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HESI LPN · HESI LPN Maternal Newborn · HESI Postpartum Body Changes

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse assesses the fundus and finds it to be boggy, elevated >2 fingerbreadths above the umbilicus, and deviated to one side. What is the common cause of this finding?

A. uterine rupture

B. full bladder

C. perineal laceration

D. hematoma

Expert Explanatory Rationale

Correct Answer: full bladder

Question 2 of 5

The nurse administers RhoGAM to a postpartum client. Which of the following is the goal of the medication?

A. Inhibit the mother's active immune response.

B. Aggressively destroy the Rh antibodies produced by the mother.

C. Prevent fetal cells from migrating throughout the mother's circulation.

D. Change the maternal blood type to Rh-positive.

Expert Explanatory Rationale

Correct Answer: Inhibit the mother's active immune response.

Question 3 of 5

A physician writes in a breastfeeding mother's chart, 'Ampicillin 500 mg q 6 h po. Baby should be bottle fed until medication is discontinued.' What should be the nurse's next action?

A. Follow the order as written.

B. Call the doctor and question the order.

C. Follow the antibiotic order but ignore the order to bottle feed the baby.

D. Refer to a text to see whether the antibiotic is safe while breastfeeding.

Expert Explanatory Rationale

Correct Answer: Call the doctor and question the order.

Question 4 of 5

A client who received an epidural for her operative delivery has vomited twice since the surgery. Which of the following prn medications ordered by the anesthesiologist should the nurse administer at this time?

A. Reglan (metoclopramide).

B. Demerol (meperidine).

C. Seconal (secobarbital).

D. Benadryl (diphenhydramine).

Expert Explanatory Rationale

Correct Answer: Reglan (metoclopramide).

Question 5 of 5

A gestational diabetic client, who delivered yesterday, is currently on the postpartum unit. Which of the following statements is appropriate for the nurse to make at this time?

A. Monitor your blood glucose five times a day until your 6-week checkup.

B. I will teach you how to inject insulin before you are discharged.

C. Daily exercise will help to prevent you from becoming diabetic in the future.

D. Your baby should be assessed every 6 months for signs of juvenile diabetes.

Expert Explanatory Rationale

Correct Answer: Monitor your blood glucose five times a day until your 6-week checkup.

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