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HESI LPN · HESI LPN Maternal Newborn · HESI External Maternal Monitoring

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports difficulty breathing, especially when lying flat. Which action should the nurse take first?

A. Assess the patient's respiratory rate and oxygen saturation.
B. Encourage the patient to rest and limit physical activity.
C. Administer oxygen and prepare the patient for delivery.
D. Ask the patient to lie on her left side and monitor for improvement.

Expert Explanatory Rationale

Correct Answer: Assess the patient's respiratory rate and oxygen saturation.

Question 2 of 5

A nurse is caring for a postpartum person who is experiencing excessive bleeding. What is the first step in managing postpartum hemorrhage?

A. administer uterotonics
B. administer IV fluids
C. perform a manual removal of the placenta
D. monitor vital signs every 15 minutes

Expert Explanatory Rationale

Correct Answer: administer uterotonics

Question 3 of 5

A 40-week pregnant woman is admitted to the labor and delivery unit and is in active labor. Her cervix is 8 cm dilated, and she is experiencing strong contractions. What is the next priority action?

A. Administer an epidural block
B. Perform a vaginal examination to assess fetal descent
C. Assess the fetal heart rate
D. Prepare for delivery

Expert Explanatory Rationale

Correct Answer: Assess the fetal heart rate

Question 4 of 5

A nurse is administering an uterotonic medication to a birthing person who has just delivered the placenta. Which uterotonic medication is commonly used to prevent postpartum hemorrhage and promote uterine contractions?

A. oxytocin (Pitocin)
B. fentanyl (Sublimaze)
C. epinephrine (Adrenaline)
D. lorazepam (Ativan)

Expert Explanatory Rationale

Correct Answer: oxytocin (Pitocin)

Question 5 of 5

Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.

A. Body mass index of 17 kg/m².
B. Rubella titer of 1:8.
C. Blood pressure of 100/60 mm Hg.
D. Hematocrit of 30%.

Expert Explanatory Rationale

Correct Answer: Body mass index of 17 kg/m².

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