NCLEX Questions on Perinatal Loss

HESI RN · NCLEX Questions on Perinatal Loss

Question 1 of 16

A 3-month-old baby has been diagnosed with cystic fibrosis. The mother states, 'How could this happen? I had an amniocentesis during my pregnancy and everything was supposed to be normal!' What does the nurse understand about this situation?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 2 of 16

The nurse is circulating on a cesarean delivery of a G5P4004. All of the client's previous children were delivered via cesarean section. The physician declares after delivering the placenta that it appears that the client has a placenta accreta. Which of the following maternal complications would be consistent with this diagnosis?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 3 of 16

A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery. What guidelines will the nursing student use to assist in setting her goals?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 4 of 16

The nurse is performing a vaginal examination on a client in labor. The client is found to be 5 cm dilated, 90% effaced, and station 2. Which of the following has the nurse palpated?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 5 of 16

The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 6 of 16

The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 7 of 16

A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the patient may be at risk for during pregnancy. Which response by the patient indicates that she understands?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 8 of 16

A woman states that all of a sudden her 4-day-old baby is having trouble feeding. On assessment, the nurse notes that the mother's breasts are firm, red, and warm to the touch. The nurse teaches the mother manually to express a small amount of breast milk from each breast. Which observation indicates that the nurse's intervention has been successful?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 9 of 16

A client is on magnesium sulfate via IV pump for severe preeclampsia. Other than patellar reflex assessments, which of the following noninvasive assessments should the nurse perform to monitor the client for early signs of magnesium sulfate toxicity?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 10 of 16

After a Preparation for Parenting class session, a pregnant client tells the nurse that she has had some yellow-gray frothy vaginal discharge and local itching. The nurse's best action is to advise the client to do which of the following?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 11 of 16

A client is postpartum 24 hours from a spontaneous vaginal delivery with rupture of membranes for 42 hours. Which of the following signs/symptoms should the nurse report to the client's health care practitioner?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 12 of 16

Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 13 of 16

The nurse is caring for a woman who is pregnant. The patient reports that she has also smoked less than five cigarettes per day and that she has continued to smoke during her pregnancy. Routine prenatal examination and diagnostics have indicated she tested negative for sexually transmitted infections and has a BMI of 25. Based on statistics, which is likely true about the patient and the developing fetus

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HESI RN · NCLEX Questions on Perinatal Loss

Question 14 of 16

A nurse has administered Methergine (methylergonovine) 0.2 mg po to a grand multipara who delivered vaginally 30 minutes earlier. Which of the following outcomes indicates that the medication is effective?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 15 of 16

A nurse is assessing a 1 day-postpartum client who had a spontaneous vaginal delivery over an intact perineum. The fundus is firm at the umbilicus, lochia moderate, and perineum edematous. One hour after receiving ibuprofen 600 mg po, the client is complaining of perineal pain at level 9 on a 10 point scale. Based on this information, which of the following is an appropriate conclusion for the nurse to make about the client?

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HESI RN · NCLEX Questions on Perinatal Loss

Question 16 of 16

A client, 2 days postpartum from a spontaneous vaginal delivery, asks the nurse about postpartum exercises. Which of the following responses by the nurse is appropriate?

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