HESI PN MATERNITY EXIT EXAM 2023/ PN MATERNITY HESI EXIT ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

HESI PN MATERNITY EXIT EXAM 2023/ PN

MATERNITY HESI EXIT ACTUAL EXAM ALL 55

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY

GRADED A+

Following a vaginal delivery, a postpartum client complains of severe

cramping after breastfeeding her newborn. Which explanation describes

the most likely reason for the client's pain?

a. A retained placenta

b. Problems with the process of involution

c. The release of oxytocin hormone

d. A possible ileus

- ANSWER- C) The release of oxytocin hormone

Rationale:

During breastfeeding, oxytocin is released and will cause uterine

contractions and cramping.

A female who thinks she could be pregnant calls her neighbor, a

practical nurse (PN), to ask when she should use a home pregnancy test

to diagnose pregnancy. Which response is best?

a. "A home pregnancy test can be used right after your first missed

period."

b. "These tests are most accurate after you have missed your second

period."

c. "Home pregnancy tests often give false-positives and should not be

trusted."

d. "The test can provide accurate information when used right after

ovulation."

- ANSWER- A) "A home pregnancy test can be used right after your

first missed period."

Rationale:

Home urine tests are based on the chemical detection of human

chorionic gonadotrophin, which begins to increase 6 to 8 days after

conception and is best detected at 2 weeks' gestation or immediately

after the first missed period.

A client who is 8 hours postpartum uses the call system and tells the

nurse "I think I'm bleeding a lot." The nurse notes a large amount of

rubra flow on the sanitary pad and linen protector. What is the nurse's

first action?

a. Take the client's vital signs.

b. Notify the health care provider.

c. Massage the client's fundus until it firms.

d. Change the sanitary pad and the linen protector.

- ANSWER- C) Massage the client's fundus until it firms.

Rationale:

The initial action for postpartum hemorrhage is to massage the

fundus. Taking the vital signs and notifying the health care provider

may be necessary, but massaging the fundus is the primary action.

The nurse is assisting with data collection for a client who is in her 10th

week of pregnancy. Which finding should be reported immediately to

the health care provider?

a. The client's rubella titer is less than 1:10.

b. The client's hematocrit value is measured at 34%.

c. The client states "I'm not really sure I want to have a baby."

d. The client states she will not be able to visit the health care provider

every 2 weeks.

- ANSWER- A) The client's rubella titer is less than 1:10.

Rationale:

The client's rubella titer indicates she is not immune to rubella,

making the fetus at risk for serious birth defects. A rubella titer over

1:10 indicates immunity. During the first trimester, the hematocrit

should be over 33%, so 34% is adequate for this client. Ambivalence

about the pregnancy is common in the first trimester. The client will

need to visit the health care provider every 4 weeks, not every 2

weeks.