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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The topic of physiologic changes that occur during pregnancy is to be included in a parenting class for primigravid clients who are in their first half of pregnancy. Which of the following would be important for the nurse to include in the teaching plan?

A. Decreased plasma volume.
B. Increased risk for urinary tract infections.
C. Increased peripheral vascular resistance.
D. Increased hemoglobin levels.

Expert Explanatory Rationale

Correct Answer: Increased risk for urinary tract infections.

Question 2 of 5

A primigravid client attending parenthood classes tells the nurse that there is a history of twins in her family. What should the nurse tell the client?

A. Monozygotic twins result from fertilization of two ova by different sperm.
B. Monozygotic twins occur by chance regardless of race or heredity.
C. Dizygotic twins are usually of the same sex.
D. Dizygotic twins occur more often in primigravid than in multigravid women.

Expert Explanatory Rationale

Correct Answer: Monozygotic twins occur by chance regardless of race or heredity.

Question 3 of 5

A nurse on the postpartum unit is caring for two postoperative cesarean clients. One client had spinal anesthesia for the delivery while the other client had an epidural. Which of the following complications will the nurse monitor the spinal client for that the epidural client is much less high risk for?

A. Pruritus.
B. Nausea.
C. Postural headache.
D. Respiratory depression.

Expert Explanatory Rationale

Correct Answer: Postural headache.

Question 4 of 5

A client's vital signs and reflexes were normal throughout pregnancy, labor, and delivery. Four hours after delivery the client's vitals are 98.6ËšF, P 72, R 20, BP 150/100, and her reflexes are 4. She has an intravenous infusion running with 20 units of Pitocin (oxytocin) added. Which of the following actions by the nurse is appropriate?

A. Nothing because the results are normal.
B. Notify the obstetrician of the findings.
C. Discontinue the intravenous immediately.
D. Reassess the client after fifteen minutes.

Expert Explanatory Rationale

Correct Answer: Notify the obstetrician of the findings.

Question 5 of 5

A client just delivered the placenta pictured below. For which of the following complications should the nurse carefully observe the woman?

A. Endometrial ischemia.
B. Postpartum hemorrhage.
C. Prolapsed uterus.
D. Vaginal hematoma.

Expert Explanatory Rationale

Correct Answer: Postpartum hemorrhage.

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