ATI RN
high risk labor and delivery nclex questions Questions
Question 1 of 5
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?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 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 3 of 5
Which basic type of pelvis includes the correct description and percentage of occurrence in women?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 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 5 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.