Comfort Measures During Labor and Delivery

HESI RN · Comfort Measures During Labor and Delivery

Question 1 of 84

What medication treats uterine atony?

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HESI RN · Comfort Measures During Labor and Delivery

Question 2 of 84

How does becoming a parent cause the birthing person to feel?

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HESI RN · Comfort Measures During Labor and Delivery

Question 3 of 84

When does the second stage of labor begin?

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HESI RN · Comfort Measures During Labor and Delivery

Question 4 of 84

What is the likely status of a multipara who was 8 cm dilated and is now pushing with the fetal head visible?

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HESI RN · Comfort Measures During Labor and Delivery

Question 5 of 84

The abbreviation LOA means that the fetal occiput is:

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HESI RN · Comfort Measures During Labor and Delivery

Question 6 of 84

A client at 40 weeks gestation is being seen in the prenatal clinic. Where would the nurse expect the fundal height to be palpated?

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HESI RN · Comfort Measures During Labor and Delivery

Question 7 of 84

What periodic change in the FHR baseline is associated with fetal hypoxia?

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HESI RN · Comfort Measures During Labor and Delivery

Question 8 of 84

How can the nurse address multiple family members in the labor room?

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HESI RN · Comfort Measures During Labor and Delivery

Question 9 of 84

In which fetal position is the mother most likely to experience severe back pain?

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HESI RN · Comfort Measures During Labor and Delivery

Question 10 of 84

The nurse is performing a vaginal examination on a client in labor. The client is found to be 5 cm dilated, 90% effaced, and station 2. Which of the following has the nurse palpated?

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HESI RN · Comfort Measures During Labor and Delivery

Question 11 of 84

To differentiate between caput succedaneum and cephalohematoma in a newborn, the nurse would consider the following clinical information. (Select all that apply.)

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HESI RN · Comfort Measures During Labor and Delivery

Question 12 of 84

What should the nurse do if a laboring woman becomes light-headed and tachypneic?

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HESI RN · Comfort Measures During Labor and Delivery

Question 13 of 84

A nurse is coaching a woman who is in the second stage of labor. Which of the following should the nurse encourage the woman to do?

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HESI RN · Comfort Measures During Labor and Delivery

Question 14 of 84

What action is needed if the fetal heart tracing shows average variability?

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HESI RN · Comfort Measures During Labor and Delivery

Question 15 of 84

What is the obstetric conjugate?

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HESI RN · Comfort Measures During Labor and Delivery

Question 16 of 84

What accurately describes the importance of birthing person position changes during the second stage?

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HESI RN · Comfort Measures During Labor and Delivery

Question 17 of 84

What does the nurse explain after administering fentanyl?

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HESI RN · Comfort Measures During Labor and Delivery

Question 18 of 84

What must be done before assessing fetal heart variability?

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HESI RN · Comfort Measures During Labor and Delivery

Question 19 of 84

Choose the abbreviation that represents the fetal presentation and position that is most favorable for vaginal birth.

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HESI RN · Comfort Measures During Labor and Delivery

Question 20 of 84

What changes in hormones initiate labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 21 of 84

What causes fetal heart rate accelerations?

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HESI RN · Comfort Measures During Labor and Delivery

Question 22 of 84

What assessment must the nurse make immediately after an amniotomy?

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HESI RN · Comfort Measures During Labor and Delivery

Question 23 of 84

How can the nurse support open glottis breathing for pushing?

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HESI RN · Comfort Measures During Labor and Delivery

Question 24 of 84

What Bishop score describes the most favorable cervix?

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HESI RN · Comfort Measures During Labor and Delivery

Question 25 of 84

What action can help a woman work with the pain of the first stage of labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 26 of 84

What type of monitoring can you offer?

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HESI RN · Comfort Measures During Labor and Delivery

Question 27 of 84

Which techniques are integral parts of Lamaze childbirth education?

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HESI RN · Comfort Measures During Labor and Delivery

Question 28 of 84

When would the nurse expect to see the fetal heart changes noted on the monitor tracing shown below?

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HESI RN · Comfort Measures During Labor and Delivery

Question 29 of 84

The nurse is providing acupressure to provide pain relief to a woman in labor. Where is the best location for the acupressure to be applied?

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HESI RN · Comfort Measures During Labor and Delivery

Question 30 of 84

What is the recommended breathing technique during the second stage of labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 31 of 84

What is the frequency and duration of contractions occurring every 3 minutes and lasting 60 seconds?

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HESI RN · Comfort Measures During Labor and Delivery

Question 32 of 84

What complication does gestational diabetes increase?

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HESI RN · Comfort Measures During Labor and Delivery

Question 33 of 84

What is the best response to a laboring client asking about eating?

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HESI RN · Comfort Measures During Labor and Delivery

Question 34 of 84

How can the nurse support involution of the uterus?

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HESI RN · Comfort Measures During Labor and Delivery

Question 35 of 84

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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HESI RN · Comfort Measures During Labor and Delivery

Question 36 of 84

Immediately following administration of an epidural anesthesia, the nurse must monitor the mother for which of the following?

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HESI RN · Comfort Measures During Labor and Delivery

Question 37 of 84

What type of dystocia occurs when the fetal head cannot navigate the pelvis?

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HESI RN · Comfort Measures During Labor and Delivery

Question 38 of 84

What is the nursing intervention for prolapsed cord?

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HESI RN · Comfort Measures During Labor and Delivery

Question 39 of 84

Which fetal position is depicted if the back is on the mother's left anterior side?

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HESI RN · Comfort Measures During Labor and Delivery

Question 40 of 84

During a postpartum assessment on a client who delivered vaginally, the nurse would complete which of the following actions? (Select all that apply.)

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HESI RN · Comfort Measures During Labor and Delivery

Question 41 of 84

What assessment provides the most valuable information regarding the client's labor status?

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HESI RN · Comfort Measures During Labor and Delivery

Question 42 of 84

What intervention will the nurse initiate?

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HESI RN · Comfort Measures During Labor and Delivery

Question 43 of 84

What is maternal hypertension associated with?

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HESI RN · Comfort Measures During Labor and Delivery

Question 44 of 84

A G1P0, 8 cm dilated, is to receive pain medication. The health care practitioner has decided to order an opiate analgesic with an analgesic-potentiating medication. Which of the following medications would the nurse expect to be ordered as the analgesic-potentiating medication?

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HESI RN · Comfort Measures During Labor and Delivery

Question 45 of 84

What condition increases the risk for fetal demise?

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HESI RN · Comfort Measures During Labor and Delivery

Question 46 of 84

Where should the fetal monitor be placed if the fetus is in the sacral presentation with the back towards the mother's right side?

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HESI RN · Comfort Measures During Labor and Delivery

Question 47 of 84

What client statement indicates she is likely in labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 48 of 84

What is the primary goal of nursing care in the early phase of labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 49 of 84

A client who is at 8 weeks of gestation tells the nurse, 'I am not sure I am happy about being pregnant.' Which response should the nurse make?

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HESI RN · Comfort Measures During Labor and Delivery

Question 50 of 84

A client in labor is talkative and happy. How many centimeters dilated would a maternity nurse suspect that the client is at this time?

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HESI RN · Comfort Measures During Labor and Delivery

Question 51 of 84

What is a complication of oligohydramnios?

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HESI RN · Comfort Measures During Labor and Delivery

Question 52 of 84

What can the nurse say upon seeing the fetal head through the vaginal introitus?

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HESI RN · Comfort Measures During Labor and Delivery

Question 53 of 84

How often should the nurse assess the fetal heart using intermittent auscultation?

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HESI RN · Comfort Measures During Labor and Delivery

Question 54 of 84

What is an indication for administering terbutaline?

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HESI RN · Comfort Measures During Labor and Delivery

Question 55 of 84

The nurse recognizes that the administration of Rhogam is indicated by which client data?

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HESI RN · Comfort Measures During Labor and Delivery

Question 56 of 84

What is a common side effect of regional anesthesia?

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HESI RN · Comfort Measures During Labor and Delivery

Question 57 of 84

What should the nurse do if a woman falls asleep between contractions during the second stage of labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 58 of 84

Which phase of labor is the woman likely in if she is breathing rapidly with contractions?

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HESI RN · Comfort Measures During Labor and Delivery

Question 59 of 84

What additional information do Leopold's maneuvers provide?

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HESI RN · Comfort Measures During Labor and Delivery

Question 60 of 84

How often is oxytocin increased for induction?

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HESI RN · Comfort Measures During Labor and Delivery

Question 61 of 84

Which medication is often used as an analgesic potentiator?

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HESI RN · Comfort Measures During Labor and Delivery

Question 62 of 84

Which of the following actions is appropriate for the nurse to perform when caring for a Chinese-speaking woman in active labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 63 of 84

During the third stage, the following physiological changes occur. Please place the changes in chronological order.

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HESI RN · Comfort Measures During Labor and Delivery

Question 64 of 84

What can the nurse offer the laboring person to help with relaxation and reducing anxiety?

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HESI RN · Comfort Measures During Labor and Delivery

Question 65 of 84

What do restlessness, cyanosis, and nasal flaring indicate?

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HESI RN · Comfort Measures During Labor and Delivery

Question 66 of 84

What drug is an anxiolytic that relieves apprehension and creates a feeling of calm?

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HESI RN · Comfort Measures During Labor and Delivery

Question 67 of 84

What finding positively confirms that a client is in labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 68 of 84

At what cervical dilation is a woman likely in the transition phase of labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 69 of 84

What is the nurse's responsibility after epidural catheter insertion?

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HESI RN · Comfort Measures During Labor and Delivery

Question 70 of 84

What characterizes a second-degree laceration?

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HESI RN · Comfort Measures During Labor and Delivery

Question 71 of 84

Which acupressure point helps reduce labor pain?

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HESI RN · Comfort Measures During Labor and Delivery

Question 72 of 84

What is the order of changes during the third stage of labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 73 of 84

What is a sign of fetal distress?

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HESI RN · Comfort Measures During Labor and Delivery

Question 74 of 84

A 35-week infant is admitted to the NICU with a diagnosis of preterm with respiratory distress syndrome. The nurse observes that the client will stop breathing for 20-30 seconds then resume breathing. The nurse documents this as:

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HESI RN · Comfort Measures During Labor and Delivery

Question 75 of 84

Why should the pregnant person not lie on their back?

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HESI RN · Comfort Measures During Labor and Delivery

Question 76 of 84

What does a thin cervix indicate during labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 77 of 84

When is the placenta diagnosed as retained?

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HESI RN · Comfort Measures During Labor and Delivery

Question 78 of 84

When should the nurse assess the fetal heart pattern during the latent phase? Select all that apply.

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HESI RN · Comfort Measures During Labor and Delivery

Question 79 of 84

How is station assessed during labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 80 of 84

What should prompt a pregnant woman to go to the hospital?

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HESI RN · Comfort Measures During Labor and Delivery

Question 81 of 84

How often should the nurse assess the fetal heart rate in a low-risk person during the second stage?

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HESI RN · Comfort Measures During Labor and Delivery

Question 82 of 84

What is culturally sensitive care for a Chinese woman in labor?

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HESI RN · Comfort Measures During Labor and Delivery

Question 83 of 84

What strategy promotes learning in pregnant teens?

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HESI RN · Comfort Measures During Labor and Delivery

Question 84 of 84

What is consistent with the assessment of fetal buttocks at 1 cm above the ischial spines?

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