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HESI LPN · HESI LPN Maternal Newborn · LPN Palliative Care Perinatal Loss Case

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client is 10 minutes postpartum from a forceps delivery of a 4500-gram Down syndrome neonate over a right mediolateral episiotomy. The client is at risk for each of the following nursing diagnoses. Which of the diagnoses is highest priority at this time?

A. Ineffective breastfeeding.
B. Fluid volume deficit.
C. Infection.
D. Pain.

Expert Explanatory Rationale

Correct Answer: Pain.

Question 2 of 5

The nurse asks a woman about how the woman's husband is dealing with the pregnancy. The nurse concludes that counseling is needed when the woman makes which of the following statements?

A. My husband is ready for the pregnancy to end so that we can have sex again.'
B. My husband is excited about becoming a father.'
C. My husband has been very supportive throughout my pregnancy.'
D. My husband is helping me prepare for the baby's arrival.'

Expert Explanatory Rationale

Correct Answer: My husband is ready for the pregnancy to end so that we can have sex again.'

Question 3 of 5

A woman has just had a macrosomic baby after a 12-hour labor. For which of the following complications should the woman be carefully monitored?

A. Uterine atony.
B. Hypoprolactinemia.
C. Infection.
D. Mastitis.

Expert Explanatory Rationale

Correct Answer: Uterine atony.

Question 4 of 5

A woman who has had asthma since she was a child and it is under control when the client takes her medication correctly and consistently is now pregnant for the first time. Which of the following client statements concerning asthma during pregnancy indicates the need for further instruction?

A. I need to continue taking my asthma medication as prescribed.'
B. It is my goal to prevent or limit asthma attacks.'
C. During an asthma attack, oxygen needs continue to be high for mother and fetus.'
D. Bronchodilators should be used only when necessary because of the risk they present to the fetus.'

Expert Explanatory Rationale

Correct Answer: Bronchodilators should be used only when necessary because of the risk they present to the fetus.'

Question 5 of 5

A breastfeeding client calls her obstetrician stating that her baby was diagnosed with thrush and that her breasts have become infected as well. Which of the following organisms has caused the baby's and mother's infection?

A. Staphylococcus aureus.
B. Streptococcus pneumonia.
C. Escherichia coli.
D. Candida albicans.

Expert Explanatory Rationale

Correct Answer: Candida albicans.

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