HESI PN MATERNAL NEWBORN PROCTORED EXAM VERSION 3 2026/2027 Complete and 25pages

HESI EXAMS
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1. Two days after delivery, a postpartum client prepares for discharge. What should

the nurse teach her about lochia flow?

The color of the lochia changes from a bright red to white after four days

Numerous large clots are normal for the next three to four days

Saturation of the perineal pad with blood is expected when getting up from the bed

Lochia should last for about 3 weeks, changing color every few days

2. A nurse monitors fetal well-being by means of an external monitor. At the

peakof the contractions, the fetal heart rate has repeatedly dropped 30 beats/min

below the baseline. Late decelerations are suspected and the nurse notifies the

physician.Which is the rationale for this action? .

The umbilical cord is wrapped tightly around the fetus' neck

The fetal cord is being compressed due to rapid descent of the fetal head

Maternal contractions are not adequate enough to deliver the fetus

The fetus is not receiving adequate oxygen and is in distress

3. Which preoperative nursing interventions should be included for a client who is

scheduled to have an emergency cesarean birth?

Monitor oxygen saturation and administer pain medication.

Assess vital signs every 15 minutes and instruct the client about postoperative care.

Alleviate anxiety and insert an indwelling catheter.

Perform a sterile vaginal examination and assess breath sounds.

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HESI PN MATERNAL NEWBORN PROCTORED EXAM VERSION 3 2026/2027 Complete and 25pages

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