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HESI RN · HESI Maternity · Promoting Client Comfort During Labor and Delivery

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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

A. hyperactive newborns

B. newborn respiratory depression

C. increase in uterine contractions

D. decrease in cervical dilation

Expert Explanatory Rationale

Correct Answer: newborn respiratory depression

Question 2 of 5

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.)

A. Check the DTR each shift.

B. Monitor and record vital signs frequently during the course of labor.

C. Document the FHR pattern, noting baseline and response to contraction patterns.

D. Indicate on the EFM tracing when maternal position changes are don

Expert Explanatory Rationale

Correct Answer: Monitor and record vital signs frequently during the course of labor.

Question 3 of 5

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

A. Latent phase

B. Active phase

C. Second stage

D. Transition phase

Expert Explanatory Rationale

Correct Answer: Latent phase

Question 4 of 5

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?

A. routine use of ephedrine

B. IV fluid bolus

C. insertion of indwelling urinary catheter

D. upright positioning of the laboring person

Expert Explanatory Rationale

Correct Answer: IV fluid bolus

Question 5 of 5

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

A. Administer subcutaneously.

B. Never administer with an opioid.

C. Dilute before IV administration.

D. Never administer in first stage labor.

Expert Explanatory Rationale

Correct Answer: Dilute before IV administration.

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