labor and delivery questions and answers

HESI RN · labor and delivery questions and answers

Question 1 of 43

Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?

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HESI RN · labor and delivery questions and answers

Question 2 of 43

The nurse is directing an unlicensed assistive personnel (UAP) to obtain maternal vital signs between contractions. Which statement is the appropriate rationale for assessing maternal vital signs between contractions raNtheRr thaIn aGt anBot.heCr inMterval? U S N T O

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HESI RN · labor and delivery questions and answers

Question 3 of 43

During an oxytocin induction, which assessment finding is most concerning to the labor and delivery nurse?

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HESI RN · labor and delivery questions and answers

Question 4 of 43

A patient who is 8 cm dilated develops circumoral numbness and dizziness. What is the nurseÃ¢â‚¬â„¢s priority intervention?

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HESI RN · labor and delivery questions and answers

Question 5 of 43

During the COVID-19 pandemic, what was revealed about the importance of labor support?

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HESI RN · labor and delivery questions and answers

Question 6 of 43

Why is precipitous labor most often seen in multiparous women?

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HESI RN · labor and delivery questions and answers

Question 7 of 43

What is the nurse's understanding of the appropriate role of primary and secondary powers?

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HESI RN · labor and delivery questions and answers

Question 8 of 43

The nurse is assessing a patient in the active phase of labor. What should the nurse expect during this phase?

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HESI RN · labor and delivery questions and answers

Question 9 of 43

The nurse midwife caring for a multiparous client who is 5 cm dilated requests intermittent auscultation (IA) of the fetal heart rate. The womanÃ¢â‚¬â„¢s history reveals no risk factors. How often should IA be performed in this patient?

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HESI RN · labor and delivery questions and answers

Question 10 of 43

The nurse is providing discharge instructions to a person who was evaluated for possible labor. How does the nurse explain how losing the mucus plug could be a sign of impending labor?

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HESI RN · labor and delivery questions and answers

Question 11 of 43

When does the active phase of labor begin according to ACOG?

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HESI RN · labor and delivery questions and answers

Question 12 of 43

Choose the most reliable evidence that true labor has begun.

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HESI RN · labor and delivery questions and answers

Question 13 of 43

The labor and delivery nurse is caring for a 27-year-old primigravida with the following vaginal exam: 2 to 3 cm dilated/70% effaced/-2 station. For the last 2 hours the FHR tracing has displayed a Category I tracing and uterine contractions that are every 2 minutes. The contractions are strong to palpation and the patient is now 3/70%/-2. Which is the nurseÃ¢â‚¬â„¢s next best action?

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HESI RN · labor and delivery questions and answers

Question 14 of 43

Which woman is the best candidate for a trial of labor after cesarean (TOLAC)?

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HESI RN · labor and delivery questions and answers

Question 15 of 43

The primary difference between the labor of a nullipara and that of a multipara is

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HESI RN · labor and delivery questions and answers

Question 16 of 43

A gravida 3, para 2 is attempting a vaginal birth without the use of pain medicine or anesthesia. Following spontaneous rupture of membranes, the patientÃ¢â‚¬â„¢s cervical exam was 5 cm dilated, 60% effaced, -2 station. Which therapeutic intervention is appropriate for this patient?

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HESI RN · labor and delivery questions and answers

Question 17 of 43

What anticipatory guidance should the nurse provide for new parents regarding sociologic changes?

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HESI RN · labor and delivery questions and answers

Question 18 of 43

What changes in hormones initiate labor?

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HESI RN · labor and delivery questions and answers

Question 19 of 43

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

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HESI RN · labor and delivery questions and answers

Question 20 of 43

At least five factors affect the process of labor and birth. These are easily remembered as the five Ps. Which factors are included in this process?

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HESI RN · labor and delivery questions and answers

Question 21 of 43

Which of the following are signs of impending labor? Select all that apply.

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HESI RN · labor and delivery questions and answers

Question 22 of 43

Which statement by the client would lead the nurse to believe that labor has been established?

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HESI RN · labor and delivery questions and answers

Question 23 of 43

Pregnant patients can usually tolerate the normal blood loss associated with childbirth because of which physiologic adaptation to pregnancy?

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HESI RN · labor and delivery questions and answers

Question 24 of 43

A 28-year-old gravida 1, para 0 patient who is at term calls the labor and birth unit stating that she thinks she is in labor. She states that she does have some vaginal discharge and feels wet;

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HESI RN · labor and delivery questions and answers

Question 25 of 43

A woman's position is an important component of the labor progress. Which guidance is important for the nurse to provide to the laboring client?

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HESI RN · labor and delivery questions and answers

Question 26 of 43

Which explains why infants who are delivered via cesarean section before the start of labor have more difficulty transitioning to extrauterine life?

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HESI RN · labor and delivery questions and answers

Question 27 of 43

Arrange the seven cardinal movements of labor, in order.

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HESI RN · labor and delivery questions and answers

Question 28 of 43

Which criteria should be verified prior to vacuum or forceps use? Select all that apply.

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HESI RN · labor and delivery questions and answers

Question 29 of 43

A fetus is positioned in a longitudinal lie with its head in the fundus with both hips and knees flexed. Which presentation is this known as?

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HESI RN · labor and delivery questions and answers

Question 30 of 43

Nurses can help their clients by keeping them informed about the distinctive stages of labor. Which description of the phases of the first stage of labor is accurate?

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HESI RN · labor and delivery questions and answers

Question 31 of 43

A 28-year-old woman without risk factors has now reached the second stage of labor. What is the optimal position for her at this point?

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HESI RN · labor and delivery questions and answers

Question 32 of 43

How long is the expected length of the third stage of labor?

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HESI RN · labor and delivery questions and answers

Question 33 of 43

A 35-year-old gravida 1, para 0 is admitted to the labor and delivery unit. She reports intense rectal pressure. Which stage of labor is probable?

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HESI RN · labor and delivery questions and answers

Question 34 of 43

A woman is admitted in active labor. Her leukocyte count is 14,500/mm3. Based on this information, the nurse should:

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HESI RN · labor and delivery questions and answers

Question 35 of 43

The nurse expects which maternal cardiovascular finding during labor?

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HESI RN · labor and delivery questions and answers

Question 36 of 43

A womanÃ¢â‚¬â„¢s pelvis is described as long and narrow with an anteroposterior diameter greater than the transverse diameter. This is known as which type of pelvis?

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HESI RN · labor and delivery questions and answers

Question 37 of 43

The nurse is planning care for a patient during the fourth stage of labor. Which interventions should the nurse plan to implement? (Select all that apply.)

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HESI RN · labor and delivery questions and answers

Question 38 of 43

Which statement is the best rationale for assessing the maternal vital signs between uterine contractions?

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HESI RN · labor and delivery questions and answers

Question 39 of 43

When auscultating the fetal heart rate of a term fetus during labor, the nurse notes a rate of 130 to 140 beats per minute (bpm), with occasional accelerations in the rate. How should the nurse interpret the data?

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HESI RN · labor and delivery questions and answers

Question 40 of 43

To determine if the patient is in true labor, the nurse would assess for changes in

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HESI RN · labor and delivery questions and answers

Question 41 of 43

A laboring woman who has not taken pain medication abruptly stops her previous breathing techniques during a contraction and makes low-pitched grunting sounds. The priority nursing action is to:

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HESI RN · labor and delivery questions and answers

Question 42 of 43

A new mother asks the nurse when the soft spot on her son's head will go away. What is the nurse's best response, based upon her understanding of when the anterior frontal closes?

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HESI RN · labor and delivery questions and answers

Question 43 of 43

On admission to the labor and birth unit, a 38-year-old female, gravida 4, para 3, at term in early labor is found to have a transverse lie on vaginal examination. What is the priority intervention at this time?

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