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HESI LPN · HESI LPN Maternal Newborn · HESI labor and delivery questions and answers

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is providing discharge instructions to a person who was evaluated for possible labor. How does the nurse explain how losing the mucus plug could be a sign of impending labor?

A. The mucus plug starts to be expelled due to increased estrogen before contractions begin.

B. The mucus plug is expelled after the membranes rupture during labor.

C. Effacement and dilation of the cervix decrease the area where the mucus plug sits.

D. Labor is unable to begin until the mucus plug is expelled and creates a space for the fetus.

Expert Explanatory Rationale

Correct Answer: The mucus plug starts to be expelled due to increased estrogen before contractions begin.

Question 2 of 5

A woman is admitted in active labor. Her leukocyte count is 14,500/mm3. Based on this information, the nurse should:

A. Assess the woman for other evidence of infection.

B. Promptly inform the nurse-midwife of the results.

C. Use isolation techniques to limit the spread of infection.

D. Record the expected results in the woman's chart.

Expert Explanatory Rationale

Correct Answer: Assess the woman for other evidence of infection.

Question 3 of 5

When auscultating the fetal heart rate of a term fetus during labor, the nurse notes a rate of 130 to 140 beats per minute (bpm), with occasional accelerations in the rate. How should the nurse interpret the data?

A. The baseline rate is slightly high for a term fetus.

B. Accelerations in the rate suggest intermittent hypoxia.

C. Labor usually causes the fetal heart rate to be slower.

D. These assessments are normal for a term fetus during labor.

Expert Explanatory Rationale

Correct Answer: These assessments are normal for a term fetus during labor.

Question 4 of 5

The nurse midwife caring for a multiparous client who is 5 cm dilated requests intermittent auscultation (IA) of the fetal heart rate. The womanÃ¢â‚¬â„¢s history reveals no risk factors. How often should IA be performed in this patient?

A. Every 15 minutes

B. Every 5 minutes

C. Every 20 minutes

D. Every 30 minutes

Expert Explanatory Rationale

Correct Answer: Every 15 minutes

Question 5 of 5

A laboring woman who has not taken pain medication abruptly stops her previous breathing techniques during a contraction and makes low-pitched grunting sounds. The priority nursing action is to:

A. Ask her whether she needs pain medication.

B. Turn her to her left side.

C. Assess contraction duration.

D. Look at her perineum.

Expert Explanatory Rationale

Correct Answer: Look at her perineum.

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