HESI OB MATERNITY VERSION 1 V1 EXIT
ACTUAL EXAM WITH VERIFIED
DETAILED ANSWERS (100% CORRECT)
NEW!/ A+ GRADE ASSURED
A client is admitted to the labor and delivery unit with
contractions that are 3-5 minutes apart, lasting 60-70 seconds.
She reports that she is leaking fluid. A vaginal exam reveals that
her cervix is 80 percent effaced and 4 cm dilated and a -1
station. The LPN/LVN knows that the client is in which phase and
stage of labor?
• Latent phase, First Stage
• Active Phase of First Stage
• Latent phase of Second Stage
• Transition
Ans: Active Phase of First Stage Second stage = full dilation
until
birth
,To assess uterine contractions the LPN/LVN would
• Asses duration from the beginning of the contraction to
the peak of the same contraction, frequency by measuring the
time between the beginning of one contraction to the
beginning of the next contraction.
• Assess frequency as the time between the end of one
contraction and the beginning of the next contraction, duration
as the length of time from the beginning to the end of
contractions, and palpate the uterus for strength
• Assess duration from beginning to end of each
contraction. Assess the strength of the contraction by the
external fetal monitor reading.
Measure frequency by measuring the beginning of one
contraction to another.
• Assess duration from beginning to end of each
contraction.,frequency by measuring the time between the
beginnings of contractions, and palpate the fundus of the
uterus for strength.
Ans: D) Assess duration from beginning to end of each
contraction., frequency by measuring the time between the
beginnings of contractions, and palpate the fundus of the
uterus for strength.
, Which basic type of pelvis includes the correct description and
percentage of occurrence in women?
• Platypelloid: flattened, wide, shallow; 3%
• Anthropoid: resembling the ape; narrower; 10%
• Android: resembling the male; wider oval; 15%
• Gynecoid: classic female; heart shaped; 75%
Ans: Platypelloid: flattened, wide, shallow; 3%
What position would be least effective when gravity is desired
to assist in fetal descent?
• Lithotomy
• Walking
• Kneeling
• Sitting
Ans: Lithotomy
The factors that affect the process of labor and birth, known
commonly as the five Ps, include all EXCEPT:
• Passageway.
• Powers.
• Passenger.
• Pressure.
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