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HESI LPN · HESI LPN Maternal Newborn · HESI Antenatal and postnatal complications

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What is the nurse"â„¢s next action?

A. Ask the patient when she last had anything to eat or drink.
B. Take a culture of the lesions to verify the involved organism.
C. Ask the patient if she has had unprotected sex since her outbreak.
D. Use electronic fetal surveillance to determine a baseline fetal heart rate.

Expert Explanatory Rationale

Correct Answer: Ask the patient when she last had anything to eat or drink.

Question 2 of 5

What is a common sign or symptom of preeclampsia during pregnancy?

A. abdominal cramps
B. severe headache
C. increased appetite
D. elevated heart rate

Expert Explanatory Rationale

Correct Answer: severe headache

Question 3 of 5

The nurse applies fetal and uterine monitors to the abdomen of a client in active labor. When the client has contractions, the nurse notes a 15 beats/min deceleration of the fetal heart rate below the baseline lasting 15 seconds. Which is the next nursing action?

A. Calling the primary health care provider
B. Changing the maternal position
C. Obtaining the maternal blood pressure
D. Preparing the environment for an immediate birth

Expert Explanatory Rationale

Correct Answer: Changing the maternal position

Question 4 of 5

Which cardiac disease has the lowest risk for maternal mortality?

A. Endocarditis
B. Aortic stenosis
C. Patent ductus arteriosus
D. Pulmonary hypertension

Expert Explanatory Rationale

Correct Answer: Patent ductus arteriosus

Question 5 of 5

Which finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole?

A. Blood pressure of 120/80 mm Hg
B. Complaint of frequent mild nausea
C. Fundal height measurement of 18 cm
D. History of bright red spotting for 1 day weeks ago

Expert Explanatory Rationale

Correct Answer: Fundal height measurement of 18 cm

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