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HESI LPN · HESI LPN Maternal Newborn · HESI Intrapartum Complications NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse-manager on a labor and delivery unit is monitoring the reasons for cesarean births at the facility. Which reasons contribute to the high rates of cesarean births? Select all that apply.

A. Fetuses in breech position unable to deliver vaginally
B. Increased number of elective or maternal request cesareans
C. Incidences of women of older maternal age getting pregnant
D. Decreasing rate of malpractice litigation with cesarean birth

Expert Explanatory Rationale

Correct Answer: Increased number of elective or maternal request cesareans

Question 2 of 5

When assessing a prenatal client at follow-up prenatal visits during the second trimester, the nurse should anticipate which assessments to be performed at each visit? Select all that apply.

A. Cervical examination
B. Weight, height, BMI
C. Fetal ultrasound
D. Fundal height

Expert Explanatory Rationale

Correct Answer: Weight, height, BMI

Question 3 of 5

A patient who is expecting her first baby tells the nurse, “I am afraid of the whole birth experience and plan to ask the doctor for a cesarean delivery.” Which response by the nurse is most appropriate?

A. I will get you some material about how labor pain is managed.
B. Most women avoid cesarean births unless it is an emergency.
C. I suggest you talk with the physician and get another opinion.
D. Cesarean will cause you issues with additional pregnancies.

Expert Explanatory Rationale

Correct Answer: Most women avoid cesarean births unless it is an emergency.

Question 4 of 5

Which statement by the patient indicates to the nurse that the patient understands danger signs during the second trimester?

A. I should contact the doctor if I experience heartburn.
B. I should contact the doctor if I experience constipation.
C. I should contact the doctor if I experience hurting when I urinate.
D. I should contact the doctor if I experience leg cramps.

Expert Explanatory Rationale

Correct Answer: I should contact the doctor if I experience hurting when I urinate.

Question 5 of 5

Decreased capillary refill, delay in milk production, and diminished peripheral pulses are signs of what complication?

A. alteration in perfusion
B. alteration in liver function
C. alteration in kidney function
D. alteration in uterine function

Expert Explanatory Rationale

Correct Answer: alteration in kidney function

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