MATERNITY/OB PN HESI SPECIALTY V2
MATERNITY/OB PN HESI SPECIALTY V2
1) 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?
A) Latent phase, First Stage
B) Active Phase of First Stage
C) Latent phase of Second Stage
D) Transition
Ans:
B) Active Phase of First Stage
Second stage = full dilation until
birth
2) To assess uterine contractions the LPN/LVN would
A) 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.
B) 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
C) 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
MATERNITY/OB PN HESI SPECIALTY V2
,MATERNITY/OB PN HESI SPECIALTY V2
of one contraction to another.
D) Assess duration from beginning to end of each
contraction., frequency by measuring the time between
the beginnings of
MATERNITY/OB PN HESI SPECIALTY V2
, MATERNITY/OB PN HESI SPECIALTY V2
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.
3) Which basic type of pelvis includes the correct description and
percentage of occurrence in women?
A) Platypelloid: flattened, wide, shallow; 3%
B) Anthropoid: resembling the ape; narrower; 10%
C) Android: resembling the male; wider oval; 15%
D) Gynecoid: classic female; heart
shaped; 75% Ans:
A) Platypelloid: flattened, wide, shallow; 3%
4) What position would be least effective when gravity is
desired to assist in fetal descent?
A) Lithotomy
B) Walking
C) Kneeling
D) Sittin
g Ans:
A) Lithotomy
5) The factors that affect the process of labor and
birth, known commonly as the five Ps, include all
EXCEPT:
A) Passageway.
B) Powers.
C) Passenger.
MATERNITY/OB PN HESI SPECIALTY V2
MATERNITY/OB PN HESI SPECIALTY V2
1) 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?
A) Latent phase, First Stage
B) Active Phase of First Stage
C) Latent phase of Second Stage
D) Transition
Ans:
B) Active Phase of First Stage
Second stage = full dilation until
birth
2) To assess uterine contractions the LPN/LVN would
A) 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.
B) 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
C) 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
MATERNITY/OB PN HESI SPECIALTY V2
,MATERNITY/OB PN HESI SPECIALTY V2
of one contraction to another.
D) Assess duration from beginning to end of each
contraction., frequency by measuring the time between
the beginnings of
MATERNITY/OB PN HESI SPECIALTY V2
, MATERNITY/OB PN HESI SPECIALTY V2
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.
3) Which basic type of pelvis includes the correct description and
percentage of occurrence in women?
A) Platypelloid: flattened, wide, shallow; 3%
B) Anthropoid: resembling the ape; narrower; 10%
C) Android: resembling the male; wider oval; 15%
D) Gynecoid: classic female; heart
shaped; 75% Ans:
A) Platypelloid: flattened, wide, shallow; 3%
4) What position would be least effective when gravity is
desired to assist in fetal descent?
A) Lithotomy
B) Walking
C) Kneeling
D) Sittin
g Ans:
A) Lithotomy
5) The factors that affect the process of labor and
birth, known commonly as the five Ps, include all
EXCEPT:
A) Passageway.
B) Powers.
C) Passenger.
MATERNITY/OB PN HESI SPECIALTY V2
