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HESI RN · HESI Maternity · Complications of Postpartum

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client, G1 P1001, 1 hour postpartum from a spontaneous vaginal delivery with local anesthesia, states that she needs to urinate. Which of the following actions by the nurse is appropriate at this time?

A. Provide the woman with a bedpan.

B. Advise the woman that the feeling is likely related to the trauma of delivery.

C. Remind the woman that she still has a catheter in place from the delivery.

D. Assist the woman to the bathroom.

Expert Explanatory Rationale

Correct Answer: Assist the woman to the bathroom.

Question 2 of 5

The nurse is aware the greatest source of bleeding during childbirth occurs following detachment of the placenta. Which physiological change takes place immediately after the expulsion of the placenta to decrease the amount of blood loss?

A. Contractions of the uterine myometrium

B. Factor VIII complex increases during gestation

C. Platelet activity increases before labor and delivery

D. Fibrin formation increases before the birth occurs

Expert Explanatory Rationale

Correct Answer: Contractions of the uterine myometrium

Question 3 of 5

Why does the nurse encourage ambulation in a patient who has experienced a cesarean birth?

A. Ambulation helps to prevent DVT.

B. Ambulation causes the person to lose weight in the hospital.

C. Ambulation helps with breast-feeding.

D. Ambulation decreases peristalsis.

Expert Explanatory Rationale

Correct Answer: Ambulation causes the person to lose weight in the hospital.

Question 4 of 5

Which of the following statements is true about breastfeeding mothers as compared to bottle-feeding mothers?

A. Breastfeeding mothers usually involute completely by 3 weeks postpartum.

B. Breastfeeding mothers have decreased incidence of diabetes mellitus later in life.

C. Breastfeeding mothers show higher levels of bone density after menopause.

D. Breastfeeding mothers are prone to fewer bouts of infection immediately postpartum.

Expert Explanatory Rationale

Correct Answer: Breastfeeding mothers have decreased incidence of diabetes mellitus later in life.

Question 5 of 5

A primipara, 2 hours postpartum, requests that the nurse diaper her baby after a feeding because 'I am so tired right now. I just want to have something to eat and take a nap. ' Based on this information, the nurse concludes that the woman is exhibiting signs of which of the following?

A. Social deprivation.

B. Child neglect.

C. Normal postpartum behavior.

D. Postpartum depression.

Expert Explanatory Rationale

Correct Answer: Normal postpartum behavior.

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