HESI RN Maternal Newborn I | Nurselytic

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HESI RN Maternal Newborn I Questions

Extract:

History and Physical
Nurses' Notes
Flow Sheet
Laboratory Results
38-year-old primiparous client is seen in the outpatient obstetric office 2 weeks postpartum after a spontaneous vaginal birth of a full-term infant after rupture of membranes for 16 hours. The client was discharged on day 2, exclusively breastfeeding.


Question 1 of 5

For each assessment finding, click to indicate whether findings from this client's assessment are generally associated with mastitis, endometritis, or could be a sign of both conditions.

OptionsMastitisEndometritisBoth mastitis and endometritis
Pulse of 105 beats/minute - Both mastitis and endometritis
Feeling chilled, achy, and fatigued - Both mastitis and endometritis
Baby fed pumped breast milk - Mastitis
Pain rating of 4 on a 0 to 10 scale - Mastitis
Foul-smelling lochia rubra at 2 weeks postpartum - Endometritis
Temperature of 101.2° F (38.4°C) - Both mastitis and endometritis

Correct Answer: B,D

Rationale: Tachycardia, chills, aches, fatigue, and fever are systemic signs of infection in both mastitis and endometritis. Feeding pumped milk and localized breast pain suggest mastitis due to milk stasis. Foul-smelling lochia is specific to endometritis, indicating uterine infection.

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Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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