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HESI RN · HESI Maternity · Postpartum Body Changes

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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?

A. Birth weight.
B. Head and chest circumferences.
C. Ortolani sign.
D. Supernumerary nipples.

Expert Explanatory Rationale

Correct Answer: Ortolani sign.

Question 2 of 5

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

A. G1 P0000, delivered a fetal demise at 29 weeks' gestation.
B. G2 P1001, prolonged first stage of labor.
C. G2 P0010, delivered by cesarean section for failure to progress.
D. G3 P0200, delivered vaginally a 42-week, 2,200-gram neonate.

Expert Explanatory Rationale

Correct Answer: G3 P0200, delivered vaginally a 42-week, 2,200-gram neonate.

Question 3 of 5

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?

A. 16-hour-old baby who has yet to pass meconium.
B. 16-hour-old baby whose blood glucose is 50 mg/dL.
C. 2-day-old baby who is breathing irregularly at 70 breaths per minute.
D. 2-day-old baby who is excreting a milky discharge from both nipples.

Expert Explanatory Rationale

Correct Answer: 2-day-old baby who is breathing irregularly at 70 breaths per minute.

Question 4 of 5

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?

A. Monitor the urinary output hourly.
B. Supervise while the woman holds her newborn.
C. Position the woman slightly elevated on her left side.
D. Ask any visitors to leave the room.

Expert Explanatory Rationale

Correct Answer: Supervise while the woman holds her newborn.

Question 5 of 5

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?

A. Chamomile tea can potentiate the affect of the drug.
B. Therapeutic effect may be delayed a week or more.
C. The medication should only be taken whole.
D. A weight gain of up to ten pounds is commonly seen.

Expert Explanatory Rationale

Correct Answer: Therapeutic effect may be delayed a week or more.

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