The role of the practical nurse during labor includes all EXCEPT (Select All that Apply.)
Monitor FHR and contraction pattern
Monitor maternal vital signs
Perform vaginal exams
Provide maternal comfort measures
Monitor maternal coping
Correct Answer : A,B,D,E
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Massaging the client's back – Correct; gate control theory states that non-painful stimuli (e.g., massage, heat, cold) can block pain signals from reaching the brain.
B. Administering prescribed analgesic medication – Incorrect; this is pharmacologic pain relief, not part of gate control theory.
C. Turning the client onto her left side – Incorrect; this improves circulation but does not block pain signals.
D. Encouraging the client to rest between contractions – Incorrect; rest is important but does not directly affect pain perception.
Correct Answer is C
Explanation
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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