HESI PN Obstetrics Maternity Practice Exam with verified answers

After repeating the vital signs for a newborn who is 4 hours old, the practical
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nurse (PN) obtains an axillary temperature of 97.2 F and places the newborn
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under a radiant heat warmer. Which additional finding should the PN observe
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in the newborn? - correct answer -✔Tremors of the hands during crying.
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Which information should the practical nurse (PN) provide the parents about
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the purpose of instilling erythromycin (llotycin) ophthalmic ointment in the
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newborn's eyes. - correct answer -✔Prophylactic treatment for gonorrheal and
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chlamydia infection.
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What is the most important action by the practical nurse (PN) in preventing
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neonatal infection? - correct answer -✔Hand washing.
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a client who took iron supplements during pregnancy delivers and infant by
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cesarean section. On the second postpartum day, the client reports having a
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constipated stool that is greenish-black in color. Which action should the
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practical nurse (PN) implement? - correct answer -✔Record color and
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consistency of the stool.
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A client is 5 weeks pregnant call the clinic to report that her home pregnancy
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test is positive. She asks what she should be concerned about during the weeks
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before her first visit. Which signs and symptoms should the practical nurse (PN)
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tell the client to report immediately to the healthcare provider? (select all that
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apply) - correct answer -✔A. Vaginal bleeding
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, D. Membrane rupture
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E. Severe headaches
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A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast
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feeding and now weighs 6 pound and 15 ounces. Which action should the
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practical nurse take? - correct answer -✔Document the weight loss
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Which medication is prescribed for the prevention of ophthalmia neonatorum?
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- correct answer -✔Erythromycin (iilotycin)
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A multiparous client's membranes rupture after 8 hours of labor. which action
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should the practical nurse implement at this time? - correct answer -✔Assess
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the fetal heart rate (FHR) and pattern.
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The practical nurse (PN) palpates fundal height at the umbilicus of a
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multiparous client who has just given birth to an 8-pound boy when dark red
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blood comes from the client's vagina. What action is most important for the PN
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to implement? - correct answer -✔Continue to massage the fundus until firm.
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Which client should the practical nurse (PN) closely monitor for severe after
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pains? - correct answer -✔A multigravida who is breastfeeding.
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The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a
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7-pound 3-ounce newborn and determines the client's bladder is distended.
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Which additional finding should the PN report to the charge nurse? - correct
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answer -✔Excessive bleeding on the perineal pad.
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