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HESI LPN · HESI LPN Maternal Newborn · HESI Complications of antenatal care

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

When providing care for a patient with placenta previa, what nursing action is essential?

A. administering oxytocin (Pitocin) to induce labor
B. assisting with a vaginal delivery
C. assessing for signs of vaginal bleeding
D. performing a vaginal exam

Expert Explanatory Rationale

Correct Answer: assessing for signs of vaginal bleeding

Question 2 of 5

Which assessment in a patient diagnosed with preeclampsia who is taking magnesium sulfate would indicate a therapeutic level of medication?

A. Drowsiness
B. Urinary output of 20 mL/hour
C. Normal deep tendon reflexes
D. Respiratory rate of 10 to 12 breaths per minute

Expert Explanatory Rationale

Correct Answer: Normal deep tendon reflexes

Question 3 of 5

Which test is used to confirm cephalopelvic disproportion?

A. Ultrasound
B. Fetal scalp pH
C. Amniocentesis
D. Digital pelvimetry

Expert Explanatory Rationale

Correct Answer: Ultrasound

Question 4 of 5

What should nurses do to support migrant farm workers receiving prenatal care?

A. Offer medication to prevent preterm labor.
B. Reinforce that heavy lifting is safe during pregnancy.
C. Evaluate occupational hazards and provide education.
D. Refer all patients for mental health resources.

Expert Explanatory Rationale

Correct Answer: Evaluate occupational hazards and provide education.

Question 5 of 5

Why is it important for the nurse to encourage a client with preeclampsia to lie in the left-lateral recumbent position?

A. Uterine and kidney perfusion are maximized, and compression of the major vessels is relieved.
B. Intra-abdominal pressure on the iliac veins is maximized, and there is increased blood flow to the pelvic area.
C. Aortic compression is maximized, thereby decreasing uterine arterial pressure and increasing uterine blood flow.
D. Hemoconcentration is maximized, thereby reducing blood volume and cardiac output and increasing placental perfusion.

Expert Explanatory Rationale

Correct Answer: Uterine and kidney perfusion are maximized, and compression of the major vessels is relieved.

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