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HESI PN MATERNITY 2021
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MATERNITY
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HESI PN MATERNITY
1. At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower
quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after
admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include
diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse
implement next?
A. Check the hematocrit results.
B. Administer pain medication.
C. Increase the rate of IV fluids.
D. Monitor client for contractions.
Correct Answer: C
2. During a prenatal visit, the LPN/LVN discusses with a client the effects of smoking on the fetus. When
compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have
A. lower Apgar scores.
B. lower birth weights.
C. respiratory distress.
D. a higher rate of congenital anomalies.
Correct Answer: D
3. Which action should the LPN/LVN implement when preparing to measure the fundal height of a pregnant
client?
A. Have the client empty her bladder.
B. Request the client lie on her left side.
C. Perform Leopold's maneuvers first.
D. Give the client some cold juice to drink.
Correct Answer: A
4. The LPN/LVN identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which
further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles.
Correct Answer: B
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