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HESI LPN · HESI LPN Maternal Newborn · HESI Promoting Client Comfort During Labor and Delivery

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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?

A. Use contact anesthesia for an epidural and prepare the patient per protocol.

B. Tell the patient that she will not need any pain medication because the birth will be over in a matter of minutes and the pain will stop.

C. Assist the patient with nonpharmacologic methods of pain distraction during this time as you prepare for vaginal birth.

D. Call the physician for admitting orders.

Expert Explanatory Rationale

Correct Answer: Use contact anesthesia for an epidural and prepare the patient per protocol.

Question 2 of 5

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

A. Active fetal movements

B. Fetal heart rate in the 140s

C. Contractions lasting 90 seconds

D. Meconium-stained amniotic fluid

Expert Explanatory Rationale

Correct Answer: Meconium-stained amniotic fluid

Question 3 of 5

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?

A. Maternal pulse

B. Maternal temperature

C. Maternal blood pressure

D. Maternal blood glucose level

Expert Explanatory Rationale

Correct Answer: Maternal temperature

Question 4 of 5

The nurse thoroughly dries the infant immediately after birth primarily to

A. reduce heat loss from evaporation.

B. stimulate crying and lung expansion.

C. increase blood supply to the hands and feet.

D. remove maternal blood from the skin surfac

Expert Explanatory Rationale

Correct Answer: reduce heat loss from evaporation.

Question 5 of 5

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

A. increased fetal movement.

B. irregular contractions for 1 hour.

C. a trickle of fluid from the vagin

D. thick pink or dark red vaginal mucus.

Expert Explanatory Rationale

Correct Answer: a trickle of fluid from the vagin

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