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ATI RN · ATI Maternal Newborn · labor and delivery nclex questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

How can a nurse support the patient during the fourth stage of labor?

A. Support pushing efforts with feedback on how much progress is being made

B. Ensure epidural anesthesia is adequate for pain control, reposition frequently, provide dietary intake per provider's order.

C. Assess for any bleeding or amniotic fluid presence in the vaginal discharge

D. Provide rest, space, and time for bonding between assessments, support for feeding preferences, diligent monitoring for complications, pain management.

Expert Explanatory Rationale

Correct Answer: Provide rest, space, and time for bonding between assessments, support for feeding preferences, diligent monitoring for complications, pain management.

Question 2 of 5

A fetus is positioned in the occiput anterior position. The nurse determines that the fetus is positioned in which way?

A. The fetal shoulder is closest to the vaginal opening.

B. The fetal head is closest to the vaginal opening and the occiput is directed toward the maternal symphysis.

C. The fetal head is closest to the uterine fundus and is directed toward the maternal symphysis.

D. The fetal head is closest to the vaginal opening and is directed toward the maternal sacrum.

Expert Explanatory Rationale

Correct Answer: The fetal head is closest to the vaginal opening and the occiput is directed toward the maternal symphysis.

Question 3 of 5

Which assessment finding indicates that cervical dilation and/or effacement has occurred?

A. Onset of irregular contractions

B. Cephalic presentation at 0 station

C. Bloody mucus drainage from vagina

D. Fetal heart tones (FHTs) present in the lower right quadrant

Expert Explanatory Rationale

Correct Answer: Bloody mucus drainage from vagina

Question 4 of 5

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

A. Amount of cervical dilation

B. Total duration of labor

C. Level of pain experienced

D. Sequence of labor mechanisms

Expert Explanatory Rationale

Correct Answer: Total duration of labor

Question 5 of 5

Cephalohematoma occurring from an operative vaginal delivery increased a newborn's risk of developing which of the following complications?

A. Bulging fontanels

B. Developmental delays

C. Jaundice

D. Macrocephaly

Expert Explanatory Rationale

Correct Answer: Jaundice

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