Framing Comfort During the Childbirth Process

HESI RN · Framing Comfort During the Childbirth Process

Question 1 of 39

What are the normal signs of placental separation?

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HESI RN · Framing Comfort During the Childbirth Process

Question 2 of 39

What determines the type of deceleration pattern?

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HESI RN · Framing Comfort During the Childbirth Process

Question 3 of 39

What corresponds to contractions every 3 minutes lasting 60 seconds?

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HESI RN · Framing Comfort During the Childbirth Process

Question 4 of 39

To decrease the possibility of a perineal laceration during delivery, the nurse performs which of the following interventions prior to the delivery?

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HESI RN · Framing Comfort During the Childbirth Process

Question 5 of 39

What is the first action if a woman feels rectal pressure during contractions?

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HESI RN · Framing Comfort During the Childbirth Process

Question 6 of 39

Based on Leopold's maneuvers, which fetal position is indicated if the back is felt on the mother's left side, small parts on her right, buttocks in the fundal region, and head above the symphysis?

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HESI RN · Framing Comfort During the Childbirth Process

Question 7 of 39

Which breathing technique is often used during the transition phase of labor?

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HESI RN · Framing Comfort During the Childbirth Process

Question 8 of 39

What is the contraction pattern of contractions occurring every 3 minutes and lasting 90 seconds?

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HESI RN · Framing Comfort During the Childbirth Process

Question 9 of 39

A client, G2P1001, 5 cm dilated and 40% effaced, has just received an epidural. Which of the following actions is important for the nurse to make at this time?

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HESI RN · Framing Comfort During the Childbirth Process

Question 10 of 39

What effect do analgesics have on fetal heart rate variability?

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HESI RN · Framing Comfort During the Childbirth Process

Question 11 of 39

A nurse is assessing the vital signs of a client in labor at the peak of a contraction. Which of the following findings would the nurse expect to see?

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HESI RN · Framing Comfort During the Childbirth Process

Question 12 of 39

What physiological change is expected during contractions?

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HESI RN · Framing Comfort During the Childbirth Process

Question 13 of 39

Increased blood volume during pregnancy leads to:

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HESI RN · Framing Comfort During the Childbirth Process

Question 14 of 39

One example that may be used is that untreated gonorrhea may be associated with:

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HESI RN · Framing Comfort During the Childbirth Process

Question 15 of 39

Which nursing intervention for a formula-feeding postpartum client will hinder milk production?

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HESI RN · Framing Comfort During the Childbirth Process

Question 16 of 39

Which cultural group commonly requests head coverings during labor?

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HESI RN · Framing Comfort During the Childbirth Process

Question 17 of 39

Which scenario indicates that the woman should be seen by a healthcare provider?

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HESI RN · Framing Comfort During the Childbirth Process

Question 18 of 39

Where should the fetoscope be placed to hear the fetal heartbeat for a fetus in the LOA position?

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HESI RN · Framing Comfort During the Childbirth Process

Question 19 of 39

What statement indicates a client needs additional teaching about when to go to the hospital?

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HESI RN · Framing Comfort During the Childbirth Process

Question 20 of 39

On completing a fundal assessment, the nurse notes the fundus is situated on the client's right abdomen. Which of the following actions is appropriate?

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HESI RN · Framing Comfort During the Childbirth Process

Question 21 of 39

What is indicated by a bulging perineum and bloody show?

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HESI RN · Framing Comfort During the Childbirth Process

Question 22 of 39

A primigravida is pushing with contractions. The nurse notes that the woman's perineum is beginning to bulge and that there is an increase in bloody show. Which of the following actions by the nurse is appropriate at this time?

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HESI RN · Framing Comfort During the Childbirth Process

Question 23 of 39

A woman is in active labor and is being monitored electronically. She has just received Stadol 2 mg IM for pain. Which of the following fetal heart responses would the nurse expect to see on the internal monitor tracing?

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HESI RN · Framing Comfort During the Childbirth Process

Question 24 of 39

What helps reduce perineal tearing during delivery?

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HESI RN · Framing Comfort During the Childbirth Process

Question 25 of 39

What is recommended for women with an epidural who feel no urge to push?

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HESI RN · Framing Comfort During the Childbirth Process

Question 26 of 39

A nurse in the labor and delivery unit receives a phone call from a client who reports contractions that started about 2 hours ago, did not go away when she drank water and rested, became stronger while walking, no fluid leak from her vagina, and saw some blood when she wiped after voiding. Based on this report, the nurse recognizes that the client is experiencing which clinical finding?

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HESI RN · Framing Comfort During the Childbirth Process

Question 27 of 39

It is 4 p.m. A client, G1P0000, 3 cm dilated, asks the nurse when the dinner tray will be served. The nurse replies

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HESI RN · Framing Comfort During the Childbirth Process

Question 28 of 39

What should the nurse assess if a woman is fully dilated but not feeling rectal pressure?

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HESI RN · Framing Comfort During the Childbirth Process

Question 29 of 39

A woman had a baby by normal spontaneous delivery 10 minutes ago. The nurse notes that a gush of blood was just expelled from the vagina and the umbilical cord lengthened. What should the nurse conclude?

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HESI RN · Framing Comfort During the Childbirth Process

Question 30 of 39

What is the primary goal of childbirth education classes?

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HESI RN · Framing Comfort During the Childbirth Process

Question 31 of 39

A nurse is caring for women from four different countries. Which of the women is most likely to request that her head be kept covered throughout her hospitalization?

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HESI RN · Framing Comfort During the Childbirth Process

Question 32 of 39

On vaginal examination, it is noted that a woman with a well-functioning epidural is in the second stage of labor. The station is 2 and the baseline fetal heart rate is 130 with no decelerations. Which of the following nursing actions is appropriate at this time?

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HESI RN · Framing Comfort During the Childbirth Process

Question 33 of 39

Which fetal lie corresponds to a sacral presentation?

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HESI RN · Framing Comfort During the Childbirth Process

Question 34 of 39

A woman's obstetric history indicates that she is pregnant for the fourth time, and all of her children from previous pregnancies are living. One child was born at 39 weeks of gestation, twin girls were born at 34 weeks of gestation, and the most recent child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?

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HESI RN · Framing Comfort During the Childbirth Process

Question 35 of 39

A nurse is caring for a newborn immediately following birth. Which nursing intervention is the highest priority?

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HESI RN · Framing Comfort During the Childbirth Process

Question 36 of 39

What should the nurse assess before reporting the client's status to the health care provider?

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HESI RN · Framing Comfort During the Childbirth Process

Question 37 of 39

What does moderate variability in fetal heart rate indicate?

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HESI RN · Framing Comfort During the Childbirth Process

Question 38 of 39

Which fetal position is depicted if the sacrum is pointing towards the mother's left anterior side?

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HESI RN · Framing Comfort During the Childbirth Process

Question 39 of 39

What position helps prevent hypotension after epidural insertion?

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