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HESI RN · HESI Maternity · Palliative Care Perinatal Loss Case

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a couple who are in the labor/delivery room immediately after the delivery of a dead baby with visible defects. Which of the following actions by the nurse is appropriate?

A. Discourage the parents from naming the baby.
B. Advise the parents that the baby's defects would be too upsetting for them to see.
C. Transport the baby to the morgue as soon as possible.
D. Give the parents a lock of the baby's hair and a copy of the footprint sheet.

Expert Explanatory Rationale

Correct Answer: Give the parents a lock of the baby's hair and a copy of the footprint sheet.

Question 2 of 5

A nurse is caring for a single teen mother who has just given birth to her first child. The patient notes that the child's father 'wants no relationship with his son.' The patient goes on to express concerns about the short- and long-term impact of her teen pregnancy on herself and on her child. Which statements made by the nurse are accurate? Select all that apply.

A. You are more likely than others to have additional children before you turn 20.'
B. You may have difficulty completing high school or college.'
C. Your child is less likely to experience behavioral problems.'
D. Your child is at increased risk of abusing alcohol when he is a teenager.'

Expert Explanatory Rationale

Correct Answer: Your child is less likely to experience behavioral problems.'

Question 3 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 4 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 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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