits for a low-risk pregnant woman.:
Once every 4 weeks until 28 weeks; every 2 weeks from 28 to 36 weeks; then once a week until delivery.
9. Name five maternal variables associated with diagnosis of a high-risk preg-
nancy.: 1. Diagnosis of preeclampsia
2. diabetes mellitus
3. cardiac disease
4. less than 3 months between pregnancies
5. maternal age (under 17 or over 34 years of age); parity (over 5)
10. What does the BPP determine?: Fetal well-being.
11. List necessary nursing actions before an
ultrasound examination for a woman in the first
trimester of pregnancy.: 1. Have client fill bladder. Do not allow client
to void.
2. Position client supine with a uterine wedge.
12. State the advantage of CVS (chorionic Villi Sampling) over amniocentesis.:
Can be done between 8 and 12weeks gestation, with results returned within 1 week, which allows for decision about
termination while still in first trimester.
13. Why are serum or amniotic AFP levels done prenatally?: To determine AFP
, levels: elevated AFP may indicate the presence of neural tube defects; or low AFP levels may indicate trisomy
21.
14. What is an important determinant of fetal
maturity for extrauterine survival?: L/S ratio (lung maturity, lung
surfactant development.
15. What is a reactive nonstress test?: FHR acceleration of 15 beats/min for 15
seconds in response to fetal movement.
16. What are the dangers of the nipple-stimulation stress test?: The inability to
control oxytocin "dosage" and the chance of tetany/hyperstimulation.
17. What instructions should the nurse give the woman with a threatened
abor- tion?: Maintain strict bed rest for 24 to 48 hours. Avoid sexual intercourse for 2 weeks.
18. Identify the nursing plans and interventions for a woman hospitalized
with hyperemesis gravidarum?: 1. Weigh daily
2. check urine ketone three times daily
3. Give progressive diet
4. check FHR every 8 hours
5. monitor for electrolyte imbalances.
19. Describe discharge counseling for a woman after hydatidiform mole
evac- uation by D&C.: Prevent pregnancy for 1 year.Return to clinic or doctor for monthly HCG levels for 1
year. Postoperative D&C instructions: Call if bright-red vaginal bleeding or foul- smelling vaginal discharge occurs
1. State the objective signs that signify ovulation.: Abundant, thin, clear cervical
mucus; Spinnbarkeit (egg- white stretchiness) of cervical mucus
2. Ovulation occurs how many days before the next menstrual period?: 14 days
3. State three ways to identify the chronological age of a pregnancy
(gestation).-
: 1. 10 lunar months
2. 9 calendar months consisting of three trimesters of 3 months each.
3. 40 weeks 280 days
4. Name the major discomforts of the first trimester and one suggestion
for amelioration of each.: 1. Nausea and vomiting: crackers before rising
2. Fatigue: rest periods and naps and 7 to 8 hours of sleep at night.
5. At 20 weeks'
gestation, the fundal height would be .: At the umbilicus; 200 to 400
g; a babydwith hair, lanugo, and vernix, but without any subcutaneous fat.
6. State three principles relative to the pattern of weight gain in pregnancy.:
1. Total gain should average 11.3 to15.9kg(25to35lb.)
2. Gain should be consistent throughout pregnancy
3. An average of 1 lb/week should be gained in the second and third trimesters.
,7. FHR can be auscultated by Doppler
at weeks' gestation.: 10 to 12
8. Describe the schedule of prenatal visits for a low-risk pregnant woman.:
Once every 4 weeks until 28 weeks; every 2 weeks from 28 to 36 weeks; then once a week until delivery.
9. Name five maternal variables associated with diagnosis of a high-risk preg-
nancy.: 1. Diagnosis of preeclampsia
2. diabetes mellitus
3. cardiac disease
4. less than 3 months between pregnancies
5. maternal age (under 17 or over 34 years of age); parity (over 5)
10. What does the BPP determine?: Fetal well-being.
11. List necessary nursing actions before an
ultrasound examination for a woman in the first
trimester of pregnancy.: 1. Have client fill bladder. Do not allow client
to void.
2. Position client supine with a uterine wedge.
12. State the advantage of CVS (chorionic Villi Sampling) over amniocentesis.:
Can be done between 8 and 12weeks gestation, with results returned within 1 week, which allows for decision about
termination while still in first trimester.
13. Why are serum or amniotic AFP levels done prenatally?: To determine AFP
, levels: elevated AFP may indicate the presence of neural tube defects; or low AFP levels may indicate trisomy
21.
14. What is an important determinant of fetal
maturity for extrauterine survival?: L/S ratio (lung maturity, lung
surfactant development.
15. What is a reactive nonstress test?: FHR acceleration of 15 beats/min for 15
seconds in response to fetal movement.
16. What are the dangers of the nipple-stimulation stress test?: The inability to
control oxytocin "dosage" and the chance of tetany/hyperstimulation.
17. What instructions should the nurse give the woman with a threatened
abor- tion?: Maintain strict bed rest for 24 to 48 hours. Avoid sexual intercourse for 2 weeks.
18. Identify the nursing plans and interventions for a woman hospitalized
with hyperemesis gravidarum?: 1. Weigh daily
2. check urine ketone three times daily
3. Give progressive diet
4. check FHR every 8 hours
5. monitor for electrolyte imbalances.
19. Describe discharge counseling for a woman after hydatidiform mole
evac- uation by D&C.: Prevent pregnancy for 1 year.Return to clinic or doctor for monthly HCG levels for 1
year. Postoperative D&C instructions: Call if bright-red vaginal bleeding or foul- smelling vaginal discharge occurs
