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HESI RN · HESI Maternity · NCLEX Questions on Perinatal Loss

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 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 2 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.

Question 3 of 5

A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery. What guidelines will the nursing student use to assist in setting her goals?

A. WHO Maternal care guidelines
B. Healthy People 2020
C. AWHONN white papers
D. State Practice Act

Expert Explanatory Rationale

Correct Answer: Healthy People 2020

Question 4 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 5 of 5

The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?

A. Uses of extracorporeal membrane oxygenation therapy (ECMO)
B. Uses of exogenous pulmonary surfactant
C. The Baby-Friendly Hospital Initiative
D. The Safe to Sleep campaign

Expert Explanatory Rationale

Correct Answer: The Safe to Sleep campaign

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