ATI RN
high risk labor and delivery nclex questions Questions
Question 1 of 5
A labor and delivery nurse should be cognizant of which information regarding how the fetus moves through the birth canal?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which adaptation of the maternal-fetal exchange of oxygen occurs in response to uterine contraction?
Correct Answer: C
Rationale: The correct answer is C because uterine contractions during labor tend to decrease circulation, leading to compression of spiral arterioles and diminishing the maternal-fetal exchange of oxygen. The other options do not accurately describe the adaptation of the maternal-fetal exchange of oxygen in response to uterine contractions.
Question 3 of 5
Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth?
Correct Answer: C
Rationale: During the active pushing (descent) phase, the woman has strong urges to bear down as the presenting part of the fetus descends and presses on the stretch receptors of the pelvic floor. The vulva stretches and begins to bulge, encircling the fetal head. Birth of the head occurs when the station is +4. A 0 station indicates engagement. Bloody show occurs throughout the labor process and is not an indication of an imminent birth. Rupture of membranes can occur at any time during the labor process and does not indicate an imminent birth.
Question 4 of 5
Which factors influence cervical dilation?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
When assessing a laboring woman's blood pressure, the nurse should:
Correct Answer: B
Rationale: Checking blood pressure between contractions provides an accurate reading as contractions can temporarily elevate blood pressure. Inflating the cuff during a contraction (A) would give inaccurate results due to increased tension. Slight elevation (C) may occur but does not justify skipping proper timing. Positioning the woman on her back (D) could cause supine hypotension.