How can a nurse support the patient during the fourth stage of labor?
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ATI RN · labor and delivery nclex questions
Question 2 of 43
A fetus is positioned in the occiput anterior position. The nurse determines that the fetus is positioned in which way?
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Question 3 of 43
Which assessment finding indicates that cervical dilation and/or effacement has occurred?
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Question 4 of 43
What is the primary difference between the labor of a nullipara and that of a multipara?
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Question 5 of 43
Cephalohematoma occurring from an operative vaginal delivery increased a newborn's risk of developing which of the following complications?
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Question 6 of 43
While attending the delivery of a patient with GODM, the nurse notices the retraction of the fetal head onto the perineum. What is the nurse's next best action?
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Question 7 of 43
Which statement regarding the care of a client in labor is correct and important to the nurse in the formulation of the plan of care?
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Question 8 of 43
The nurse has received a report regarding a client in labor. The woman's last vaginal examination was recorded as 3 cm, 30%, and –2. What is the nurse's interpretation of this assessment?
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Question 9 of 43
The nurse hears the laboring patient making grunting noises. How will the nurse determine if the person is in the active second stage of labor?
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Question 10 of 43
The nurse is performing an initial assessment of a client in labor. What is the appropriate terminology for the relationship of the fetal body parts to one another?
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Question 11 of 43
Uncontrolled maternal hyperventilation during labor results in
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Question 12 of 43
A patient admitted to the labor unit asks the nurse to discuss the episiotomy procedure with her. Which is true regarding episiotomy?
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Question 13 of 43
When should the nurse consider suggesting a doula?
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Question 14 of 43
How does becoming a parent cause the birthing person to feel?
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Question 15 of 43
A fetus is in the occiput anterior position. During the cardinal movement of extension, which events are occurring? Select all that apply.
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Question 16 of 43
A nurse performs a vaginal examination on her patient in early labor and determines that the head is ballotable. What is this defined as?
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Question 17 of 43
The onset of labor is multifactorial. These reasons include which of the following? Select all that apply.
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Question 18 of 43
Which female pelvis is most suitable for vaginal delivery?
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Question 19 of 43
On admission to the labor unit, a primigravid woman at 38 weeks gestation states, “I need to urinate more now but at least I can breathe easier.†The nurse is aware that this is likely due to which physiological process?
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Question 20 of 43
The nurse has just performed a sterile vaginal examination on her patient and reports the examination as 4 cm, 50%, –1. What does this represent?
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Question 21 of 43
The nurse is assessing the duration of a patient's labor contractions. Which method does the nurse implement to assess the duration of labor contractions?
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Question 22 of 43
The nurse should note how long the interval between contractions lasts because:
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Question 23 of 43
Which clinical finding should the nurse expect to assess in the third stage of labor that indicates the placenta has separated from the uterine wall? (Select all that apply.)
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Question 24 of 43
A woman having her third baby has planned epidural analgesia for labor and birth. However, her labor was so rapid that she did not have the epidural. What is the best initial nursing approach in this case?
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Question 25 of 43
A patient asks the nurse how she can tell if labor is real. Which information should the nurse provide to this patient? (Select all that apply.)
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Question 26 of 43
A laboring patient asks the nurse how she will know that the contraction is at its peak. The nurse explains that the contraction peaks during which stage of measurement?
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Question 27 of 43
A woman's membranes rupture during a contraction. The priority nursing action is to:
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Question 28 of 43
A station of 11 means that the:
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Question 29 of 43
The health care provider for a laboring patient makes the following entry into the patient's record: 3/50%/+1. What instruction will the nurse implement with the patient?
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Question 30 of 43
A woman has chosen a trial of labor after cesarean. Which findings indicate the best understanding of the nurse's teaching by the patient?
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Question 31 of 43
Which change in fetal physiologic activity is not part of this process?
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Question 32 of 43
A woman presents to labor and delivery at 37 weeks plus 6 days gestation with complaints of constant abdominal pain and dark red bleeding that started 30 minutes ago. Upon examination, the woman's abdomen is consistently rigid and tender. Fetal heart tones are noted to be in the 70s. Which are these findings are associated with?
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Question 33 of 43
Which maternal factor may inhibit fetal descent during labor?
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Question 34 of 43
Which is the best explanation for the use of hydration and relaxation in the treatment of hypertonic labor?
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Question 35 of 43
A 24-year-old G4 T1 A2 L1 presents to obstetric triage with complaints of contractions every 3 minutes, accompanied by bright red vaginal bleeding. The woman is 29 weeks gestation with a twin pregnancy. She has had three urinary tract infections during this pregnancy and is currently taking Microbid daily as prophylaxis. Her last baby was born via cesarean section for breech malpresentation. She denies any other significant medical history. What risk factors for placenta previa does this patient have? Select all that apply.
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Question 36 of 43
An increase in urinary frequency and leg cramps after the 36th week of pregnancy are an indication of
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Question 37 of 43
Which changes take place in the woman's reproductive system, days or even weeks before the commencement of labor?
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Question 38 of 43
During the second stage, what do the birthing person's vital signs most likely show?
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Question 39 of 43
What effect will the presence of support people in labor most likely have?
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Question 40 of 43
What is the correct term describing the slight overlapping of cranial bones or shaping of the fetal head during labor?
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Question 41 of 43
The most appropriate time for the nurse to assist a laboring woman to push is:
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Question 42 of 43
If the fetal attitude is assessed to be completely deflexed on sonogram or via Leopold's maneuvers, what presenting part do you anticipate palpating in a vaginal exam?
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Question 43 of 43
The nurse is caring for a patient during induction of labor. The oxytocin is currently infusing at 6 mU/min. The fetal heart tracing displays a 130 baseline, moderate variability, and no accelerations or decelerations. Uterine contractions have been every 2 minutes for the last 30 minutes. What is the nurse's next best action?
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