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HESI LPN · HESI LPN Maternal Newborn · HESI Intrapartum Complications Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What is a potential sign of intrauterine fetal demise?

A. increased fetal heart rate

B. vaginal bleeding

C. decreased or absent fetal movement

D. macrosomia

Expert Explanatory Rationale

Correct Answer: decreased or absent fetal movement

Question 2 of 5

The nurses in a labor and delivery unit are concerned about the high incidence of cesarean deliveries at their facility and initiate an internal study. Which is the most likely condition the nurses will recognize as a contributor to the rate of cesarean births?

A. The facility has a high rating for managing high-risk pregnancies.

B. Policies and parameters for cesarean need to be reviewed and refined.

C. Community education about the advantages of vaginal birth is deficient.

D. The incidence of maternal requests for cesarean delivery is increasing.

Expert Explanatory Rationale

Correct Answer: The incidence of maternal requests for cesarean delivery is increasing.

Question 3 of 5

What is a potential complication for the neonate due to precipitous labor?

A. respiratory distress

B. low birth weight

C. prelabor rupture of membranes

D. placenta previa

Expert Explanatory Rationale

Correct Answer: respiratory distress

Question 4 of 5

The patient presenting at 38 weeks' gestation, gravida 1, para 0, vaginal exam 4 cm, 100% effaced, +1 station vertex. What is the most likely intervention for this fetal heart rate pattern?

A. Continue oxytocin (Pitocin) infusion.

B. Contact the anesthesia department for epidural administration.

C. Change maternal position.

D. Administer Narcan to patient and prepare for immediate vaginal delivery.

Expert Explanatory Rationale

Correct Answer: Change maternal position.

Question 5 of 5

What condition do restlessness, cyanosis, nasal flaring, orthopnea, and use of accessory muscles indicate?

A. liver failure

B. alteration in oxygenation

C. preterm delivery

D. gestational diabetes

Expert Explanatory Rationale

Correct Answer: liver failure

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