ATI RN
high risk labor and delivery nclex questions Questions
Question 1 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 2 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.
Question 3 of 5
The abbreviation LOA means that the fetal occiput is:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
What is the primary benefit of the stress of labor to the newborn?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Bloody show differs from active vaginal bleeding in that bloody show:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.