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HESI LPN · HESI LPN Maternal Newborn · HESI Maternal Newborn

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. The nurse observes red marks on the head with swelling that does not cross the suture line. Which condition should the nurse document in the medical record?

A. Caput succedaneum

B. Hydrocephalus

C. Cephalhematoma

D. Microcephaly

Expert Explanatory Rationale

Correct Answer: Cephalhematoma

Question 2 of 5

In contrast to placenta previa, what is the most prevalent clinical manifestation of abruptio placentae?

A. Bleeding.

B. Intense abdominal pain.

C. Uterine activity.

D. Cramping.

Expert Explanatory Rationale

Correct Answer: Intense abdominal pain.

Question 3 of 5

A primiparous woman presents in labor with the following labs: hemoglobin 10.9 g/dL, hematocrit 29%, hepatitis surface antigen positive, Group B Streptococcus positive, and rubella non-immune. Which intervention should the nurse implement?

A. Transfuse 2 units of packed red blood cells.

B. Give measles, mumps, rubella vaccine 0.5 mL.

C. Administer ampicillin 2 grams intravenously.

D. Inject hepatitis B immune globulin 0.5 milliliters.

Expert Explanatory Rationale

Correct Answer: Administer ampicillin 2 grams intravenously.

Question 4 of 5

A 16-year-old gravida 1 para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She's not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan?

A. Allow liberal family visitation

B. Keep an airway at the bedside

C. Assess temperature every hour

D. Monitor blood pressure, pulse, and respiration every 4 hours

Expert Explanatory Rationale

Correct Answer: Keep an airway at the bedside

Question 5 of 5

During a prenatal visit, for which of the following clients should the nurse auscultate the fetal heart rate?

A. A client who has an ultrasound confirming a molar pregnancy

B. A client who has a crown-rump length corresponding to 7 weeks gestation

C. A client who has a positive urine pregnancy test 1 week after missed menses

D. A client who has felt quickening for the first time

Expert Explanatory Rationale

Correct Answer: A client who has felt quickening for the first time

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