A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?

Lightening

Decreasing chest diameter

Decreased carbon dioxide production

Hyperventilation

Answer and Explanation

The Correct Answer is A

A. Lightening – Correct; "lightening" occurs when the fetal head descends into the pelvis, reducing pressure on the diaphragm, making it easier to breathe.

B. Decreasing chest diameter – Incorrect; the chest diameter does not decrease; instead, the diaphragm moves upward due to uterine growth.

C. Decreased carbon dioxide production – Incorrect; CO₂ production remains stable during pregnancy.

D. Hyperventilation – Incorrect; while pregnancy increases respiratory effort, the client is experiencing relief, not hyperventilation.

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Correct Answer is D

Explanation

A. G2 T1 P1 A1 L0 – Incorrect; does not include the current pregnancy.

B. G2 T0 P1 A1 L1 – Incorrect; does not include current pregnancy and incorrectly counts a living child.

C. G3 T0 P1 A1 L1 – Incorrect; incorrectly counts a living child.

D. G3 T0 P1 A1 L0 – Correct; accurately represents her pregnancy history.

A. Monitor FHR and contraction pattern B. Monitor maternal vital signs C. Perform vaginal exams D. Provide maternal comfort measures E. Monitor maternal coping

Correct Answer is ["A","B","D","E"]

Explanation

A. Monitor FHR and contraction pattern – Correct; LPNs can monitor fetal heart rate (FHR) and contractions.

B. Monitor maternal vital signs – Correct; LPNs are responsible for monitoring the mother's BP, pulse, and other vitals.

C. Perform vaginal exams – Incorrect; LPNs do NOT perform cervical checks—this is the role of RNs or providers.

D. Provide maternal comfort measures – Correct; LPNs assist with positioning, massage, and breathing techniques for comfort.

E. Monitor maternal coping – Correct; LPNs can assess maternal coping mechanisms and provide support.

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A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is 39 weeks in labor. This is her third pregnancy. She reports an early miscarriage at 8 weeks and a stillborn at 36 weeks. What is her GTPAL?

Correct Answer is D

Explanation

The role of the practical nurse during labor includes all EXCEPT (Select All that Apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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