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HESI LPN · HESI LPN Maternal Newborn · HESI Intrapartum Complications

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A multigravida patient comes into the clinic for one of her second-trimester prenatal visits. The nurse reviews her laboratories that were drawn prior to the visit. Which laboratories results should concern the nurse most?

A. Platelet count of 200,000 per ÃŽÂ¼L (microliter) of blood

B. Hemoglobin 9.5 g/dL

C. White blood cell count of 11,000/ÃŽÂ¼L

D. Rubella titer ratio of 1:10

Expert Explanatory Rationale

Correct Answer: Hemoglobin 9.5 g/dL

Question 2 of 5

When the deceleration pattern of the fetal heart rate mirrors the uterine contraction, which nursing action is indicated?

A. Reposition the patient.

B. Apply a fetal scalp electrode.

C. Record this normal pattern.

D. Administer oxygen by nasal cannula.

Expert Explanatory Rationale

Correct Answer: Record this normal pattern.

Question 3 of 5

What nursing intervention is performed during labor for a person with preeclampsia?

A. Assess deep tendon reflexes for hyperreflexia.

B. Provide frequent IV fluid boluses.

C. Educate the laboring person that preeclampsia is only a concern for pregnancy, not labor.

D. Discourage pain medication in order to assess for headache.

Expert Explanatory Rationale

Correct Answer: Assess deep tendon reflexes for hyperreflexia.

Question 4 of 5

What medication is administered to treat uterine atony?

A. ampicillin

B. nitroglycerine

C. magnesium sulfate

D. methylergonovine

Expert Explanatory Rationale

Correct Answer: methylergonovine

Question 5 of 5

Which statement correctly describes the nurse's responsibility related to electronic monitoring?

A. Report abnormal findings to the physician before initiating corrective actions.

B. Teach the woman and her support person about the monitoring equipment and discuss any of their questions.

C. Document the frequency, duration, and intensity of contractions measured by the

D. Inform the support person that the nurse will be responsible for all comfort

Expert Explanatory Rationale

Correct Answer: Teach the woman and her support person about the monitoring equipment and discuss any of their questions.

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