HESI RN Maternity Exam
VERSION 24
At 22 weeks of gestation, the fundal height should be around the level of the umbilicus. The distance in centimeters from the symphysis pubis to the top of the fundus is a rough estimate of gestational age. 1 / 2
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?
"No, it should only last until about your 12th week, but it will return near the end of the pregnancy."
Urinary frequency usually disappears at about 12 weeks of gestation but returns near term as the enlarging uterus presses on the bladder. It can also worsen following fetal descent.
A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?“Implantation occurs between two and three weeks after conception.”
A N SW E R
A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn.Which of the following responses should the nurse make?
Increased progesterone production causes decreased motility of smooth muscle.
Increased progesterone production causes a relaxation of the cardiac sphincter and delayed gastric emptying, which can result in heartburn.
This statement requires clarification because implantation follows conception within 6 to 10 days.
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