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HESI RN · HESI Maternity · Intrapartum Complications Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which nursing action is correct when initiating electronic fetal monitoring?

A. Lubricate the tocotransducer with an ultrasound gel.
B. Securely apply the tocotransducer with a strap or belt.
C. Inform the patient that she should remain in the semi-Fowler position.
D. Determine the position of the fetus before attaching the electrode to the maternal abdomen.

Expert Explanatory Rationale

Correct Answer: Determine the position of the fetus before attaching the electrode to the maternal abdomen.

Question 2 of 5

Which clinical finding can be determined only by electronic fetal monitoring?

A. Variability
B. Tachycardia
C. Bradycardia
D. Fetal response to contractions

Expert Explanatory Rationale

Correct Answer: Fetal response to contractions

Question 3 of 5

What Bishop score describes the most favorable cervix?

A. 2
B. 4
C. 6
D. 8

Expert Explanatory Rationale

Correct Answer: 8

Question 4 of 5

The nurses in a labor and delivery unit are concerned about the high incidence of cesarean deliveries at their facility and initiate an internal study. Which is the most likely condition the nurses will recognize as a contributor to the rate of cesarean births?

A. The facility has a high rating for managing high-risk pregnancies.
B. Policies and parameters for cesarean need to be reviewed and refined.
C. Community education about the advantages of vaginal birth is deficient.
D. The incidence of maternal requests for cesarean delivery is increasing.

Expert Explanatory Rationale

Correct Answer: The incidence of maternal requests for cesarean delivery is increasing.

Question 5 of 5

The nurse is preparing supplies for an amnioinfusion on a patient with intact membranes. Which supplies should the nurse gather? (Select all that apply.)

A. Extra underpads
B. Solution of 3% normal saline
C. Amniotic hook to perform an amniotomy
D. Solid intrauterine pressure catheter with a pressure transducer on its tip

Expert Explanatory Rationale

Correct Answer: Extra underpads

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