HESI RN Maternity Exam 7n

Extract:

Question 1 of 5

The nurse is reviewing a client's chart. Click to highlight areas of client history and physical below that increase the risk for postpartum hemorrhage. Client was middle-aged and married. She was in labor for 25 hours and forceps were used to assist with the delivery. She was given an epidural for anesthesia that was effective. The labor and delivery nurse reported that the client had a 4th degree laceration, and her pain was currently at a 4 on a 0 to 10 pain scale. Her vital signs were stable, and she was catheterized for 500 mL of light-yellow urine just prior to delivery. Her spouse was at the bedside for delivery.

Correct Answer: B,C,D

Rationale: Forceps use, prolonged labor (25 hours), and 4th degree laceration increase postpartum hemorrhage risk due to trauma and uterine atony.

Question 2 of 5

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Question 5 of 5

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Similar Questions

Assessment findings of a 4-hour-old newborn include: axillary temperature of 96.8Â° F (35.8Â° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonic, and weak cry. Based on these findings, which action should the nurse implement?

A patient was received one hour after delivering a 9 lb 1 oz (4.1 kg) female baby. Her vital signs are as follows: Temperature 100.4Â° F (38Â° C) orally, Heart rate 86 beats/minute, Respiratory rate 16 breaths/minute, Blood pressure 102/12 mm Hg, Pain 4 on a 0 to 10 pain scale. She was assisted to the bathroom where she voided 150 mL of clear yellow urine. Lochia rubra is moderate with small clots, no foul odor noted. The fundus is firm at the umbilicus. The episiotomy edges are well approximated, with no redness, edema, drainage, or ecchymosis. There is no pain, redness, or swelling in the calves. A 1,000 mL bag of lactated Ringer's solution containing 10 units of oxytocin is infusing via an 18-gauge peripheral IV in the left forearm at 125 mL per hour, with 500 mL remaining in the bag. The IV is patent, without redness or swelling, and can be discontinued when this bag's infusion is complete.

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The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4Â° F (38Â° C), heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg. Which action should the nurse implement?

HESI RN Maternity Exam 7n | Nurselytic

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