ATI RN
high risk labor and delivery nclex questions Questions
Question 1 of 5
When does the second stage of labor begin?
Correct Answer: D
Rationale: The correct answer is D because the second stage of labor begins when the mother starts pushing to deliver the baby. This stage involves the actual delivery of the baby and ends with the birth. The other choices are incorrect because: A: Labor begins before the second stage. B: The early phase is part of the first stage of labor. C: Full dilation and effacement mark the transition between the first and second stages but pushing is when the second stage actually begins.
Question 2 of 5
During the third stage of labor, what may the birthing person experience?
Correct Answer: B
Rationale: During the third stage of labor, the birthing person may experience cramping, a gush of fresh vaginal bleeding, and lengthening of the umbilical cord. This is due to the delivery of the placenta. Cramping helps expel the placenta, fresh vaginal bleeding is normal after delivery, and the lengthening of the umbilical cord indicates that the placenta is detaching. Choices A, C, and D are incorrect as they do not accurately describe the typical experiences during the third stage of labor.
Question 3 of 5
How should the nurse respect the rapid psychologic changes occurring in the fourth stage of labor?
Correct Answer: B
Rationale: The correct answer is B because in the fourth stage of labor, immediate postpartum bonding between parents and newborn is crucial. The nurse should respect the rapid psychologic changes by taking cues from the parents on how they want this bonding experience to unfold. This approach ensures that the parents are supported in establishing a strong emotional bond with their newborn, promoting a positive postpartum experience. Choice A is incorrect because inviting the family in may not align with the parents' wishes for privacy during this intimate moment. Choice C is incorrect as asking multiple questions about taking pictures may be intrusive and disrupt the bonding process. Choice D is incorrect as separating the newborn from the parents can hinder bonding and may not align with current best practices in postpartum care.
Question 4 of 5
The nurse is caring for a laboring patient with multiple family members in the room. How can the nurse address this situation?
Correct Answer: B
Rationale: The correct answer is B, asking all family members to leave the room. This is important to provide privacy, reduce distractions, and maintain the laboring person's comfort and focus. Educating the family on pain normalcy (A) is secondary to the laboring person's immediate needs. Suggesting an epidural (C) without the laboring person's consent is inappropriate. Assuming the laboring person wants the family in the room (D) disregards the individual's preferences and comfort.
Question 5 of 5
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?
Correct Answer: D
Rationale: Rationale for Correct Answer (D): - During uterine contractions, placental blood flow may be temporarily reduced but not completely halted. - Fetal-maternal exchange of oxygen and waste products continues to occur even during contractions. - This is because the placenta acts as a continuous filter, allowing exchange to happen unless placental functions are severely compromised. Summary of Other Choices: A: Incorrect. There is an effect on maternal-fetal exchange during contractions. B: Incorrect. Increased blood pressure does not necessarily correlate with increased exchange. C: Incorrect. Compression of spiral arteries may impact blood flow but does not completely stop exchange.