Nursing Test Bank Practice
Practice HESI LPN Specialty Maternal Newborn Proctored Exam Practice Questions. Review each answer with explanations when available.
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The healthcare provider prescribes methylprednisolone 1 mg/kg IM every 12 hours for inflammation for a child who weighs 58 pounds.
The vial is labeled, "40 mg/mL.”. How many mL should the practical nurse (PN) administer with each dose? (Enter the numerical value only. If rounding is required round to the nearest tenth.)
Enter the numeric answer.
A postpartum client who delivered vaginally 6-hours ago and had a second-degree perineal laceration reports feeling increased pain and pressure in her vaginal area.
Which intervention should the practical nurse (PN) implement?
Select one answer.
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Following a vaginal delivery, a postpartum client is troubled by severe cramping after breastfeeding her newborn.
Which explanation describes the most likely reason for the client's pain?
Select one answer.
A primigravida with a history of no prenatal care delivers a normal neonate by sterile vaginal delivery with no complications. The practical nurse (PN) enters the room with an injection of Rho immune globulin and explains the rationale for the injection.
Which situation warrants this injection?
Select one answer.
The practical nurse (PN) is caring for a school-aged child who has laboratory results that reveal the presence of antigliadin and antiendomysial immunoglobulin G and immunoglobulin A antibodies.
The PN should identify with the parent and child which food to avoid after discharge to home?
Select one answer.
The healthcare provider (HCP) prescribes methylergonovine for a postpartum client following the birth of her third child.
The client asks the practical nurse (PN), "Why am I getting these tablets? I did not get them with my last babies.”. Which response is best for the PN to provide?
Select one answer.
A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 g/dL (86 g/L) and a hematocrit of 25.1% (0.25 volume fraction). Which food should the practical nurse (PN) encourage this client to include in her diet? Reference Range: Hemoglobin, pregnant female [greater than 11 g/dL (greater than 110 g/L)] Hematocrit, pregnant female [greater than 33% (greater than 0.33 volume fraction)]
Select one answer.
While caring for a 3-month-old infant, the practical nurse (PN) observes the mother propping the bottle on a pillow to feed the child.
Which should the PN implement?
Select one answer.
A client at 39-weeks gestation presents to labor and delivery with contractions occurring at regular intervals. Her obstetrical history includes a miscarriage at 16-weeks gestation and fetal demise at 31-weeks gestation.
How should the practical nurse (PN) record the client's gravida?
Select one answer.
A client who is a gravida 5, para 5 client delivers a 10-pound (4,540 gram) infant.
In planning postpartum care, which assessment has the highest priority?
Select one answer.
The practical nurse (PN) is caring for a client who has been diagnosed with gestational diabetes mellitus.
Which complication should the PN recognize as the greatest risk to the fetus if euglycemia is not maintained?
Select one answer.
A practical nurse (PN) is caring for a child who demonstrates "squatting" during play and is admitted for corrective surgery of a congenital heart defect.
Upon rising in the morning, the child demonstrates tachypnea and tachycardia consistent with cyanotic (hypoxic) spells. Which procedure should the PN implement?
Select one answer.
The mother of a preschool child asks the practical nurse (PN) to clarify the healthcare provider's (HCP) diagnosis of acute otitis media.
Which is the most accurate explanation?
Select one answer.