LPN Framing Comfort During the Childbirth Process

HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 1 of 83

A station of +1 means that the:

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 2 of 83

What is an accurate nursing assessment of the situation?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 3 of 83

Choose the most reliable evidence that true labor has begun.

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 4 of 83

What is intrauterine resuscitation designed to treat?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 5 of 83

What complication can multiple gestation cause?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 6 of 83

How often should the nurse assess the fetal heart rate in a person on oxytocin?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 7 of 83

A nurse is caring for women from four different countries. Which of the women is most likely to request that her head be kept covered throughout her hospitalization?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 8 of 83

What is a fetal complication of obstetric forceps?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 9 of 83

A nurse is caring for a newborn immediately following birth. Which nursing intervention is the highest priority?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 10 of 83

What are the normal signs of placental separation?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 11 of 83

What type of dystocia should the nurse prepare for if prominent ischial spines are palpated?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 12 of 83

Which scenario indicates that the woman should be seen by a healthcare provider?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 13 of 83

What are predictors for shoulder dystocia?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 14 of 83

What position helps prevent hypotension after epidural insertion?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 15 of 83

What is the first action if a woman feels rectal pressure during contractions?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 16 of 83

A nurse is assessing the vital signs of a client in labor at the peak of a contraction. Which of the following findings would the nurse expect to see?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 17 of 83

What benefit is NOT associated with skin-to-skin contact?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 18 of 83

What medication prevents postpartum hemorrhage?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 19 of 83

To decrease the possibility of a perineal laceration during delivery, the nurse performs which of the following interventions prior to the delivery?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 20 of 83

A woman had a baby by normal spontaneous delivery 10 minutes ago. The nurse notes that a gush of blood was just expelled from the vagina and the umbilical cord lengthened. What should the nurse conclude?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 21 of 83

When is the second stage prolonged for a nulliparous person?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 22 of 83

What helps reduce perineal tearing during delivery?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 23 of 83

What is a complication of uterine tachysystole?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 24 of 83

What medication is administered for preeclampsia?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 25 of 83

It is 4 p.m. A client, G1P0000, 3 cm dilated, asks the nurse when the dinner tray will be served. The nurse replies

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 26 of 83

What should the nurse do if a client falls asleep immediately after a contraction during the second stage?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 27 of 83

On vaginal examination, it is noted that a woman with a well-functioning epidural is in the second stage of labor. The station is 2 and the baseline fetal heart rate is 130 with no decelerations. Which of the following nursing actions is appropriate at this time?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 28 of 83

What should the nurse do if the fetal monitor shows average variability with a baseline of 142 bpm?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 29 of 83

What should the nurse assess before reporting the client's status to the health care provider?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 30 of 83

One example that may be used is that untreated gonorrhea may be associated with:

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 31 of 83

Which fetal position is depicted if the sacrum is pointing towards the mother's left anterior side?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 32 of 83

What is the contraction pattern of contractions occurring every 3 minutes and lasting 90 seconds?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 33 of 83

What action should the nurse take for a client experiencing tingling fingers and lightheadedness after rapid breathing?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 34 of 83

How should the nurse respect the rapid psychologic changes occurring in the fourth stage of labor?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 35 of 83

What is the probable cause of this FHR change?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 36 of 83

What is a reassuring pattern a nurse would see on an FHR tracing?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 37 of 83

What statement indicates a client needs additional teaching about when to go to the hospital?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 38 of 83

What is a neonatal complication of precipitous labor?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 39 of 83

What position is likely if the fetus causes intense back pain during contractions?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 40 of 83

A woman's obstetric history indicates that she is pregnant for the fourth time, and all of her children from previous pregnancies are living. One child was born at 39 weeks of gestation, twin girls were born at 34 weeks of gestation, and the most recent child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 41 of 83

What is recommended for women with an epidural who feel no urge to push?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 42 of 83

What is indicated by a bulging perineum and bloody show?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 43 of 83

What effect do analgesics have on fetal heart rate variability?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 44 of 83

What techniques should the nurse include for a Lamaze-trained nulliparous client? Select all that apply.

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 45 of 83

What should the nurse assess if a woman is fully dilated but not feeling rectal pressure?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 46 of 83

Increased blood volume during pregnancy leads to:

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 47 of 83

What makes up the powers of labor and birth?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 48 of 83

A primigravida is pushing with contractions. The nurse notes that the woman's perineum is beginning to bulge and that there is an increase in bloody show. Which of the following actions by the nurse is appropriate at this time?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 49 of 83

How can the nurse support hypnosis for comfort measures?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 50 of 83

What is the primary goal of childbirth education classes?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 51 of 83

What is the next step if bleeding cannot be stopped in spontaneous abortion?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 52 of 83

What structure should the nurse palpate to assess fetal station?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 53 of 83

What do the birthing person's vital signs most likely show during the second stage?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 54 of 83

What must the nurse do when administering promethazine?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 55 of 83

What assessment findings are essential components of obstetric triage?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 56 of 83

A nurse in the labor and delivery unit receives a phone call from a client who reports contractions that started about 2 hours ago, did not go away when she drank water and rested, became stronger while walking, no fluid leak from her vagina, and saw some blood when she wiped after voiding. Based on this report, the nurse recognizes that the client is experiencing which clinical finding?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 57 of 83

What was revealed about the importance of labor support during the COVID-19 pandemic?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 58 of 83

What are the side effects of spinal anesthesia?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 59 of 83

A woman is in active labor and is being monitored electronically. She has just received Stadol 2 mg IM for pain. Which of the following fetal heart responses would the nurse expect to see on the internal monitor tracing?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 60 of 83

Where should the fetoscope be placed to hear the fetal heartbeat for a fetus in the LOA position?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 61 of 83

A client, G2P1001, 5 cm dilated and 40% effaced, has just received an epidural. Which of the following actions is important for the nurse to make at this time?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 62 of 83

What type of periodic change in the FHR is expected?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 63 of 83

On completing a fundal assessment, the nurse notes the fundus is situated on the client's right abdomen. Which of the following actions is appropriate?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 64 of 83

Why is multiple gestation a risk factor for cesarean delivery?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 65 of 83

What physiological change is expected during contractions?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 66 of 83

What does moderate variability in fetal heart rate indicate?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 67 of 83

How long is the expected length of the third stage of labor?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 68 of 83

What limits the use of general anesthesia?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 69 of 83

Where should the nurse place the external fetal monitor electrode if the baby's buttocks face the mother's right side?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 70 of 83

Which nursing intervention for a formula-feeding postpartum client will hinder milk production?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 71 of 83

What corresponds to contractions every 3 minutes lasting 60 seconds?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 72 of 83

Which breathing technique is often used during the transition phase of labor?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 73 of 83

Which cultural group commonly requests head coverings during labor?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 74 of 83

What does management of a category III fetal monitor tracing include?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 75 of 83

What technique has been shown to decrease pain, encourage movement, and improve labor satisfaction?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 76 of 83

Which fetal lie corresponds to a sacral presentation?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 77 of 83

What is the most accurate way to monitor the FHR?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 78 of 83

What complications require monitoring for aspiration?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 79 of 83

When assessing a laboring woman's blood pressure, the nurse should:

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 80 of 83

Based on Leopold's maneuvers, which fetal position is indicated if the back is felt on the mother's left side, small parts on her right, buttocks in the fundal region, and head above the symphysis?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 81 of 83

What complication makes uterine inversion an emergency?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 82 of 83

How long should clamping of the cord be delayed?

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HESI LPN · LPN Framing Comfort During the Childbirth Process

Question 83 of 83

What determines the type of deceleration pattern?

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