HESI RN · Intrapartum Complications NCLEX Questions
Question 1 of 24
Multiple gestation can lead to what labor complication?
A
tachysystole
B
postterm birth
C
postterm birth
D
early declarations
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HESI RN · Intrapartum Complications NCLEX Questions
Question 2 of 24
In a spontaneous abortion, if bleeding from the retained products of conception cannot be stopped, what is the next course of action?
A
surgery for a dilation and curettage
B
surgery for a hysterectomy
C
administration of magnesium sulfate
D
administration of calcium gluconate
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 3 of 24
An emergency cesarean is being implemented. The patient describes tingling in her ears and a metallic taste with the administration of regional anesthesia. The nurse is aware that which incidence has occurred?
A
Manifestation of maternal respiratory depression related to anesthesia
B
Inadvertent injection of the anesthetic agent into the maternal bloodstream
C
Maternal hypotension is occurring related to administration of anesthesia
D
Expected manifestations related to anesthetic medications are present
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 4 of 24
The nurse is concerned that a patient’s uterine activity is too intense and that her obesity is
preventing accurate assessment of the actual intrauterine pressure. Based on this information,
which action should the nurse take?
A
Reposition the tocotransducer.
B
Reposition the Doppler transducer.
C
Obtain an order from the health care provider for a spiral electrod
D
Obtain an order from the health care provider for an intrauterine pressure catheter.
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 5 of 24
A nurse is taking a birth history assessment on a client who is 8 weeks gestation and has one child who was born at 38 weeks. Which is consistent with this birth history?
A
Primipara
B
Primigravida
C
Nulligravida
D
Multipara
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 6 of 24
What is the nursing intervention for prolapsed cord?
A
Turn the person to the side.
B
Give the person oxygen.
C
Lift the presenting part off the cord.
D
Increase the oxytocin.
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 7 of 24
What is one potential fetal complication of using the vacuum extractor?
A
cephalohematoma
B
face presentation
C
fetal growth restriction
D
scalp fracture
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 8 of 24
When assessing a prenatal client at follow-up prenatal visits during the second trimester, the nurse should anticipate which assessments to be performed at each visit? Select all that apply.
A
Cervical examination
B
Weight, height, BMI
C
Fetal ultrasound
D
Fundal height
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 9 of 24
Which statement by the patient indicates to the nurse that the patient understands danger signs during the second trimester?
A
I should contact the doctor if I experience heartburn.
B
I should contact the doctor if I experience constipation.
C
I should contact the doctor if I experience hurting when I urinate.
D
I should contact the doctor if I experience leg cramps.
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 10 of 24
A patient who is expecting her first baby tells the nurse, “I am afraid of the whole birth experience and plan to ask the doctor for a cesarean delivery.†Which response by the nurse is most appropriate?
A
I will get you some material about how labor pain is managed.
B
Most women avoid cesarean births unless it is an emergency.
C
I suggest you talk with the physician and get another opinion.
D
Cesarean will cause you issues with additional pregnancies.
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 11 of 24
The nurse is instructing a nursing student on the application of fetal monitoring devices. Which method of assessing the fetal heart rate requires the use of a gel?
A
Doppler
B
Fetoscope
C
Scalp electrode
D
Tocodynamometer
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 12 of 24
What is the condition in which the umbilical cord vessels branch prior to insertion into the placenta?
A
placenta previa
B
placenta cervix
C
velamentous insertion
D
vasa previa
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 13 of 24
Which of the following therapeutic applications provides the most accurate information related to uterine contraction strength?
A
External fetal monitoring (EFM)
B
Internal fetal monitoring
C
Intrauterine pressure catheter (IUP
D
Maternal comments based on perception
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 14 of 24
When evaluating the patient's progress, the nurse knows that four of the five fetal factors that interact to regulate the heart Nrate Rare I(SeGlect Bal.l CthatM apply.) U S N T O
A
baroreceptors.
B
adrenal glands.
C
chemoreceptors.
D
uterine activity.
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 15 of 24
The nurse-manager on a labor and delivery unit is monitoring the reasons for cesarean births at the facility. Which reasons contribute to the high rates of cesarean births? Select all that apply.
A
Fetuses in breech position unable to deliver vaginally
B
Increased number of elective or maternal request cesareans
C
Incidences of women of older maternal age getting pregnant
D
Decreasing rate of malpractice litigation with cesarean birth
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 16 of 24
Decelerations that mirror the contractions are present with each contraction on the monitor strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should
A
maintain the normal assessment routine
B
administer O at 8 to 10 L/minute by face mask.
C
increase the IV flow rate from 125 to 150 mL/hour.
D
assess the maternal blood pressure for a systolic pressure below 100 mm Hg.
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 17 of 24
What is a possible complication of oligohydramnios?
A
fetal macrosomia
B
preterm labor
C
placenta previa
D
fetal growth restriction
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 18 of 24
Decreased capillary refill, delay in milk production, and diminished peripheral pulses are signs of what complication?
A
alteration in perfusion
B
alteration in liver function
C
alteration in kidney function
D
alteration in uterine function
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 19 of 24
What pregnant person is at high risk for labor dystocia?
A
38-week gestation
B
41-year-old
C
prenatal anemia
D
no prenatal care
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 20 of 24
Following a cesarean birth, intrathecal morphine is administered to the patient for postoperative pain management. Of which fact about intrathecal morphine therapy is the nurse aware? Select all that apply.
A
An anesthesiologist or CRNA administers it intrathecally.
B
The nurse needs to closely monitor for common side effects.
C
The drug produces generalized CNS depression.
D
The recommended dose is 10 to 15 mg.
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 21 of 24
What medication is used for cervical ripening?
A
amniotomy
B
Hemabate
C
misoprostol
D
progesterone
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HESI RN · Intrapartum Complications NCLEX Questions
Question 22 of 24
The nurse is reviewing an electronic fetal monitor tracing from a patient in active labor and notes the fetal heart rate gradually drops to 20 beats per minute (bpm) below the baseline and returns to the baseline well after the completion of the patient's contractions. How will the nurse document these findings?
A
Late decelerations
B
Early decelerations
C
Variable decelerations
D
Proximal decelerations
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HESI RN · Intrapartum Complications NCLEX Questions
Question 23 of 24
The fetal heart rate baseline increases 20 bpm after vibroacoustic stimulation. The best interpretation of this is that the fetus is showing
A
a worsening hypoxi
B
progressive acidosis.
C
an expected respons
D
parasympathetic stimulation.
Select an option. Use Strike to cross one out.
HESI RN · Intrapartum Complications NCLEX Questions
Question 24 of 24
The nurse is assessing the client for the presence of ballottement. Which should the nurse perform to test for the presence of ballottement?
A
Palpate the uterus for contractions
B
Assess the skin for increased pigmentation
C
Initiate a gentle upward tap on the cervix
D
Palpate the abdomen for fetal outline
Select an option. Use Strike to cross one out.