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HESI LPN · HESI LPN Maternal Newborn · LPN NCLEX Questions on Perinatal Loss

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is performing a vaginal examination on a client in labor. The client is found to be 5 cm dilated, 90% effaced, and station 2. Which of the following has the nurse palpated?

A. Thin cervix.
B. Bulging fetal membranes.
C. Head at the pelvic outlet.
D. Closed cervix.

Expert Explanatory Rationale

Correct Answer: Thin cervix.

Question 2 of 5

A 3-month-old baby has been diagnosed with cystic fibrosis. The mother states, 'How could this happen? I had an amniocentesis during my pregnancy and everything was supposed to be normal!' What does the nurse understand about this situation?

A. Cystic fibrosis cannot be diagnosed by amniocentesis.
B. The baby may have an uncommon genetic variant of the disease.
C. The amniocentesis results were likely inaccurate.
D. Cystic fibrosis develops after birth and cannot be detected prenatally.

Expert Explanatory Rationale

Correct Answer: The baby may have an uncommon genetic variant of the disease.

Question 3 of 5

The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence?

A. Hypertension
B. Diabetes
C. Alcohol abuse
D. Intraventricular bleeding

Expert Explanatory Rationale

Correct Answer: Alcohol abuse

Question 4 of 5

A client is on magnesium sulfate via IV pump for severe preeclampsia. Other than patellar reflex assessments, which of the following noninvasive assessments should the nurse perform to monitor the client for early signs of magnesium sulfate toxicity?

A. Serial grip strengths.
B. Kernig assessments.
C. Pupillary responses.
D. Apical heart rate checks.

Expert Explanatory Rationale

Correct Answer: Serial grip strengths.

Question 5 of 5

The nurse is circulating on a cesarean delivery of a G5P4004. All of the client's previous children were delivered via cesarean section. The physician declares after delivering the placenta that it appears that the client has a placenta accreta. Which of the following maternal complications would be consistent with this diagnosis?

A. Blood loss of 2000 mL.
B. Blood pressure of 160/110.
C. Jaundice skin color.
D. Shortened prothrombin time.

Expert Explanatory Rationale

Correct Answer: Blood loss of 2000 mL.

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