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HESI RN · HESI Maternity · Postpartum Hormonal Changes

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client, G1 P0000, is PP1 from a normal spontaneous delivery of a baby boy, Apgar 5/6. Because the client exhibited addictive behaviors, a toxicology assessment was performed; the results were positive for alcohol and cocaine. Which of the following interventions is appropriate for the nurse to perform for this postpartum client?

A. Strongly advise the client to breastfeed her baby.

B. Perform hourly incentive spirometer respiratory assessments.

C. Suggest that the nursery nurse feed the baby in the nursery.

D. Provide the client with supervised instruction on baby-care skills.

Expert Explanatory Rationale

Correct Answer: Provide the client with supervised instruction on baby-care skills.

Question 2 of 5

A nurse is teaching a mother how to care for her 3-day-old son's circumcised penis. Which of the following actions demonstrates that the mother has learned the information?

A. The mother cleanses the glans with a cotton swab dipped in hydrogen peroxide.

B. The mother covers the glans with antifungal ointment after rinsing off any discharge.

C. The mother squeezes soapy water from the wash cloth over the glans.

D. The mother replaces the dry sterile dressing before putting on the diaper.

Expert Explanatory Rationale

Correct Answer: The mother replaces the dry sterile dressing before putting on the diaper.

Question 3 of 5

The nurse should expect to observe which behavior in a 3-week-multigravid postpartum client with postpartum depression?

A. Feelings of infanticide.

B. Difficulty with breastfeeding latch.

C. Feelings of failure as a mother.

D. Concerns about sibling jealousy.

Expert Explanatory Rationale

Correct Answer: Feelings of failure as a mother.

Question 4 of 5

A client is being discharged on Coumadin (warfarin) post-pulmonary embolism after a cesarean delivery. Which of the following should be included in the patient teaching?

A. Take only ibuprofen for pain.

B. Avoid overeating dark green, leafy vegetables.

C. Drink grapefruit juice daily.

D. Report any decrease in urinary output.

Expert Explanatory Rationale

Correct Answer: Avoid overeating dark green, leafy vegetables.

Question 5 of 5

When assessing the A of the acronym REEDA, the nurse should evaluate the

A. skin color.

B. degree of edem

C. edges of the episiotomy.

D. episiotomy for discharg

Expert Explanatory Rationale

Correct Answer: edges of the episiotomy.

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