HESI RN · high risk labor and delivery nclex questions
Question 1 of 42
Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth?
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HESI RN · high risk labor and delivery nclex questions
Question 2 of 42
A patient in labor presents with a breech presentation. The nurse understands that a breech presentation is associated with
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HESI RN · high risk labor and delivery nclex questions
Question 3 of 42
A 29-year-old gravida 1, para 0 woman who is 35 weeks pregnant is admitted to the labor and delivery unit. She states that there is fluid leaking from her vagina but she is not sure if it is urine. What should the nurse do to make the determination?
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HESI RN · high risk labor and delivery nclex questions
Question 4 of 42
An infant was born 1 minute ago and the Apgar score is being assigned. The infant has blue extremities, minimal flexion, a weak cry, a heart rate of 110 beats per minute, and coughs and pulls away when suctioned. How many points should be assigned? Record your answer using a whole number:
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HESI RN · high risk labor and delivery nclex questions
Question 5 of 42
Bloody show differs from active vaginal bleeding in that bloody show:
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HESI RN · high risk labor and delivery nclex questions
Question 6 of 42
Which is the cervical exam that most indicates the use of misoprostol?
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HESI RN · high risk labor and delivery nclex questions
Question 7 of 42
The nurse is caring for a laboring patient with multiple family members in the room. How can the nurse address this situation?
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HESI RN · high risk labor and delivery nclex questions
Question 8 of 42
A labor and delivery nurse should be cognizant of which information regarding how the fetus moves through the birth canal?
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HESI RN · high risk labor and delivery nclex questions
Question 9 of 42
Which physiologic event is the key indicator of the commencement of true labor?
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HESI RN · high risk labor and delivery nclex questions
Question 10 of 42
If a notation on the patient’s health record states that the fetal position is LSP, this indicates that the
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HESI RN · high risk labor and delivery nclex questions
Question 11 of 42
What is the primary benefit of the stress of labor to the newborn?
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HESI RN · high risk labor and delivery nclex questions
Question 12 of 42
Which of the following is a function of a doula during labor?
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HESI RN · high risk labor and delivery nclex questions
Question 13 of 42
What is a direct influence on cervical dilation? Select all that apply.
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HESI RN · high risk labor and delivery nclex questions
Question 14 of 42
The nurse who elects to practice in the area of obstetrics often hears discussion regarding the four Ps. What are the four Ps that interact during childbirth? (Select all that apply.)
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HESI RN · high risk labor and delivery nclex questions
Question 15 of 42
Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?
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HESI RN · high risk labor and delivery nclex questions
Question 16 of 42
A woman who is 39 weeks pregnant presents to the labor and delivery unit stating that she thinks she is in labor. Her contractions are irregular at 7 to 10 minutes apart. Which sign is definitive for true labor?
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HESI RN · high risk labor and delivery nclex questions
Question 17 of 42
When does the second stage of labor begin?
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HESI RN · high risk labor and delivery nclex questions
Question 18 of 42
The patient with which vaginal exam is most at risk for an umbilical cord prolapse?
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HESI RN · high risk labor and delivery nclex questions
Question 19 of 42
What makes up the powers of labor and birth?
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HESI RN · high risk labor and delivery nclex questions
Question 20 of 42
Which assessment finding would cause a concern for a patient who had delivered vaginally?
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HESI RN · high risk labor and delivery nclex questions
Question 21 of 42
How should the nurse respect the rapid psychologic changes occurring in the fourth stage of labor?
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HESI RN · high risk labor and delivery nclex questions
Question 22 of 42
A laboring patient states to the nurse, "I have to push!†What is the next nursing action?
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HESI RN · high risk labor and delivery nclex questions
Question 23 of 42
The nurse is caring for a gravida 5, para 4 who has been 5 centimeters dilated for 2 hours. The uterine contractions are every 5 minutes and mild to palpation. Which is the most appropriate nursing action?
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HESI RN · high risk labor and delivery nclex questions
Question 24 of 42
A sterile vaginal examination completed on a patient revealed the presenting part to be the mentum. What is this presentation known as?
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HESI RN · high risk labor and delivery nclex questions
Question 25 of 42
When assessing a laboring woman's blood pressure, the nurse should:
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HESI RN · high risk labor and delivery nclex questions
Question 26 of 42
A 40-year-old G2, P1 woman is admitted to the labor and delivery unit with contractions 6 minutes apart. She is 36 weeks pregnant, has a history of placenta previa, and is currently experiencing moderate vaginal bleeding. What should the nurse be prepared to do?
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HESI RN · high risk labor and delivery nclex questions
Question 27 of 42
When assessing the fetus using Leopold's maneuvers, the nurse feels a round, firm, and movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother's right side close to midline. What is the position of the fetus?
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HESI RN · high risk labor and delivery nclex questions
Question 28 of 42
During the third stage of labor, what may the birthing person experience?
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HESI RN · high risk labor and delivery nclex questions
Question 29 of 42
The abbreviation LOA means that the fetal occiput is:
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HESI RN · high risk labor and delivery nclex questions
Question 30 of 42
A patient whose cervix is dilated to 6 cm is considered to be in which phase of labor?
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HESI RN · high risk labor and delivery nclex questions
Question 31 of 42
The nurse is caring for a patient during the first stage of labor. What is an abnormal finding?
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HESI RN · high risk labor and delivery nclex questions
Question 32 of 42
When palpating labor contractions, the nurse should:
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HESI RN · high risk labor and delivery nclex questions
Question 33 of 42
When caring for a woman with a complete placenta previa, which finding should the nurse report to the physician?
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HESI RN · high risk labor and delivery nclex questions
Question 34 of 42
The nurse is caring for a 34-year-old gravida 4, para 3 experiencing a prolonged labor. The physician performed an amniotomy 3 hours ago to stimulate the progression of labor. The patient’s most recent vaginal exam was 8/80%/0. Which assessment finding should the nurse should be most concerned about?
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HESI RN · high risk labor and delivery nclex questions
Question 35 of 42
The nurse is explaining the physiology of uterine contractions to a group of nursing students. Which statement best explains the maternal-fetal exchange of oxygen and waste products during a contraction?
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HESI RN · high risk labor and delivery nclex questions
Question 36 of 42
The clinical nurse educator is providing instruction to a group of new nurses during labor orientation. Which information regarding the factors that have a role in the initiation of labor should the educator include in this teaching session? (Select all that apply.)
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HESI RN · high risk labor and delivery nclex questions
Question 37 of 42
Which factors influence cervical dilation?
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HESI RN · high risk labor and delivery nclex questions
Question 38 of 42
A gravida 2, para 1 is in active labor at 39 weeks gestation. Her cervical exam is 6 cm dilated, 60% effaced, and 0 station. An amniotomy is performed by the physician. The fluid is noted to be bloody and the fetal heart tones have decelerated to the 50s. What is the nurse’s next best action?
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HESI RN · high risk labor and delivery nclex questions
Question 39 of 42
A pregnant woman is at 38 weeks of gestation. She wants to know whether there are any signs that labor is getting close to starting. Which finding is an indication that labor may begin soon?
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HESI RN · high risk labor and delivery nclex questions
Question 40 of 42
A primigravida has just been examined. The examination revealed engagement of the fetal head. The nurse is aware that this means which of the following?
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HESI RN · high risk labor and delivery nclex questions
Question 41 of 42
Which adaptation of the maternal-fetal exchange of oxygen occurs in response to uterine contraction?
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HESI RN · high risk labor and delivery nclex questions
Question 42 of 42
Which basic type of pelvis includes the correct description and percentage of occurrence in women?
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