A client, G1 P1001, 1 hour postpartum from a spontaneous vaginal delivery with local anesthesia, states that she needs to urinate. Which of the following actions by the nurse is appropriate at this time?
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HESI RN · Complications of Postpartum
Question 2 of 106
The nurse is aware the greatest source of bleeding during childbirth occurs following detachment of the placenta. Which physiological change takes place immediately after the expulsion of the placenta to decrease the amount of blood loss?
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Question 3 of 106
Why does the nurse encourage ambulation in a patient who has experienced a cesarean birth?
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Question 4 of 106
Which of the following statements is true about breastfeeding mothers as compared to bottle-feeding mothers?
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HESI RN · Complications of Postpartum
Question 5 of 106
A primipara, 2 hours postpartum, requests that the nurse diaper her baby after a feeding because 'I am so tired right now. I just want to have something to eat and take a nap. ' Based on this information, the nurse concludes that the woman is exhibiting signs of which of the following?
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HESI RN · Complications of Postpartum
Question 6 of 106
The nurse is admitting a 38-year-old patient to triage in early labor with ruptured membranes. Her history includes a previous vaginal delivery 4 years ago and the presence of a uterine fibroid. What interventions are appropriate based on the hemorrhage risk for this patient?
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HESI RN · Complications of Postpartum
Question 7 of 106
What is one difference between recovery from a cesarean birth versus a vaginal birth?
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HESI RN · Complications of Postpartum
Question 8 of 106
The nurse is caring for a client who had a cesarean section under spinal anesthesia less than 2 hours ago. Which of the following nursing actions is appropriate at this time?
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HESI RN · Complications of Postpartum
Question 9 of 106
What nursing intervention does the nurse include in the plan of care for a person with postpartum endometritis?
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HESI RN · Complications of Postpartum
Question 10 of 106
The nurse is providing postpartum care for a patient after a vaginal delivery. Which assessment finding causes the nurse to suspect endometritis from beta-hemolytic streptococcus?
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HESI RN · Complications of Postpartum
Question 11 of 106
The nurse is collecting information during a follow-up OB appointment with a patient who delivered 3 months ago. The patient reports her partner has become cynical, irritable, and verbally abusive. The nurse will screen for which risks related to paternal postnatal depression (PPND)? Select all that apply.
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HESI RN · Complications of Postpartum
Question 12 of 106
A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine?
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HESI RN · Complications of Postpartum
Question 13 of 106
Nurses need to understand the basic definitions and incidence data regarding PPH. Which statement regarding this condition is most accurate?
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HESI RN · Complications of Postpartum
Question 14 of 106
What do ineffective parenting practices put the newborn at risk for?
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HESI RN · Complications of Postpartum
Question 15 of 106
The nurse is providing care for a patient who is 1 day postpartum and exhibiting symptoms of postpartum psychosis. Which medical management does the nurse expect for this patient?
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HESI RN · Complications of Postpartum
Question 16 of 106
What postpartum infection can be transferred between the breast-feeding person and newborn if both are not treated appropriately?
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HESI RN · Complications of Postpartum
Question 17 of 106
One hour after a woman gives birth vaginally, the nurse notes that her fundus is firm, 2 fingerbreadths above the umbilicus, and deviated to the right. Lochia rubra is moderate. Her perineum is slightly edematous, with no bruising; an ice pack is in place. The priority nursing action is to:
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HESI RN · Complications of Postpartum
Question 18 of 106
A woman who is 4 hours postpartum ambulates to the bathroom and suddenly has a large gush of lochia rubra. The nurse 's first action should be to:
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HESI RN · Complications of Postpartum
Question 19 of 106
The nurse is caring for a client who had an emergency cesarean section, with her husband in attendance, the day before. The baby 's Apgar was 9/9. The woman and her partner had attended childbirth education classes and had anticipated having a water birth with family present. Which of the following comments by the nurse is appropriate?
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HESI RN · Complications of Postpartum
Question 20 of 106
A woman is 1 hour postcesarean delivery with nausea and an estimated blood loss of 1,200 mL. She is currently experiencing heavy vaginal bleeding and has a uterus that firms with massage. She has a history of asthma with a current O2 saturation of 89%. The licensed provider has ordered Cytotec 800 mcg and Methergine 0.2 mg. What collaborative communication should occur between the nurse and provider?
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HESI RN · Complications of Postpartum
Question 21 of 106
A Muslim woman requests something to eat after the delivery of her baby. Which of the following meals would be most appropriate for the nurse to give her?
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HESI RN · Complications of Postpartum
Question 22 of 106
A postpartum cesarean patient comes into the rural health clinic at 1 week postdelivery for an incision check by the nurse. The vital signs reveal a temperature of 100.5°F, and the patient reports moderate foul-smelling lochia. The nurse determines that the skin incision is healing normally, but when palpating the uterus, she discovers the patient to have uterine and pelvic tenderness. What are the most appropriate nursing actions?
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HESI RN · Complications of Postpartum
Question 23 of 106
A patient delivered vaginally 20 minutes ago. Prophylactic Pitocin is infusing intravenously. During the initial postpartum assessment, the nurse notes a heavy amount of bleeding on the perineal pad. What are the priority nursing actions?
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HESI RN · Complications of Postpartum
Question 24 of 106
The nurse is assessing a patient who is 12 hours postpartum. The uterus is firm to palpation, at midline, and is 1 cm below the umbilicus with continuous heavy vaginal bleeding. What is the nurse’s first action?
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Question 25 of 106
Choose the best independent nursing action to aid episiotomy healing in the woman who is 24 hours postpartum.
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HESI RN · Complications of Postpartum
Question 26 of 106
The day after delivery, a woman, whose fundus is firm at 1 cm below the umbilicus and who has moderate lochia, tells the nurse that something must be wrong: 'All I do is go to the bathroom. ' Which of the following is an appropriate nursing response?
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HESI RN · Complications of Postpartum
Question 27 of 106
A client, G1 P0101, postpartum 1 day, is assessed. The nurse notes that the client 's lochia rubra is moderate and her fundus is boggy 2 cm above the umbilicus and deviated to the right. Which of the following actions should the nurse take first?
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Question 28 of 106
Research has shown that with lesbian parents, the non-birthing person can feel role resentment, exclusion from health-care services, and feelings of neglect. How can the nurse include the non-birthing partner?
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Question 29 of 106
What nursing intervention does the nurse include in the plan of care for a person with mastitis?
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HESI RN · Complications of Postpartum
Question 30 of 106
When teaching the postpartum woman about peripads, the nurse should tell her that:
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HESI RN · Complications of Postpartum
Question 31 of 106
What is a risk factor for uterine atony?
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HESI RN · Complications of Postpartum
Question 32 of 106
A client who is 3 days postpartum asks the nurse, 'When may my husband and I begin having sexual relations again? ' The nurse should encourage the couple to wait until after which of the following has occurred?
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HESI RN · Complications of Postpartum
Question 33 of 106
The nurse is developing a plan of care for the postpartum client during the 'taking hold ' phase. Which of the following should the nurse include in the plan?
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HESI RN · Complications of Postpartum
Question 34 of 106
Which of the following complementary therapies can a nurse suggest to a multiparous woman who is complaining of severe afterbirth pains?
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HESI RN · Complications of Postpartum
Question 35 of 106
A 1-day postpartum woman states, 'I think I have a urinary tract infection. I have to go to the bathroom all the time. ' Which of the following actions should the nurse take?
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HESI RN · Complications of Postpartum
Question 36 of 106
What postpartum infection is caused by STIs and chorioamnionitis?
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Question 37 of 106
The nurse continues to monitor a patient after a vaginal delivery with an estimated blood loss of 1,000 mL. Which assessment finding does the nurse recognize as requiring Stage 3 hemorrhage protocol?
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HESI RN · Complications of Postpartum
Question 38 of 106
During the first 8 hours postpartum, the nurse will demonstrate how to perform a fundal massage and assist with breast-feeding techniques. What other assessment is important at this time?
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HESI RN · Complications of Postpartum
Question 39 of 106
The nurse is examining a 2-day-postpartum client whose fundus is 2 cm below the umbilicus and whose bright red lochia saturates about 4 inches of a pad in 1 hour. What should the nurse document in the nursing record?
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HESI RN · Complications of Postpartum
Question 40 of 106
A client, 2 days postoperative from a cesarean section, complains to the nurse that she has yet to have a bowel movement since the surgery. Which of the following responses by the nurse would be appropriate at this time?
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Question 41 of 106
The most effective and least expensive treatment of puerperal infection is prevention. What is the most important strategy for the nurse to adopt?
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HESI RN · Complications of Postpartum
Question 42 of 106
When referring to the 4 T 's of PPH, what does tissue refer to?
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Question 43 of 106
The nurse develops a plan to increase a patient 's milk supply. What is an intervention they can implement?
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HESI RN · Complications of Postpartum
Question 44 of 106
What nursing diagnosis would be appropriate for the person with a coagulation disorder?
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HESI RN · Complications of Postpartum
Question 45 of 106
The nurse notices the uterus is boggy and the bladder is full. What intervention should the nurse perform next?
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HESI RN · Complications of Postpartum
Question 46 of 106
What assessment data increases the risk of postpartum infection?
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HESI RN · Complications of Postpartum
Question 47 of 106
A 2-day-postpartum breastfeeding woman states, 'I am sick of being fat. When can I go on a diet? ' Which of the following responses is appropriate?
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HESI RN · Complications of Postpartum
Question 48 of 106
Which is the initial treatment for the client with vWD who experiences a PPH?
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HESI RN · Complications of Postpartum
Question 49 of 106
A woman had a cesarean section yesterday. She states that she needs to cough but that she is afraid to. Which of the following is the nurse 's best response?
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HESI RN · Complications of Postpartum
Question 50 of 106
A client G2 P1102 is 30 minutes postpartum from a low forceps vaginal delivery over a right mediolateral episiotomy. Her physician has just finished repairing the incision. The client 's legs are in the stirrups and she is breastfeeding her baby. Which of the following actions should the nurse perform?
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HESI RN · Complications of Postpartum
Question 51 of 106
Postpartum teaching related to urinary health should emphasize:
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HESI RN · Complications of Postpartum
Question 52 of 106
What is the primary nursing responsibility when caring for a client who is experiencing an obstetric hemorrhage associated with uterine atony?
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HESI RN · Complications of Postpartum
Question 53 of 106
If nonsurgical treatment for late PPH is ineffective, which surgical procedure would be appropriate to correct the cause of this condition?
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HESI RN · Complications of Postpartum
Question 54 of 106
Which classification of placental separation is not recognized as an abnormal adherence pattern?
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HESI RN · Complications of Postpartum
Question 55 of 106
A patient, G2 P1102, who delivered her baby 8 hours ago, now has a temperature of 100.2°F. Which of the following is the appropriate nursing intervention at this time?
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HESI RN · Complications of Postpartum
Question 56 of 106
What intervention by the nurse can help with PPD?
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HESI RN · Complications of Postpartum
Question 57 of 106
The nurse in the obstetric clinic received a telephone call from a bottle-feeding mother of a 3-day-old. The client states that her breasts are firm, red, and warm to the touch. Which of the following is the best action for the nurse to advise the client to perform?
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Question 58 of 106
What is the nursing intervention for unilateral edema in a lower extremity and a hot, red area on the leg?
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HESI RN · Complications of Postpartum
Question 59 of 106
What assessment finding would indicate a fluid volume deficit?
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Question 60 of 106
A physician has ordered an iron supplement for a postpartum woman. The nurse strongly suggests that the woman take the medicine with which of the following drinks?
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HESI RN · Complications of Postpartum
Question 61 of 106
What is characteristic of an early (primary) PPH?
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HESI RN · Complications of Postpartum
Question 62 of 106
A client has just been transferred to the postpartum unit from labor and delivery. Which of the following nursing care goals is of highest priority?
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HESI RN · Complications of Postpartum
Question 63 of 106
What is characteristic of a late (secondary) PPH?
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Question 64 of 106
A 2-day postpartum mother, G2 P2002, states that her 2-year-old daughter at home is very excited about taking 'my baby sister ' home. Which of the following is an appropriate response by the nurse?
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HESI RN · Complications of Postpartum
Question 65 of 106
A bottle-feeding woman, 11 1/2 weeks postpartum from a vaginal delivery, calls the obstetric office to state that she has saturated 2 pads in the past 1 hour. Which of the following responses by the nurse is appropriate?
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HESI RN · Complications of Postpartum
Question 66 of 106
A patient who has been on prolonged bedrest for bleeding associated with placenta previa was taken to the operating room for an emergency cesarean delivery. Sixteen hours postoperatively, the patient complains that her left leg is hurting. The nurse finds that the entire left leg is swollen and has pitting edema, while the right leg appears to be normal. Which order does the nurse anticipate when paging the health care provider to the room?
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HESI RN · Complications of Postpartum
Question 67 of 106
What is the most common reason for cracked, sore nipples?
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HESI RN · Complications of Postpartum
Question 68 of 106
A client has been transferred to the post -anesthesia care unit from a cesarean delivery. The client had spinal anesthesia for the surgery. Which of the following interventions should the nurse perform at this time?
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HESI RN · Complications of Postpartum
Question 69 of 106
What nursing intervention does the nurse include in the plan of care for a person with a wound infection?
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HESI RN · Complications of Postpartum
Question 70 of 106
Which of the following is the priority nursing action during the immediate postpartum period?
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Question 71 of 106
What nursing intervention does the nurse include in the plan of care for a person with a perineal laceration infection?
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HESI RN · Complications of Postpartum
Question 72 of 106
The nurse is caring for a breastfeeding mother who asks advice on foods that will provide both vitamin A and iron. Which of the following should the nurse recommend?
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HESI RN · Complications of Postpartum
Question 73 of 106
The nurse is evaluating the involution of a woman who is 3 days postpartum. Which of the following findings would the nurse evaluate as normal?
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HESI RN · Complications of Postpartum
Question 74 of 106
An Asian client 's temperature 10 hours after delivery is 100.2°F, but when encouraged she refuses to drink her ice water. Which of the following nursing actions is most appropriate?
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HESI RN · Complications of Postpartum
Question 75 of 106
The postpartum person asks for only warm drinks and food. How can the nurse support this cultural tradition?
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HESI RN · Complications of Postpartum
Question 76 of 106
The nurse is taking the postpartum patient’s vital signs. The newborn is across the room in the bassinet, and the postpartum person refuses to hold the newborn. What should the nurse do?
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HESI RN · Complications of Postpartum
Question 77 of 106
The nurse is preparing discharge teaching for a postpartum patient who exhibits signs and symptoms of an episiotomy infection and is on oral antibiotic therapy. Which discharge teaching will the nurse provide regarding pain management?
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Question 78 of 106
Which of the following laboratory values would the nurse expect to see in a normal postpartum woman?
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Question 79 of 106
The nurse reviews postpartum discharge instructions regarding sexual health. What information is important to review?
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HESI RN · Complications of Postpartum
Question 80 of 106
The nurse is assessing a patient who is 36 hours postpartum following a cesarean delivery. Which findings cause the nurse to conclude that a wound infection is developing? Select all that apply.
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Question 81 of 106
The third stage of labor has just ended for a client who has decided to bottle feed her baby. Which of the following maternal hormones will increase sharply at this time?
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HESI RN · Complications of Postpartum
Question 82 of 106
What assessment finding suggests a possible infection?
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HESI RN · Complications of Postpartum
Question 83 of 106
What symptom can partners of persons with PPD experience?
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HESI RN · Complications of Postpartum
Question 84 of 106
The nurse is preparing a postpartum patient for discharge. For which reasons does the nurse instruct the patient to call the primary care provider? Select all that apply.
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HESI RN · Complications of Postpartum
Question 85 of 106
What type of lochia is bright to dark red and occurs on days 1 -3 postpartum?
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HESI RN · Complications of Postpartum
Question 86 of 106
The nurse notices the person with a PPH looks pale and their capillary refill is >3 seconds. What intervention can the nurse initiate?
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HESI RN · Complications of Postpartum
Question 87 of 106
What is the term for the separation found in the midline of the abdomen after birth?
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HESI RN · Complications of Postpartum
Question 88 of 106
What is a risk factor for PPH found in the prenatal record?
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HESI RN · Complications of Postpartum
Question 89 of 106
A woman who is 18 hours postpartum says she is having 'hot flashes ' and 'sweats all the time. ' The appropriate nursing response is to:
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HESI RN · Complications of Postpartum
Question 90 of 106
A breastfeeding woman develops mastitis. She tells the nurse that she will feed her baby formula instead of breastfeeding until the infection is healed. The best nursing response is that:
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Question 91 of 106
The nurse evaluates a postpartum couplet for parent-infant attachment. What finding would be concerning?
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HESI RN · Complications of Postpartum
Question 92 of 106
What theory developed by Ramona Mercer focused on the process of becoming a mother?
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HESI RN · Complications of Postpartum
Question 93 of 106
A client, G1 P1, who had an epidural, has just delivered a daughter, Apgar 9/9, over a mediolateral episiotomy. The physician used low forceps. While recovering, the client states, 'I 'm a failure. I couldn 't stand the pain and couldn 't even push my baby out by myself! ' Which of the following is the best response for the nurse to make?
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HESI RN · Complications of Postpartum
Question 94 of 106
Which of the following nursing interventions would be appropriate for the nurse to perform to achieve the client care goal: The client will not develop postpartum thrombophlebitis?
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Question 95 of 106
The nurse monitors his or her postpartum clients carefully because which of the following physiological changes occurs during the early postpartum period?
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HESI RN · Complications of Postpartum
Question 96 of 106
The nurse must initiate discharge teaching with the couple regarding the need for an infant car seat for the day of discharge. Which of the following responses indicates that the nurse acted appropriately? The nurse discussed the need with the couple:
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Question 97 of 106
The nurse's initial response if a pulmonary embolism is suspected should be to:
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Question 98 of 106
The nurse develops a plan to increase a patient’s milk supply. What is an intervention they can implement?
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HESI RN · Complications of Postpartum
Question 99 of 106
Lacerations of the cervix, vagina, or perineum are also causes of PPH. Which factors influence the causes and incidence of obstetric lacerations of the lower genital tract? (Select all that apply.)
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Question 100 of 106
The nurse educates the postpartum person on bowel discomfort. What instructions would they give?
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HESI RN · Complications of Postpartum
Question 101 of 106
A nurse is assessing a 1-day-postpartum woman who had her baby by cesarean section. Which of the following should the nurse report to the surgeon?
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HESI RN · Complications of Postpartum
Question 102 of 106
The nurse is closely monitoring a patient who is postpartum and at risk for PPH. Which assessment finding will cause the nurse to contact the primary care provider immediately?
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HESI RN · Complications of Postpartum
Question 103 of 106
A postpartum patient calls the clinic 4 days after the birth of her newborn because she is extremely tired and her vaginal bleeding is heavier. Which does the nurse anticipate when advising her to come in to the office right now?
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HESI RN · Complications of Postpartum
Question 104 of 106
The obstetrician has ordered that a post-op cesarean section client 's patient-controlled analgesia (PCA) be discontinued. Which of the following actions by the nurse is appropriate?
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HESI RN · Complications of Postpartum
Question 105 of 106
Which client is at greatest risk for early PPH?
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HESI RN · Complications of Postpartum
Question 106 of 106
A 3-day-postpartum breastfeeding woman is being assessed. Her breasts are firm and warm to the touch. When asked when she last fed the baby her reply is, 'I fed the baby last evening. I let the nurses feed him in the nursery last night. I needed to rest. ' Which of the following actions should the nurse take at this time?
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