©THEBRIGHT 2025 ALL RIGHTS RESERVED 9:51 PM A+
HESI Maternity and Pediatrics Exam
Questions And Answers |Latest 2025 |
Guaranteed 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
- Signs: amenorrhea, breast changes & tenderness, nausea
- Symptoms: N/V, urinary freq, weight gain, fatigue, quickening (fetal movement), discoloration
of vaginal mucosa
1|Page
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 9:51 PM A+
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
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
2|Page
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 9:51 PM A+
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
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
3|Page
HESI Maternity and Pediatrics Exam
Questions And Answers |Latest 2025 |
Guaranteed 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
- Signs: amenorrhea, breast changes & tenderness, nausea
- Symptoms: N/V, urinary freq, weight gain, fatigue, quickening (fetal movement), discoloration
of vaginal mucosa
1|Page
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 9:51 PM A+
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
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
2|Page
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 9:51 PM A+
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
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
3|Page
