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HESI LPN · HESI LPN Maternal Newborn · HESI Needs of Maternal and Reproductive Health Clients

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A primigravida at 39-weeks gestation is admitted to the labor and delivery unit in active labor. She is given an epidural anesthetic. Her blood pressure drops to 90/50 mm Hg, and the fetal heart rate shows late decelerations. What is the most likely cause of these findings?

A. Maternal hypotension.

B. Uteroplacental insufficiency.

C. Fetal distress.

D. Amniotic fluid embolism.

Expert Explanatory Rationale

Correct Answer: Maternal hypotension.

Question 2 of 5

A pregnant patient has lactose intolerance. Which recommendation will the nurse provide to best help the patient meet dietary needs for calcium?

A. Add foods such as nuts, dried fruit, and broccoli to the diet.

B. Consume dairy products but take an over-the-counter anti-gas product.

C. Increase the intake of dark leafy vegetables, such as spinach and chard.

D. Use powdered milk instead of liquid forms of milk.

Expert Explanatory Rationale

Correct Answer: Add foods such as nuts, dried fruit, and broccoli to the diet.

Question 3 of 5

The father of a 3-day old infant who is breastfeeding calls the postpartum help line to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cries for no appeared reason. What information is most important for the nurse to provide the father?

A. Contact the clinic if the behaviors continue for more than two weeks or becomes worse

B. Tell the father count the newborns number of soiled diapers over the next few days.

C. A fluctuation in hormones in the early postpartum period can cause mood changes.

D. Recommend giving supplemental bottle feedings to the baby between breast feeding.

Expert Explanatory Rationale

Correct Answer: A fluctuation in hormones in the early postpartum period can cause mood changes.

Question 4 of 5

Which patient has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months?

A. From 1800 to 2200 calories per day

B. From 2000 to 2500 calories per day

C. From 2200 to 2530 calories per day

D. From 2500 to 2730 calories per day

Expert Explanatory Rationale

Correct Answer: From 2200 to 2530 calories per day

Question 5 of 5

A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to augment early labor. The nurse should discontinue the oxytocin infusion for which pattern of contractions?

A. Transition labor with contractions every 2 minutes, lasting 90 seconds each

B. Early labor with contractions every 5 minutes, lasting 40 seconds each

C. Active labor with contractions every 31 minutes, lasting 60 seconds each

D. Active labor with contractions every 2 to 3 minutes, lasting 70 to 80 seconds each

Expert Explanatory Rationale

Correct Answer: Transition labor with contractions every 2 minutes, lasting 90 seconds each

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