Healthy Pregnancy HESI Quiz

In which week of gestation would the nurse anticipate administering Rho(D) immune globulin to an Rh-negative client?

28 weeks

During a prenatal education class, the nurse discusses the importance of fetal movement awareness. Why is this an important concept to teach?

A decrease in fetal movement necessitates an evaluation of fetal well-being

A client at 10 weeks' gestation tells the nurse in the maternity clinic that she is worried because she is voiding frequently. How would the nurse respond?

Explain why this is expected in early pregnancy

What are 3 presumptive s/s of pregnancy that the nurse would expect when assessing a client at 10 weeks' gestation?

Amenorrhea, breast changes, and urinary frequency

What typically results in increased levels of alpha-fetoprotein?

Fetal demise, neural tube defects, and esophageal obstruction

When is the MOST highly sensitive time for the heart?

Between 6-9 weeks

What is the accepted method of assessing the fetus for the appropriate amount of movement?

Fetal kick count, either the number counted in 30 minutes or the time it takes for 10 kicks to occur

Which is the MOST highly sensitive time within the developing embryo for the risk of malformation r/t environmental teratogens?

Cleft palate at 8 weeks' gestation

Which increase in hormones during pregnancy causes increased vascularization and results in congestion of mucous membranes?

Estrogen and progesterone

A woman is being seen in the prenatal clinic at 36 weeks' gestation. Which s/s by the client require further evaluation by the HCP?

Decreased urine output, blurred vision w/ spots, and contractions that are regular and 5 minutes apart

What 3 s/s may occur w/ pregnancy-associated HTN?

Decreased urine output, blurred vision, and severe HA

With which problem is a low maternal serum alpha-fetoprotein associated?

Down syndrome

A client at 35 weeks' gestation calls the prenatal clinic, concerned that she has "not felt the baby move as much as usual." The nurse would direct the client to call back after taking which action?

Drink a glass of orange juice and time 10 fetal movements

A client who has missed two menstrual periods arrives at the prenatal clinic with vaginal bleeding and one-sided lower quadrant pain. Which condition would the nurse suspect?

Ectopic pregnancy

Which intervention would the nurse recommend to a client in her 37th week of gestation who calls the clinic and reports, "My ankles are so swollen"?

Elevating her legs more frequently during the day

Hydramnios is diagnosed in a primigravida at 35 weeks' gestation. For which condition would the nurse assess the newborn?

Esophageal atresia

Where would the fundal height be located in a pregnant client at 16 weeks' gestation?

Half the distance to the umbilicus

What pattern does fetal development occur in?

Head-to-toe and central-to-peripheral pattern

At term a client's Hgb is 10.6 and her Hct is 31%. Which physiological factor accounts for these values?

Hemodilution

A client presents to the clinic with complaints of nausea and amenorrhea and reports that she obtained a positive result on a home pregnancy test. Which component of the history is MOST indicative of pregnancy?

Her urine immunoassay test is positive

Which hormone would the nurse identify as being excreted in urine during pregnancy?

Human chorionic gonadotropin

A fundal height at the umbilicus at 16 weeks' gestation indicates what?

Hydatidiform mole, a multiple gestation, or a fetal congenital anomaly

What causes Chadwick's sign?

Increased blood flow to the uterus during pregnancy

What causes dependent edema in the ankles during the latter part of pregnancy?

Increased pressure of the uterus on the pelvic veins

A client exhibits oligohydramnios at 36 weeks' gestation. For which newborn complication would the nurse monitor?

Intrauterine growth restriction (IUGR)

Which response would the nurse give to a primigravida at 9 weeks' gestation who asks when she can first expect to feel her baby move?

Many women are able to first feel light movement between 18 and 20 weeks

A client informs the nurse that her home pregnancy test was positive and that her last menstrual period began on June 18. According to Naegele's rule, which is the estimated date of birth (EDB)?

March 25

This condition causes painless vaginal bleeding in the third trimester.

Placenta previa

What are the 3 stages of development in pregnancy?

Preembryonic, embryonic, and fetal stages

On a routine prenatal visit, which is the s/s that a healthy primigravida at 20 weeks' gestation will MOST likely report for the first time?

Quickening

Which term would the nurse use to describe the first fetal movements that a pregnant client feels?

Quickening

The nurse is assessing a pregnant client during the third trimester. Which clinical finding is expected in the later stages of pregnancy?

SOB on exertion

A woman comes into the clinic and states that she is thinking about becoming pregnant. Which can the woman do to improve the health of her baby before she becomes pregnant?

Start taking prenatal vitamins

A pregnant client tells the nurse that she thinks she has developed an allergy because her nose is often very congested. How would the nurse reply?

That is an expected occurrence; the increased hormones are responsible for the congestion