HESI RN · HESI Maternity · Postpartum Body Changes
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A neonate is admitted to the nursery. The nurse makes the following assessments: weight 3,845 grams, head circumference 35 cm, chest circumference 33 cm, positive Ortolani sign, and presence of supernumerary nipples. Which of the assessments should be reported to the health care practitioner?
Expert Explanatory Rationale
Correct Answer: Ortolani sign.
A nurse is caring for the following four laboring patients. Which client should the nurse be prepared to monitor closely for signs of postpartum hemorrhage (PPH)? Select one that doesn't apply
Expert Explanatory Rationale
Correct Answer: G3 P0200, delivered vaginally a 42-week, 2,200-gram neonate.
Four newborns are in the neonatal nursery, none of whom is crying or in distress. Which of the babies should the nurse report to the neonatologist?
Expert Explanatory Rationale
Correct Answer: 2-day-old baby who is breathing irregularly at 70 breaths per minute.
The nurse has administered Benadryl (diphenhydramine) to a post-cesarean client who is experiencing side effects from the parenteral morphine sulfate that was administered 30 minutes earlier. Which of the following actions should the nurse perform following the administration of the drug?
Expert Explanatory Rationale
Correct Answer: Supervise while the woman holds her newborn.
A woman with postpartum depression has been prescribed Zoloft (sertraline) 50 mg daily. Which of the following should the client be taught about the medication?
Expert Explanatory Rationale
Correct Answer: Therapeutic effect may be delayed a week or more.
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