HESI RN COMPASS EXIT EXAM V1 NGN 2023.

HESI RN COMPASS EXIT EXAM V1 (NGN) 2023.

QUESTIONS AND 100% CORRECT & VERIFIED

ANSWERS GRADED A +. (LATEST UPDATED 2023

FALL QTR)

1. You performed the leopold’s maneuver and found the following: breech

presentation, fetal back at the right side of the mother. Based on these findings, you can hear the fetal heart beat (PMI) BEST in which location?

• Left lower quadrant
• Right lower quadrant
• Left upper quadrant
• Right upper quadrant

Answer: (B) Right lower quadrant

Right lower quadrant. The landmark to look for when looking for PMI is the location of the fetal back in relation to the right or left side of the mother and the presentation, whether cephalic or breech. The best site is the fetal back nearest the head.

• In Leopold’s maneuver step #1, you palpated a soft broad mass that

moves with the rest of the mass. The correct interpretation of this finding

is:

• The mass palpated at the fundal part is the head part.
• The presentation is breech.
• The mass palpated is the back
• The mass palpated is the buttocks.

Answer: (D) The mass palpated is the buttocks.

The palpated mass is the fetal buttocks since it is broad and soft and moves with the rest of the mass.

• In Leopold’s maneuver step # 3 you palpated a hard round movable

mass at the supra pubic area. The correct interpretation is that the mass

palpated is:

• The buttocks because the presentation is breech.
• The mass palpated is the head.
• The mass is the fetal back.
• The mass palpated is the fetal small part

Answer: (B) The mass palpated is the head.

When the mass palpated is hard round and movable, it is the fetal head.

4. The hormone responsible for a positive pregnancy test is:

• Estrogen
• Progesterone
• Human Chorionic Gonadotropin
• Follicle Stimulating hormone
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Answer: (C) Human Chorionic Gonadotropin

Human chorionic gonadotropin (HCG) is the hormone secreted by the

chorionic villi which is the precursor of the placenta. In the early stage of pregnancy, while the placenta is not yet fully developed, the major hormone that sustains the pregnancy is HCG.

5. The hormone responsible for the maturation of the graafian follicle is:

• Follicle stimulating hormone
• Progesterone
• Estrogen
• Luteinizing hormone

Answer: (A) Follicle stimulating hormone

The hormone that stimulates the maturation if the of the graafian follicle is the Follicle Stimulating Hormone which is released by the anterior pituitary gland.

7. The most common normal position of the fetus in utero is:

• Transverse position
• Vertical position
• Oblique position
• None of the above

Answer: (B) Vertical position

Vertical position means the fetal spine is parallel to the maternal spine thus making it easy for the fetus to go out the birth canal. If transverse or oblique, the fetus can’t be delivered normally per vagina.

• In the later part of the 3rd trimester, the mother may experience

shortness of breath. This complaint maybe explained as:

• A normal occurrence in pregnancy because the fetus is using more

oxygen

• The fundus of the uterus is high pushing the diaphragm upwards
• The woman is having allergic reaction to the pregnancy and its

hormones

• The woman maybe experiencing complication of pregnancy

Answer: (B) The fundus of the uterus is high pushing the diaphragm

upwards From the 32nd week of the pregnancy, the fundus of the enlarged uterus is pushing the respiratory diaphragm upwards. Thus, the lungs have reduced space for expansion consequently reducing the oxygen supply.

• Which of the following findings in a woman would be consistent with a

pregnancy of two months duration?

• Weight gain of 6-10 lbs. and presence of striae gravidarum
• Fullness of the breast and urinary frequency
• Braxton Hicks contractions and quickening
• Increased respiratory rate and ballottement 2 / 4

Answer: (B) Fullness of the breast and urinary frequency

Fullness of the breast is due to the increased amount of progesterone in pregnancy. The urinary frequency is caused by the compression of the urinary bladder by the gravid uterus which is still within the pelvic cavity during the first trimester.

• Which of the following is a positive sign of pregnancy?
• Fetal movement felt by mother
• Enlargement of the uterus
• (+) pregnancy test
• (+) ultrasound

Answer: (D) (+) ultrasound

A positive ultrasound will definitely confirm that a woman is pregnant since the fetus in utero is directly visualized.

• What event occurring in the second trimester helps the expectant

mother to accept the pregnancy?

• Lightening
• Ballotment
• Pseudocyesis
• Quickening

Answer: (D) Quickening

Quickening is the first fetal movement felt by the mother makes the woman realize that she is truly pregnant. In early pregnancy, the fetus is moving but too weak to be felt by the mother. In the 18th-20th week of gestation, the fetal movements become stronger thus the mother already feels the movements.

• Shoes with low, broad heels, plus a good posture will prevent which

prenatal discomfort?

• Backache
• Vertigo
• Leg cramps
• Nausea

Answer: (A) Backache

Backache usually occurs in the lumbar area and becomes more problematic as the uterus enlarges. The pregnant woman in her third trimester usually assumes a lordotic posture to maintain balance causing an exaggeration of the lumbar curvature. Low broad heels provide the pregnant woman with a good support.

• When a pregnant woman experiences leg cramps, the correct nursing

intervention to relieve the muscle cramps is:

• Allow the woman to exercise 3 / 4

• Let the woman walk for a while
• Let the woman lie down and dorsiflex the foot towards the knees
• Ask the woman to raise her legs

Answer: (C) Let the woman lie down and dorsiflex the foot towards the

knees Leg cramps is caused by the contraction of the gastrocnimeus (leg muscle). Thus, the intervention is to stretch the muscle by dosiflexing the foot of the affected leg towards the knee.

• From the 33rd week of gestation till full term, a healthy mother should

have prenatal check up every:

• week
• 2 weeks
• 3 weeks
• 4 weeks

Answer: (A) week

In the 9th month of pregnancy the mother needs to have a weekly visit to the prenatal clinic to monitor fetal condition and to ensure that she is adequately prepared for the impending labor and delivery.

• The expected weight gain in a normal pregnancy during the 3rd

trimester is

• 1 pound a week
• 2 pounds a week
• 10 lbs a month
• 10 lbs total weight gain in the 3rd trimester

Answer: (A) 1 pound a week

During the 3rd trimester the fetus is gaining more subcutaneous fat and is growing fast in preparation for extra uterine life. Thus, one pound a week is expected.

• In the Batholonew’s rule of 4, when the level of the fundus is midway

between the umbilicus and xyphoid process the estimated age of

gestation (AOG) is:

• 5th month
• 6th month
• 7th month
• 8th month

Answer: (C) 7th month

In Bartholomew’s Rule of 4, the landmarks used are the symphysis pubis, umbilicus and xyphoid process. At the level of the umbilicus, the AOG is approximately 5 months and at the level of the xyphoid process 9 months.Thus, midway between these two landmarks would be considered as 7

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