HESI RN
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
Select the findings that will help the nurse determine what is causing the client's symptoms.
Rupture of membranes for 16 hours |
Normal spontaneous vaginal birth |
Breastfeeding 7 to 8 times a day for 10 minutes |
Discharge hemoglobin of 9.2 g/dL (92 g/L) |
Current vital signs |
Shopping yesterday for 5 hours |
Foul-smelling lochia rubra |
Correct Answer: A,D,E,F,G
Rationale: Prolonged rupture of membranes, low hemoglobin, fever, tachycardia, prolonged shopping, and foul-smelling lochia suggest postpartum infection risks like endometritis or mastitis. These findings indicate systemic inflammation, anemia, and potential milk stasis.
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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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