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HESI LPN · HESI LPN Maternal Newborn · HESI Perinatal Loss Nursing Care

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client, 1 day postpartum (PP), is being monitored carefully after a significant postpartum hemorrhage. Which of the following should the nurse report to the obstetrician?

A. Urine output 200 mL for last 8 hours.
B. Weight decrease of 2 pounds since delivery.
C. Drop in hematocrit of 2% since admission.
D. Pulse rate of 68 beats per minute.

Expert Explanatory Rationale

Correct Answer: Urine output 200 mL for last 8 hours.

Question 2 of 5

A client, G1P0000, is PP1 from a normal spontaneous delivery of a baby boy, Apgar 5/6. Because the client exhibited addictive behaviors, a toxicology assessment was performed; the results were positive for alcohol and cocaine. Which of the following interventions is appropriate for this postpartum client?

A. Strongly advise the client to breastfeed her baby.
B. Perform hourly incentive spirometer respiratory assessments.
C. Suggest that the nursery nurse feed the baby in the nursery.
D. Provide the client with supervised instruction on baby care skills.

Expert Explanatory Rationale

Correct Answer: Provide the client with supervised instruction on baby care skills.

Question 3 of 5

The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the patient's baby at higher risk for?

A. Intestinal problems
B. Neonatal conjunctivitis
C. Blindness
D. Pneumonia

Expert Explanatory Rationale

Correct Answer: Intestinal problems

Question 4 of 5

Which of the following is a priority nursing diagnosis for a woman, G10P6226, who is PP1 from a spontaneous vaginal delivery with a significant postpartum hemorrhage?

A. Alteration in comfort related to afterbirth pains.
B. Risk for altered parenting related to grand multiparity.
C. Fluid volume deficit related to blood loss.
D. Risk for sleep deprivation related to mothering role.

Expert Explanatory Rationale

Correct Answer: Fluid volume deficit related to blood loss.

Question 5 of 5

The nurse is providing bereavement care to a family after a stillbirth. What is an example of communication with a patient that demonstrates effective bereavement care?

A. It is so sad that you never became a parent.
B. Don’t worry. We will take good care of the fetus.
C. Are there any religious ceremonies you would like for us to coordinate for you?
D. I know you are grieving. I will take care of all of the decisions for you.

Expert Explanatory Rationale

Correct Answer: Are there any religious ceremonies you would like for us to coordinate for you?

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