which of the following measures the risk of dying from causes related to pregnancy childbirth and puerperium
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Nursing Elites

HESI LPN

Community Health HESI Exam

1. Which of the following measures the risk of dying from causes related to pregnancy, childbirth, and puerperium?

Correct answer: A

Rationale: The correct answer is A, maternal mortality. Maternal mortality specifically measures the risk of dying from pregnancy-related causes. Neonatal death rate, fetal death rate, and infant mortality rate focus on different populations and timeframes. Neonatal death rate refers to deaths within the first 28 days of life, fetal death rate measures stillbirths, and infant mortality rate includes deaths of infants under one year of age. Therefore, A is the most appropriate measure for assessing the risk of dying from causes related to pregnancy, childbirth, and puerperium.

2. The Healthy People initiative is a national agenda that aims to:

Correct answer: B

Rationale: The Healthy People initiative is a national agenda that focuses on reducing health disparities and improving the health of all Americans. Choice A is incorrect because the initiative is more about improving health outcomes and access rather than providing healthcare to all citizens. Choice C is not the main goal of the initiative, which is more about public health goals than medical research. Choice D is also not the primary aim of the Healthy People initiative, as it is more focused on setting objectives to improve public health.

3. What is the most common cause of vaginal bleeding immediately after birth?

Correct answer: A

Rationale: Vaginal bleeding immediately after birth is most often due to uterine atony, which is the failure of the uterus to contract following delivery. This results in inadequate compression of blood vessels at the placental site, leading to hemorrhage. Genital lacerations and abnormal clotting mechanisms can also cause bleeding but are less common immediately after birth compared to uterine atony. Endometritis, inflammation of the lining of the uterus, usually presents with symptoms like fever and pelvic pain rather than immediate postpartum bleeding.

4. The client with acute hypocalcemia is admitted to the unit. Nursing action should include:

Correct answer: A

Rationale: The correct action for a client with acute hypocalcemia is to implement seizure precautions. Hypocalcemia can lead to tetany and seizures due to neuromuscular irritability. Assessing for hypoglycemia (choice B) is not directly related to hypocalcemia. Monitoring for visual changes (choice C) is more indicative of conditions like hyperglycemia or retinal disorders. Observing for muscle weakness (choice D) is a common symptom of hypocalcemia but does not address the immediate risk of seizures, which is why implementing seizure precautions is the priority nursing action.

5. When caring for a child with Reye's Syndrome, which action should the nurse give the highest priority?

Correct answer: C

Rationale: Assessing the level of consciousness is crucial when caring for a child with Reye's Syndrome. Changes in neurological status can indicate deterioration of the condition, necessitating immediate medical attention. Monitoring intake and output is important but not the highest priority compared to assessing the child's level of consciousness. Providing good skin care and assisting with range of motion are also important aspects of care but take a lower priority than assessing the child's neurological status in this critical condition.

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