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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Related Questions
Correct Answer is C
Explanation
A. Feel for a full bladder. – Incorrect; a full bladder can contribute to postpartum bleeding, but checking fundal firmness should be prioritized first.
B. Request the provider perform a vaginal examination. – Incorrect; the nurse should assess the fundus and attempt interventions first before calling the provider.
C. Check the client’s fundus. – Correct; the priority action is to assess the fundus for firmness, as a boggy uterus is the most common cause of postpartum hemorrhage.
D. Measure the client’s vital signs. – Incorrect; while vital signs are important, assessing fundal tone and initiating interventions come first.
Correct Answer is B
Explanation
A. 16 cm – Incorrect; this is too low for 24 weeks (expected range: ±2 cm of gestational age).
B. 26 cm – Correct; fundal height at 24 weeks is expected to be around 22-26 cm.
C. 30 cm – Incorrect; this is above the expected range and may indicate polyhydramnios or macrosomia.
D. 12 cm – Incorrect; this is too low and could indicate intrauterine growth restriction (IUGR).
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