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HESI LPN · HESI LPN Maternal Newborn · HESI Postpartum Care NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is taking care of a G2P2 woman with a third-degree perineal tear during the fourth stage of labor. The nurse should include which intervention in the plan of care during her 12-hour shift?

A. Assess vital signs every 4 hours.
B. Keep patient NPO for first 12 hours.
C. Catheterize patient prior to first ambulation.
D. Prepare ice pack for application to perineal area.

Expert Explanatory Rationale

Correct Answer: Prepare ice pack for application to perineal area.

Question 2 of 5

A postpartum patient comes to the clinic for her 6-week postpartum checkup. When assessing the patient's cervix, how should the nurse expect the cervix to appear?

A. Noticeable small lacerations
B. Approximately 3 cm dilated
C. Symmetrically round external os
D. Firm and thick

Expert Explanatory Rationale

Correct Answer: Symmetrically round external os

Question 3 of 5

The nurse is preparing a postpartum patient for discharge. Which patient teaching is most important for the nurse to provide?

A. The signs and symptoms of uterine infection
B. The signs and symptoms of secondary hemorrhage
C. The signs and symptoms of postpartum depression
D. The signs and symptoms of a boggy uterus

Expert Explanatory Rationale

Correct Answer: The signs and symptoms of secondary hemorrhage

Question 4 of 5

The nurse is providing education to a postpartum woman about exercises to strengthen the pelvis musculature. Which instruction should be included?

A. "Ambulate three times a day."
B. "Perform Kegel exercises."
C. "Enroll in an aerobics class after discharge."
D. "Do passive range-of-motion exercises while lying in bed."

Expert Explanatory Rationale

Correct Answer: "Perform Kegel exercises."

Question 5 of 5

The nurse on a postpartum unit is acutely aware that cultural influences impact the patient's process of 'becoming a mother.' For which isn't a cultural influence does the nurse assess?

A. What amount of time the mother spends in each phase
B. Differences in the mother's expectation related to ability to rest
C. How the mother physically recovers from labor and delivery
D. Mother's involvement in decision making for the first few months

Expert Explanatory Rationale

Correct Answer: How the mother physically recovers from labor and delivery

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