HESI LPN / LVN Maternity V2 Proctored Exam
1) A client is admitted to the labor and delivery unit with contractions that are 3-
5 minutes apart, lasting 60-70 seconds. She reports that she is leaking fluid. A
vaginal exam reveals that her cervix is 80 percent effaced and 4 cm dilated and a
-1 station. The LPN/LVN knows that the client is in which phase and stage of
labor?
A) Latent phase, First Stage
B) Active Phase of First Stage
C) Latent phase of Second Stage
D) Transition
Ans: B) Active Phase of First Stage Second stage = full dilation until birth
2) To assess uterine contractions the LPN/LVN would
A) Asses duration from the beginning of the contraction to the peak of the same
contraction, frequency by measuring the time between the beginning of one
contraction to the beginning of the next contraction.
B) Assess frequency as the time between the end of one contraction and the
beginning of the next contraction, duration as the length of time from the
beginning to the end of contractions, and palpate the uterus for strength
C) Assess duration from beginning to end of each contraction. Assess the
strength of the contraction by the external fetal monitor reading. Measure
frequency by measuring the beginning of one contraction to another.
D) Assess duration from beginning to end of each contraction, frequency by
measuring the time between the beginnings of contractions, and palpate the
fundus of the uterus for strength.
Ans: D) Assess duration from beginning to end of each contraction, frequency by
measuring the time between the beginnings of contractions, and palpate the
fundus of the uterus for strength.
,3) Which basic type of pelvis includes the correct description and percentage of
occurrence in women?
A) Platypelloid: flattened, wide, shallow; 3%
B) Anthropoid: resembling the ape; narrower; 10%
C) Android: resembling the male; wider oval; 15%
D) Gynecoid: classic female; heart shaped; 75%
Ans: A) Platypelloid: flattened, wide, shallow; 3%
4) What position would be least effective when gravity is desired to assist in fetal
descent?
A) Lithotomy
B) Walking
C) Kneeling
D) Sitting
Ans: A) Lithotomy
5) The factors that affect the process of labor and birth, known commonly as the
five Ps, include all EXCEPT:
A) Passageway.
B) Powers.
C) Passenger.
D) Pressure.
Ans: D) Pressure.
The 5 P's are:
1. Powers (contractions)
2. Passengers (fetus & placenta)
, 3. Passageway (birth canal)
4. Position (of the mother)
5. Psychological Response
6) While evaluating an external monitor tracing of a woman in active labor, the
nurse notes that the fetal heart rate (FHR) for five sequential contractions begins
to decelerate late in the contraction, with the nadir of the decelerations occurring
after the peak of the contraction. The
LPN/LVN first priority is to:
A) Notify the care provider.
B) Assist with amnioinfusion
C) Change the woman's position
D) Insert a scalp electrode.
Ans: C) Change the woman's position
7) During labor a fetus with an average heart rate of 175 beats/min over a 15-
minute period would be considered to have:
A) A normal baseline heart rate.
B) Bradycardia.
C) Hypoxia.
D) Tachycardia.
Ans: D) Tachycardia.
8) As a perinatal LPN/LVN you realize that a fetal heart rate that is tachycardic,
is bradycardic, or has late decelerations with loss of variability is non-reassuring
and is associated with
A) Cord compression
1) A client is admitted to the labor and delivery unit with contractions that are 3-
5 minutes apart, lasting 60-70 seconds. She reports that she is leaking fluid. A
vaginal exam reveals that her cervix is 80 percent effaced and 4 cm dilated and a
-1 station. The LPN/LVN knows that the client is in which phase and stage of
labor?
A) Latent phase, First Stage
B) Active Phase of First Stage
C) Latent phase of Second Stage
D) Transition
Ans: B) Active Phase of First Stage Second stage = full dilation until birth
2) To assess uterine contractions the LPN/LVN would
A) Asses duration from the beginning of the contraction to the peak of the same
contraction, frequency by measuring the time between the beginning of one
contraction to the beginning of the next contraction.
B) Assess frequency as the time between the end of one contraction and the
beginning of the next contraction, duration as the length of time from the
beginning to the end of contractions, and palpate the uterus for strength
C) Assess duration from beginning to end of each contraction. Assess the
strength of the contraction by the external fetal monitor reading. Measure
frequency by measuring the beginning of one contraction to another.
D) Assess duration from beginning to end of each contraction, frequency by
measuring the time between the beginnings of contractions, and palpate the
fundus of the uterus for strength.
Ans: D) Assess duration from beginning to end of each contraction, frequency by
measuring the time between the beginnings of contractions, and palpate the
fundus of the uterus for strength.
,3) Which basic type of pelvis includes the correct description and percentage of
occurrence in women?
A) Platypelloid: flattened, wide, shallow; 3%
B) Anthropoid: resembling the ape; narrower; 10%
C) Android: resembling the male; wider oval; 15%
D) Gynecoid: classic female; heart shaped; 75%
Ans: A) Platypelloid: flattened, wide, shallow; 3%
4) What position would be least effective when gravity is desired to assist in fetal
descent?
A) Lithotomy
B) Walking
C) Kneeling
D) Sitting
Ans: A) Lithotomy
5) The factors that affect the process of labor and birth, known commonly as the
five Ps, include all EXCEPT:
A) Passageway.
B) Powers.
C) Passenger.
D) Pressure.
Ans: D) Pressure.
The 5 P's are:
1. Powers (contractions)
2. Passengers (fetus & placenta)
, 3. Passageway (birth canal)
4. Position (of the mother)
5. Psychological Response
6) While evaluating an external monitor tracing of a woman in active labor, the
nurse notes that the fetal heart rate (FHR) for five sequential contractions begins
to decelerate late in the contraction, with the nadir of the decelerations occurring
after the peak of the contraction. The
LPN/LVN first priority is to:
A) Notify the care provider.
B) Assist with amnioinfusion
C) Change the woman's position
D) Insert a scalp electrode.
Ans: C) Change the woman's position
7) During labor a fetus with an average heart rate of 175 beats/min over a 15-
minute period would be considered to have:
A) A normal baseline heart rate.
B) Bradycardia.
C) Hypoxia.
D) Tachycardia.
Ans: D) Tachycardia.
8) As a perinatal LPN/LVN you realize that a fetal heart rate that is tachycardic,
is bradycardic, or has late decelerations with loss of variability is non-reassuring
and is associated with
A) Cord compression
