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HESI RN · HESI Maternity · Perinatal Loss NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 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.

Question 2 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 3 of 5

The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which condition?

A. Diabetes
B. Blindness
C. Pneumonia
D. Hypertension

Expert Explanatory Rationale

Correct Answer: Blindness

Question 4 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 5 of 5

A breastfeeding mother calls the obstetrician's office with a complaint of pain in one breast. Upon inspection, a diagnosis of mastitis is made. Which of the following nursing interventions is appropriate?

A. Advise the woman to apply ice packs to her breasts.
B. Encourage the woman to breastfeed frequently.
C. Inform the woman that she should wean immediately.
D. Direct the woman to notify her pediatrician as soon as possible.

Expert Explanatory Rationale

Correct Answer: Encourage the woman to breastfeed frequently.

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