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HESI LPN · HESI LPN Maternal Newborn · HESI Complications of Postpartum

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Choose the best independent nursing action to aid episiotomy healing in the woman who is 24 hours postpartum.

A. Apply antibiotic cream to the area three times each day.
B. Squirt warm water over the perineum after voiding or stooling.
C. Maintain cold packs to the area at all times for the first 3 days.
D. Check the leukocyte level daily and report changes.

Expert Explanatory Rationale

Correct Answer: Squirt warm water over the perineum after voiding or stooling.

Question 2 of 5

The nurse is evaluating the involution of a woman who is 3 days postpartum. Which of the following findings would the nurse evaluate as normal?

A. Fundus 1 cm above the umbilicus, lochia rosa.
B. Fundus 2 cm above the umbilicus, lochia alba.
C. Fundus 2 cm below the umbilicus, lochia rubra.
D. Fundus 3 cm below the umbilicus, lochia serosa.

Expert Explanatory Rationale

Correct Answer: Fundus 2 cm below the umbilicus, lochia rubra.

Question 3 of 5

A client, 2 days postoperative from a cesarean section, complains to the nurse that she has yet to have a bowel movement since the surgery. Which of the following responses by the nurse would be appropriate at this time?

A. That is very concerning. I will request that your physician order an enema for you.
B. Two days is not that bad. Some patients go four days or longer without a movement.
C. You have been taking antibiotics through your intravenous. That is probably why you are constipated.
D. Fluids and exercise often help to combat constipation. Take a stroll around the unit and drink lots of fluid.

Expert Explanatory Rationale

Correct Answer: Two days is not that bad. Some patients go four days or longer without a movement.

Question 4 of 5

The nurse notices the uterus is boggy and the bladder is full. What intervention should the nurse perform next?

A. Call for help.
B. Start IV bolus.
C. Get the person out of bed to walk to restroom.
D. Massage the fundus and assess the lochia.

Expert Explanatory Rationale

Correct Answer: Massage the fundus and assess the lochia.

Question 5 of 5

The nurse develops a plan to increase a patient 's milk supply. What is an intervention they can implement?

A. Pump between nursing sessions.
B. Nurse every 6 hours.
C. Keep newborn in bassinet between sessions.
D. Offer a pacifier when newborn cries.

Expert Explanatory Rationale

Correct Answer: Pump between nursing sessions.

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