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HESI LPN · HESI LPN Maternal Newborn · HESI Antenatal complications

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which factor is most important in diminishing maternal, fetal, and neonatal complications in a pregnant patient with diabetes?

A. Evaluation of retinopathy by an ophthalmologist

B. The patient's stable emotional and psychological status

C. Degree of glycemic control before and during the pregnancy

D. Total protein excretion and creatinine clearance within normal limits

Expert Explanatory Rationale

Correct Answer: Degree of glycemic control before and during the pregnancy

Question 2 of 5

Which technique would the nurse employ for an obstetrical client with a foreign body airway obstruction?

A. Back blows

B. Chest thrusts

C. Suprapubic thrusts

D. Abdominal thrusts

Expert Explanatory Rationale

Correct Answer: Chest thrusts

Question 3 of 5

Why is a multiple-gestation pregnancy considered a high risk?

A. Postpartum hemorrhage is an expected complication.

B. Perinatal mortality is two to three times more likely in multiple than in single births.

C. Optimal psychological adjustment after a multiple birth requires 6 months to 1 year.

D. Maternal mortality is higher during the prenatal period in the setting of multiple gestation.

Expert Explanatory Rationale

Correct Answer: Perinatal mortality is two to three times more likely in multiple than in single births.

Question 4 of 5

Which postpartum patient requires further assessment?

A. G4 P4 who has had four saturated pads during the last 12 hours

B. G1 P1 with Class II heart disease who complains of frequent coughing

C. G2 P2 with gestational diabetes whose fasting blood sugar level is 100 mg/dL

D. G3 P2 postcesarean patient who has active herpes lesions on the labia

Expert Explanatory Rationale

Correct Answer: G1 P1 with Class II heart disease who complains of frequent coughing

Question 5 of 5

The nurse admits a client with preeclampsia to the high-risk prenatal unit. Which is the next nursing action after the vital signs have been obtained?

A. Calling the primary health care provider

B. Checking the client's reflexes

C. Determining the client's blood type

D. Establishing an intravenous (IV) line

Expert Explanatory Rationale

Correct Answer: Checking the client's reflexes

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