HESI OB NURSING FUNDAMENTALS 2023/2024

49) During which of the following phase of the menstrual cycle is it ideal for implantation of a fertilized egg to occur? Ischemic phase Mentrual phase Proliferative phase Secretory phase 50) The nurse knows that there are psychological maternal changes that occurs during pregnancy in a primigravida patient. Select all the normal psychological maternal changes that happens throughout pregnancy. Ambivalence (Missed) Breast tenderness Emotional lability (Missed) Body image changes (Missed) Bonding or relationship with the fetus (Missed) Nausea and vomiting Syncope Urinary frequency 51) After administering bethanechol to a patient with urine retention, the nurse in charge monitors the patient for adverse effects. Which is most likely to occur? Decreased peristalsis Increase heart rate Dry mucous membranes Nausea and Vomiting Feedback Bethanechol will increase GI motility, which may cause nausea, belching, vomiting, intestinal cramps, and diarrhea. Peristalsis is increased rather than decreased. With high doses of bethanechol, cardiovascular responses may include vasodilation, decreased cardiac rate, and decreased force of cardiac contraction, which may cause hypotension. Salivation or sweating may gently increase. 52) FHR can be auscultated with a fetoscope as early as which of the following? 5 weeks gestation 10 weeks gestation 13 weeks gestation 20 weeks gestation Feedback The FHR can be auscultated with a fetoscope at about 20 week’s gestation. FHR usually is ausculatated at the midline suprapubic region with Doppler ultrasound transducer at 10 to 12 week’s gestation. FHR, cannot be heard any earlier than 10 weeks’ gestation. 53) A nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which of the following are functions of amniotic fluid? Select all that apply. Allows for fetal movement (Missed) Is a measure of kidney function (Missed) Surrounds, cushions, and protects the fetus (Missed) Maintains the body temperature of the fetus (Missed) Prevents large particles such as bacteria from passing to the fetus Provides an exchange of nutrients and waste products between the mother and the fetus 54) Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following? Increased plasma HCG levels Decreased intestinal motility Decrease gastric acidity Elevated estrogen levels Feedback During the second trimester, the reduction in gastric acidity in conjunction with pressure from the growing uterus and smooth muscle relaxation, can cause heartburn and flatulence. HCG levels increase in the first, not the second, trimester. Decrease intestinal motility would most likely be the cause of constipation and bloating. Estrogen levels decrease in the second trimester. 55) A nurse is collecting data from a client who suspects that she is pregnant. The nurse is checking the client for probable signs of pregnancy. Select all that apply. Ballottement (Missed) Chadwick's sign (Missed) Uterine enlargement (Missed) Braxton Hicks contractions (Missed) Outline of fetus via radiography or ultrasound Fetal heart rate detected by a non electronic device Hegar's sign (Missed) Goodle's sign (Missed) Feedback Ballottement or rebound of the fetus against the examiner's fingers on palpation; Chadwick's sign or the bluish coloration of the mucus membrane of the cervix, Uterine enlargement, Goodle's sign or the softening of the cervix; Braxton Hicks contraction, and Hegar's sign the softening and thinning of the lower uterine segment are ALL PROBABLE SIGNS OF PREGNANCY. 56) A nurse is monitoring for the Physiological Maternal Changes relating to pregnancy for a primigravida patient. What are the normal changes that happens during pregnancy? Select all that apply. Circulating blood volume increases (Missed) Sodium and water retention may occur, which can lead to weight gain (Missed) Shortness of breath may be experienced (Missed) Breast size atrophies There is a decrease in vaginal secretions Frequency of urination occurs during second trimester Chloasma occurs (Missed) 57) Variation on the length of menstrual cycle is due to variations in the number of days in which of the following phase? Proliferative phase Mentrual phase Proliferative phase Secretory phase 58) A 36 weeks gestation pregnant woman is complaining of urinary urgency and frequency. The nurse explained that the enlarging fetus is pressing the bladder which causes frequent urination. This is normally occuring during the first and third trimesters of pregnancy. The nurse advices the patient to do the following measures to prevent urinary frequency. Select all the necessary measures that the nurse can provide to the patient. Drink 2 quarts of fluid during the day (Missed) Engaging in a regular exercise Performing Kegel exercises (Missed) Soaking in a warm sitz bath Limiting fluid intake during the evening (Missed)