HESI LPN
HESI Focus on Maternity Exam Questions
Question 1 of 5
A new mother who is a lacto-ovo vegetarian plans to breastfeed her infant. Which information should the nurse provide prior to discharge?
Correct Answer: A
Rationale: The correct answer is A: 'Continue prenatal vitamins with B12 while breastfeeding.' Vitamin B12 is crucial for lacto-ovo vegetarian mothers to prevent deficiencies in both the mother and the infant. Choice B is incorrect as Lanolin-based nipple cream is safe for use during breastfeeding. Choice C is not necessary unless there are specific indications for iron supplementation. Choice D, weighing the baby weekly, is important for monitoring growth but not specifically related to the mother's diet.
Question 2 of 5
A client who delivered a healthy newborn an hour ago asked the nurse when she can go home. Which information is most important for the nurse to provide the client?
Correct Answer: D
Rationale: The most critical information for the nurse to provide the client is ensuring that there is no significant vaginal bleeding before discharge. This is vital to prevent complications such as postpartum hemorrhage. Options A, B, and C are important aspects of postpartum care, but assessing and managing vaginal bleeding takes precedence due to its potential seriousness.
Question 3 of 5
The healthcare provider is preparing to administer phytonadione (vitamin K) to a newborn. Which statement made by the parents indicates understanding why the healthcare provider is administering this medication?
Correct Answer: D
Rationale: The correct answer is D because phytonadione (vitamin K) is administered to newborns to prevent hemorrhagic disease due to their low levels of vitamin K, which is essential for blood clotting. Choice A is incorrect as vitamin K administration is not related to improving dietary intake. Choice B is incorrect as vitamin K doesn't stimulate the immune system. Choice C is incorrect as vitamin K is not given to help an immature liver, but rather to prevent hemorrhagic disorders.
Question 4 of 5
The mother of a breastfeeding 24-hour old infant is very concerned about the techniques involved in breastfeeding. She calls the nurse with each feeding to seek reassurance that she is doing it right. She tells the nurse, "Now my daughter is not getting enough to eat." Which response would be best for the nurse to make?
Correct Answer: D
Rationale: The correct answer is D: "If your baby's urine is straw-colored, she's getting enough milk." This response is the best because it reassures the mother about her breastfeeding technique by providing a tangible indicator of adequate milk intake. This information empowers the mother to monitor her baby's hydration status and feeding effectiveness. Option A is incorrect because feeding hourly without assessing the baby's actual needs may lead to overfeeding and disrupt the establishment of a proper feeding routine. Option B is incorrect because the feeling of fullness in the breasts is not a reliable indicator of sufficient milk transfer. Option C is incorrect as it suggests unnecessary formula supplementation without assessing the actual breastfeeding situation. In an educational context, it is crucial for nurses to empower mothers with accurate information and practical tips to build their confidence in breastfeeding. By providing evidence-based reassurance like the color of the baby's urine as an indicator of milk intake, nurses can support mothers in their breastfeeding journey and promote successful breastfeeding outcomes.
Question 5 of 5
A multiparous client at 36 hours postpartum reports increased bleeding and cramping. On examination, the nurse finds the uterine fundus 2 centimeters above the umbilicus. Which action should the nurse take first?
Correct Answer: C
Rationale: Encouraging the client to void is the priority action in this scenario. A distended bladder can prevent the uterus from contracting properly, leading to increased bleeding and a high uterine fundus. By encouraging the client to void, the nurse can help the uterus contract effectively, reducing bleeding. Increasing intravenous fluids or administering ibuprofen would not address the immediate concern of a distended bladder affecting uterine contraction. While it may be necessary to involve the healthcare provider, addressing the bladder distention promptly is crucial to prevent further complications.