Promoting Client Comfort During Labor and Delivery

HESI RN · Promoting Client Comfort During Labor and Delivery

Question 1 of 50

What is a side effect of general anesthesia that usually limits its use to cases of emergency?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 2 of 50

When caring for a patient in labor who is considered to be at low risk, which assessments should be included in the plan of care? (Select all that apply.)

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 3 of 50

The best time to teach nonpharmacologic pain control methods to an unprepared laboring patient is during which stage?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 4 of 50

The nurse is monitoring the person's vital signs after the epidural is placed and notices a blood pressure of 80/50 mm Hg. What nursing intervention can be performed prior to the epidural placement to potentially reduce this side effect?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 5 of 50

Nausea and vomiting are common discomforts in labor. When treating with promethazine, what must the nurse do when administering this medication?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 6 of 50

Excessive anxiety during labor heightens the patient's sensitivity to pain by increasing

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 7 of 50

The labor nurse is developing a plan of care for a patient admitted in active labor with

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 8 of 50

A nurse is assisting a laboring patient with breathing techniques to reduce labor pain. Which technique involves exhaling slowly while concentrating on relaxing each muscle group?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 9 of 50

A patient at 40 weeks' gestation should be instructed to go to a hospital or birth center for evaluation when she experiences

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 10 of 50

A pregnant woman in labor is quite anxious and has been breathing rapidly during contractions. She now complains of a tingling sensation in her fingers. What is the priority nursing intervention at this time?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 11 of 50

What are the side effects of spinal anesthesia? Select one that doesn't apply.

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 12 of 50

Which nursing diagnosis would take priority in the care of a primipara patient with no visible support person in attendance? The patient has entered the second stage of labor after a first stage of labor lasting 4 hours.

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 13 of 50

Which of the following factors would affect pain perception or tolerance for the laboring patient?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 14 of 50

What does the nurse explain to the laboring person and partner about nitrous oxide?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 15 of 50

Which fetal position may cause the laboring patient increased back discomfort?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 16 of 50

The nurse is teaching a childbirth education class. Which information regarding excessive pain in labor should the nurse include in the session?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 17 of 50

What technique, usually reserved for low-risk persons, has been shown to decrease pain, encourage movement, decrease anxiety, shorten labor, and improve labor satisfaction?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 18 of 50

The laboring person is anxious and hurting. What can the nurse do to help the laboring person?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 19 of 50

The laboring person is using hypnosis for comfort measures. How can the nurse support the person?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 20 of 50

Which nursing action is most appropriate for a laboring patient experiencing severe back pain due to a posterior fetal position?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 21 of 50

A labor patient, gravida 2, para 1, at term has received meperidine (Demerol) for pain control during labor. Her most recent dose was 15 minutes ago and birth is now imminent. Maternal vital signs have been stable and the EFM tracing has not shown any baseline changes. Which medication does the nurse anticipate would be required in the birth room for administration?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 22 of 50

A nursing priority during admission of a laboring patient who has not had prenatal care is

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 23 of 50

A woman who is gravida 3, para 2 enters the intrapartum unit. The most important nursing assessments include

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 24 of 50

Which assessment finding is an indication of hemorrhage in the recently delivered postpartum patient?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 25 of 50

Which patient will be most receptive to teaching about nonpharmacologic pain control methods?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 26 of 50

Which assessment would be important for a 6-hour-old infant who has bruising over the cheeks from a forceps birth?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 27 of 50

A maternal indication for the use of vacuum extraction is

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 28 of 50

A patient in early labor is feeling anxious about the labor process. Which intervention would be most effective in reducing her anxiety?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 29 of 50

Following an external cephalic version, which assessment finding indicates a complication?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 30 of 50

After a forceps-assisted birth, the patient is observed to have continuous bright red lochia and a firm fundus. Which other data would indicate the presence of a potential vaginal wall hematoma?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 31 of 50

You are preparing a patient for epidural placement by a nurse anesthetist in the LDR. Which interventions should be included in the plan of care? (Select all that apply.)

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 32 of 50

The nurse is monitoring a laboring patient who is using patterned breathing techniques. The patient suddenly complains of lightheadedness and tingling in her hands. What should the nurse do?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 33 of 50

The nurse thoroughly dries the infant immediately after birth primarily to

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 34 of 50

A patient presents to the labor and birth area for emergent birth. Vaginal exam reveals that the patient is fully dilated, vertex, +2 station, with ruptured membranes. The patient is extremely apprehensive because this is her first childbirth experience and asks for an epidural to be administered now. What is the priority nursing response based on this patient assessment?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 35 of 50

The nurse is preparing to perform Leopold's maneuvers. Please select the rationale for the consistent use of these maneuvers by obstetric providers?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 36 of 50

The nurse is preparing to administer a vaginal prostaglandin preparation to ripen the cervix of her patient. With which patient should the nurse question the use of vaginal prostaglandin as a cervical ripening agent?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 37 of 50

The nurse is caring for a patient in transition. Which sign is most indicative that this phase of labor is occurring?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 38 of 50

The nurse is preparing to initiate intravenous (IV) access on a patient in the active phase of labor. Which size IV cannula is best for this patient?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 39 of 50

What nursing intervention can be performed prior to epidural placement to potentially reduce a blood pressure drop?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 40 of 50

A patient in active labor is experiencing hypotension after receiving an epidural block. What is the nurse's first action?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 41 of 50

What is the term for a slow, deep inhalation through the nose and exhalation through the mouth before a contraction for preparation and after a contraction for release of tension from the contraction?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 42 of 50

Which clinical finding would be an indication to the nurse that the fetus may be compromised?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 43 of 50

The nurse is preparing a patient for a cesarean birth scheduled to be performed under general anesthesia. Which should the nurse plan to administer, if ordered by the health care provider, to prevent aspiration of gastric contents?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 44 of 50

Which method of pain management would be safest for a gravida 3, para 2, admitted at 8 cm cervical dilation?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 45 of 50

The nurse detects hypotension in a laboring patient after an epidural. Which actions should the nurse plan to implement? (SeNleUctRaSllIthNatGaTpBpl.y.)C OM

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 46 of 50

Immediately following the forceps-assisted birth of an infant, which action should the nurse implement?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 47 of 50

During labor a vaginal examination should be performed only when necessary because of the risk of

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 48 of 50

A multipara's labor plan includes the use of jet hydrotherapy during the active phase of labor. What is the priority patient assessment prior to assisting the patient with this request?

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 49 of 50

The nurse is caring for a patient in the fourth stage of labor. Which assessment findings should the nurse identify as a potential complication? (Select all that apply.)

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HESI RN · Promoting Client Comfort During Labor and Delivery

Question 50 of 50

The method of anesthesia in labor that is considered the safest for the fetus is

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