After 3 days of breastfeeding, a postpartum patient reports nipple soreness. A nurse is providing postpartum instructions to a client who will be breast-feeding her newborn. A nurse in a newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. A primigravida in active labor is about 9 days post-term. A nurse in a delivery room is assisting with the delivery of a newborn. The nurse plans to administer the medication by which of the following routes? Nurses must quickly switch between a supportive role and a directorial one. I will ask the nurse to attend to my infant if I am napping and my husband is not here. All questions are shown, but the results will only be given after you’ve finished the quiz. There are 545 NCLEX -style practice questions partitioned in 8 sets. When evaluating a client’s knowledge of symptoms to report during her pregnancy, which statement would indicate to the nurse in charge that the client understands the information given to her? According to the United States Bureau of Labor Statistics, the average salary for registered nurses including labor and delivery nurses … Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. 4. A 31-year-old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8 cm, completely effaced (100 %), and at 0 station. For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. At about 36 weeks of pregnancy, you'll be expecting the arrival of your baby soon. The nurse assigned to care for the client ensures that which medication is readily available if respiratory depression occurs? Therapeutic Communication Techniques Quiz. After nine months of pregnancy, you’re so close to getting to meet your new baby. 6. "How do you view your role as a member of the labor and delivery team?" Connect the resuscitation bag to the oxygen outlet. Which observation would the nurse be expected to make after the amniotomy? The nurse interprets this reaction as indicative of which of the following reflexes? The nurse expects ultrasonography to reveal: After completing a second vaginal examination of a client in labor, the nurse-midwife determines that the fetus is in the right occiput anterior position and at (–1) station. What should the nurse do to help the woman process the delivery? Once you take this quiz, you’ll want to continue on to take our 4-letter personality quiz. A patient has undergone an amniocentesis for evaluation of fetal well-being. View Wrap Quiz 4.docx from NUR 114 at Fayetteville Technical Community College. In this section are the practice quiz and questions for maternity nursing and newborn care nursing test banks. Which diagnostic tool is appropriate to suggest to her at this time? A nurse is teaching a postpartum client about breast-feeding. A priority nursing diagnosis for this infant is: 4. A nurse is prepared to perform a fundal assessment on a postpartum client. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, Maternity Nursing NCLEX Practice Quiz and Test Bank (500+ Questions), Nursing Test Bank: Free Practice Questions, NCLEX Questions Nursing Test Bank and Review, Nursing Test Bank and Nursing Practice Questions for Free, NCLEX Practice Questions Test Bank (2021 Update), Nursing Pharmacology Practice Questions & Test Bank for NCLEX (500+ Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. This is your first set of practice questions for maternity nursing. A primigravida client at about 35 weeks gestation in active labor has had no prenatal care and admitted to cocaine use during the pregnancy. If it’s all on one floor, you’ll have fewer because your labor nurse will turn into your postpartum nurse. When assessing a client during her first prenatal visit, the nurse discovers that the client had a reduction mammoplasty. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her infant. That’s usually for smaller hospitals though. The nurse includes which intervention in the plan of care? When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse in charge should include which of the following? While the client is in active labor with twins and the cervix is 5 cm dilated, the nurse observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period. Duties listed on sample resumes of Labor and Delivery Nurses include performing vaginal exams and assessments of women during the stages of labor, and assisting families with the birthing process, including the labor and delivery, recovery and postpartum areas. So the baby was delivered in this case in under 8 minutes. A labor and delivery nurse will also be on hand to assist you throughout the delivery. The nurse documents that the client is experiencing which type of labor dystocia? They should have a background working in a labor and delivery setting or specialized training in that area. Labor and delivery is emotionally and physically intense for any mother, no matter how many times they’ve been through it, the birth plan they’re following, or the unforeseen choices they may have to make. The nurse notes that the client's temperature is 100.2 degrees Farenheit. A pregnant patient asks the nurse if she can take castor oil for her constipation. Find out how to become a labor and delivery nurse. What actions should the nurse anticipate? Although she is 14 weeks pregnant, the size of her uterus approximates that in an 18- to 20-week pregnancy. You will be given a rundown of basic information, an opportunity to ask questions, and you'll even see the nursery and a delivery or recovery room. Which nursing diagnosis takes priority for this client? Which assessment finding indicates that the client is at risk for preterm labor? Labor and Delivery. But on March 24, labor and delivery nurses at both Zuckerberg San Francisco General and the UCSF Birth Center confirmed that laboring women are allowed one visitor in the delivery room and during the postpartum period. Warming the crib pad. I just took the labor and delivery test and it wasn't super hard. A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. The client desires a bilateral pudendal block anesthesia before delivery. With regard to small-for-gestational-age (SGA) infants and intrauterine growth restriction (IUGR), nurses should be aware that: A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. 3. 2. The nurse should suggest that the client perform: Which of the following would the nurse in charge do first after observing a 2-cm circle of bright red bleeding on the diaper of a neonate who just had a circumcision? Which of the following nursing actions is appropriate? Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below. The nurse notes the presence of the umbilical cord protruding from the vagina. The client had a midline episiotomy and has several hemorrhoids. The path to becoming a labor and delivery nurse varies for each nursing professional. The nurse reports the amount of lochial flow as: 1. The client complains to the nurse of feelings of faintness and dizziness. Learn about what labor is really like, how to build your birth plan, prepare for labor, how to get through labor, and more from the editors of Parents magazine. The nurse is monitoring a client in active stage of labor. Finding help online is nearly impossible. Support the mother in her reaction to the newborn infant. From teen moms to late-in … Ask the client to urinate and empty her bladder. The nurse is teaching care of the newborn to a childbirth preparation class and describes the need for administering antibiotic ointment into the eyes of the newborn. After administering bethanechol to a patient with urine retention, the nurse in charge monitors the patient for adverse effects. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the nurse that the teaching was effective? After teaching the client about the purpose of the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction? After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says: Forty-eight hours after delivery, the nurse in charge plans discharge teaching for the client about infant care. An adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. 4. Your labor paid off. L&D nurses care for women who are laboring, have complications of pregnancy or have recently given birth. 7. I did run out of time and I had 2 questions left. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! By this time, the nurse expects that the phase of postpartum psychological adaptation that the client would be in would be termed which of the following? As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. A. Fundal pressure applied to assist the mother in bearing down during delivery of the fetal head. magnesium sulfate. Maternity Nursing- Test III . Select all that apply. Explore Now. Which of the following would be the nurse’s most appropriate action? I would know exactly what questions to ask and what specific assessments to perform before calling the doctor. 2. Which assessment signs noted in the newborn would alert the nurse to the possibility of this syndrome? Before administering the medication, a nurse contacts the health care provider who prescribed the medication if which condition is documented in the client's medical history? The nurse is assisting the health care provider with an amniotomy. Sequential Easy First Hard First. Progestin use may increase the patient’s risk for: A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms? A postpartum nurse is providing instructions to a client after delivery of a healthy infant. When we hit 24 hours postpartum the fundus should be palpated at U-1. A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine 1 hour earlier. A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. The nurse is preforming an initial assessment on a client who has just been told that a pregnancy test is positive. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. How should the nurse respond? The nurse is caring for a client who has been admitted to labor and delivery. There is no time limit, answer the questions at your own pace. With all the nursing specialties out there, it can be confusing to know what requirements there are to become a labor and delivery nurse. The nurse determines that a new mother understands the teaching about prevention of newborn abduction if she states: The nurse is preparing to care for a newborn receiving phototherapy. A nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. The nurse reviews the health care provider's prescriptions and should question which prescription? A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). • Labor and delivery nurses are charged with assisting pregnant women throughout the entirety of the childbirth experience, from early labor to delivery and the immediate post-delivery phase that follows. The client states that she is in labor and says she attended the hospital clinic for prenatal care. The nurse is caring for a primigravida at about 2 months and 1-week gestation. A lot of your job is reassuring your patient that yes, they can and will deliver this baby. © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. After delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: The mother of a newborn calls a clinic and reports to a nurse that when cleaning the umbilical cord, the mother noticed that the cord was moist and that discharge was present. A client at 41 weeks gestation is admitted to the labor and delivery unit for labor induction. Labor – First Stage: Consider Cesarean Delivery Cervix 6 cm or greater. Empathy Labor and delivery nurses … Once the nurse was back from lunch, I spoke with her regarding the mother’s concerns. Labor and delivery nurse certifications are not mandatory, but they may show potential employers that nurses specialize in the area. Which of the following actions would be appropriate? Notable topics included in this nursing test bank include: nursing care of the pregnant mother (obstetric nursing), labor and delivery, prenatal nursing care, antepartum, intrapartum, and postpartum nursing care, nursing care of patients with preeclampsia, placental and cord anomalies, cesarean birth, labor complications, postpartum depression and more. When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in charge would expect to do which of the following? Client should exhibit no signs of bladder distention and have the ability to void every 2 hours. Labor and delivery nurses have many different responsibilities pre- and post-childbirth. During the hours or even days after we give birth, we feel off. It is intended for fun only so do not treat the result too seriously :) Answers. Please click on the “View Questions” button below to review your answers and read through the rationales for each question. Risk for injury related to low blood glucose levels. Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. The passageway in labor and delivery … Immediately after delivery, the nurse-midwife assesses the neonate’s head for signs of molding. Labor and delivery (L&D) is one of the most recognizable nursing specialties, and one that many aspiring nurses wish to pursue. 2. Welcome to your nursing test bank and NCLEX practice questions for maternity and newborn nursing. To mark the strip, the nurse in charge should instruct the client to push the control button at which time? Which finding indicates a genetic risk factor? Dr. Charles diagnoses gestational trophoblastic disease and orders ultrasonography. Labor and Delivery Unit Safety AHRQ Publication No. “The doctor or midwife is not there all the time,” said Paunan. Normal lochial findings in the first 24 hours post-delivery include: Accompanied by her husband, a patient seeks admission to the labor and delivery area. In this post, you can reference some of the most common interview questions for a labor and delivery nurse interview along with … There are 545 NCLEX-style practice questions partitioned in 8 sets. Which nursing diagnosis has the highest priority? In planning for admission of this newborn, the nurse's highest priority should be to: A nurse is assessing a newborn infant after circumcision and notes that the circumcised area is red with a small amount of bloody drainage. She has passed several clots. Which of the options listed here is not included as a category? Labor and delivery nurses have the complex job of advocating for both the mother and her yet-to-be born baby, which means that they require a finely honed set of ethics and deep understanding of the relationship between the two patients. The child is making frantic rooting motions and will not grasp the nipple. Quiz Flashcard. During labor, your cervix will open (dilate) to 10 centimeters. 2. After the quiz, please make sure to read the questions and rationales again by click on the "View Questions" button. I think this medical terminology for labor and delivery will be super helpful -- all from an L&D nurse! Which factors determine the type of molding? Like any other specialty, however, it has its challenges and rewards. A client makes a routine visit to the prenatal clinic. Which interventions are appropriate? These nurses … The nurse in charge is caring for a patient who is in the first stage of labor. Labor and Delivery Nurse: Advocating for the Mother As a labor and delivery nurse, you will support many different kinds of mothers throughout your career. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. Labor and delivery nurses may also help to administer or monitor other medications that a woman in labor may need. Difficulty. A pregnant client is diagnosed with partial placenta previa. Which assessment finding would the nurse expect to note during the assessment of this newborn? The key to a successful individualized care plan is the precise assessment and accurate obtaining of data. Play as. … Drying the infant with a warm blanket. This is a normal question, so we’ve designed this short quiz to help you discover whether nursing may be a good fit for you. The nurse is caring for a client in labor. Before administration of methergine, the priority nursing assessment is to check the: A nurse is preparing to administer Survanta to to a premature infant who has respiratory distress syndrome. Here are 19 of my favorite questions … The nurse should instruct the client that for most pregnant women with type 1 diabetes mellitus: When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to: What is the approximate time that the blastocyst spends traveling to the uterus for implantation? On the basis of these findings, the nurse should prepare the client for which anticipated prescription? Which of the following would be the priority at this time? Arrest of cervical dilation and uterine activity. Maternal And Child Health Nursing NCLEX Quiz 31 . The nurse monitors for which adverse reactions of this medication? What is the primary nursing diagnosis for this patient? Methergine is prescribed for a client with postpartum hemorrhage. A nurse is planning care for a newborn of a diabetic mother. What information should the nurse give to this mother regarding breastfeeding success? The client has a history of cardiac disease. Maintaining standard precautions at all times while caring for the newborn. A woman who is at 36 weeks of gestation is having a nonstress test. Her membranes are still intact, and the health care provider prepares to perform an amniotomy. A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. In case of complications during childbirth, they may also need to assist in, and help prepare the mother for, a cesarian section. Select all that apply. When they don’t, the labor and delivery nurse should be able to draw on their knowledge and experience to calmly and accurately assess the situation. Which of the following instructions should the nurse include? Which of the following measures would the nurse include in the teaching plan? A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. Will nurses be able to assist me in finding positions and exercises to help my labor progress? I should have reviewed a little but I didn't. A nurse is assessing a newborn who was born to a mother who is addicted to drugs. Then it’s go time. A nurse administers erythromycin ointment 0.5% to the eyes of a newborn and the mother asks the nurse why this is performed. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST): In the past, factors to determine whether a woman was likely to have a high-risk pregnancy were evaluated primarily from a medical point of view. The labor nurse became what we call the “mole” and put a sterile glove and sleeve on and switched places with the physician. Reproduction – Labor Quiz 1. SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based safety approach to reduce the potential for maternal and neonatal harms. The nurse determines that the client has understood the instructions if she makes which of the following statements. Which client has an abnormal finding that would require further intervention? This documented finding indicates that the fetal presenting part is located at which area? Following a precipitous delivery, examination of the client’s vagina reveals a fourth-degree laceration. While assessing a primipara during the immediate postpartum period, the nurse in charge plans to use both hands to assess the client’s fundus to: Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. A postpartum nurse is providing instruction to the mother of a newborn with hyperbilirubinemia who is being breast-fed. It’s easy to be inspired to become a nurse when you read about the exploits of famous caregivers such as Florence Nightingale, Mary Eliza Mahoney, and Clara Barton. Which instructions could be included in the plan of care? Nurse Salary 2020: How Much Do Registered Nurses Make? The best Labor and Delivery (L&D) Nurses are those who are compassionate, clear, and attentive communicators. Learn More About Our Nursing Programs. SATA. 0 Essay(s) Pending (Possible Point(s): 0). Client has a good to tolerable level of pain. An expectant father asks, “What type of disease causes infections in babies that can be prevented by using this ointment?” Which response by the nurse is accurate? Settings. Membranes ruptured (if feasible). All questions are shown, but the results will only be given after you’ve finished the quiz. The client has been experiencing contractions that are short, irregular, and weak. Notable topics included in this nursing test bank include: nursing care of the pregnant mother (obstetric nursing), labor and delivery, prenatal nursing care, antepartum, intrapartum, and postpartum nursing care, nursing care of patients with preeclampsia, placental and cord anomalies, cesarean birth, labor complications, postpartum depression and more. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. A nurse is caring for a client who is receiving Oxytocin/Pitocin to induce labor. A nurse is assessing a client who is 6 hours post-partum after delivering a full-term healthy infant. What is an appropriate indicator for performing a contraction stress test? Which assessment finding indicates to the nurse that the client is beginning the second stage of labor? Consider the following … Which of the following persons must the nurse notify? The nurse plans to instruct the postpartum client about methods to prevent breast engorgement. After a precipitous delivery, the nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. 2. You have already completed the quiz before. Instruct the client to request help when getting out of bed. it will slowly move down after that. Maternal And Child Health Nursing NCLEX Quiz 29 . As a Labor and Delivery (L&D) Nurse, you’ll help care for mothers and newborns before, during, and after the birth. And when the labor period for the woman has gone smoothly, a great chance for a safe and healthy delivery is within reach. Included in this nursing test bank are 500+ practice questions to test your competence on the concepts behind maternal and child health nursing, maternity nursing and obstetric nursing. The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. Hence you can not start it again. Prevent ophthalmia neonatorum from occuring after delivery in a newborn born to a woman with untreated gonococcal infection. SATA. I will flush the eyes after instilling the ointment. The nurse tells the client that effleurage is: Light stroking of the abdomen to facilitate relaxation during labor and provide tactile stimulation to the fetus; A form of biofeedback to enhance bearing down efforts during delivery Those looking to continue their education should pursue a DNP in nurse-midwifery or women's health clinical nurse specialist. The diet should include additional fluids. Which of the following would be contraindicated when caring for this client? Items may include questions about labor and delivery, antepartum, intrapartum, and postpartum nursing care. When performing a postpartum assessment on a client, a nurse notes the presence of clots in the lochia. 4. During labor, these nurse … This test is not based on any scientific study whatsoever. Between 18 and 40 weeks gestation, which procedure is used to detect fetal anomalies? We are in… Once all questions are answered, you'll be prompted to click the "Quiz Summary" button where you'll be shown the questions you've answered or placed under "Review". The nurse determines that the woman understands the purpose of the medication if the woman states that is will protect her next baby from which of the following? The best response by the nurse would be: 2. Results: You might want to get some more info before the big day. Fun. We’ve made a significant effort to provide you with the most informative rationale so please be sure to read them. The appropriate nursing instruction to the mother is which of the following? Assess for the signs of true labor. Labor and delivery nurses have the complex job of advocating for both the mother and her yet-to-be born baby, which means that they require a finely honed set of ethics and deep understanding of the relationship between the two patients. Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. The nurse is caring for a client in labor. When doing perineal care in preparation for delivery. Read and understand each question before choosing the best answer. One registered nurse (RN) specialty in the hospital setting is labor and delivery (L&D). A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor. Labor and delivery nurses must be alert for signs of change during the birthing process. The multigravida mother with a history of rapid labor who us in active labor calls out to the nurse, “The baby is coming!” which of the following would be the nurse’s first action? Start. This includes coaching women through labor… We’ve made a significant … We are euphoric and so in love with our baby. Expect the tour to last one to two hours and be led by a labor & delivery nurse or hospital staff member. The nurse examines the clots and notes that they are larger than 1 centimeter. A pregnant client is receiving magnesium sulfate for the management of preeclampsia. You may interact more with your labor and delivery nurse than any other member of your birthing team. History of Triage, Legal Considerations, EMTALA . Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. I would make sure to get a urine sample because most likely the provider is going to want one. A nurse is monitoring the amount of lochia drainage in a client who is 2 hours postpartum and notes that the client has saturated a perineal pad in 1 hour. 3. Labor and Delivery Nurses assist patients before, during and after childbirth. As an L&D Nurse, you should be comfortable dealing with a broad range of emotions, addressing questions… Uterine contractions occur every 2 minutes, last 90 secs., and are strong to palpitations. 3d. What will the nurse relay to the client as the most likely outcome of the amniotomy? Labor and delivery nurses are often assigned to only one actively laboring patient. These issues may also hinder the birth process itself—all those birthing hormones have a deeply ancient pattern of release and ebbs and flows to facilitate labor, and they're not immune to interruption by an errant cranky healthcare provider who doesn't care about my yogic bouncy ball or need for a soothing shower or thinks I'm cuckoo-bananas for going the un-medicated route. Pick the answer that you think fits best, and in the end, we will tell you what kind of nurse you should be. Alabor and delivery nurse performs important responsibilities in caring for the pregnant women. “We don’t just rock babies all day,” said Crystal Paunan, MSN, RNC, an instructor at Chamberlain’s Addison campus and nurse … Nurse Vickie should instruct her to notify her primary health care provider immediately if she notices: The nurse in-charge is reviewing a patient’s prenatal history. The nurse discontinues the infusion if which of the following is noted on assessment of the client? The nurse explains to the mother that this is routinely done to: 4. The mother indicates she wants to breast-feed. The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. 4a. A patient is in her last trimester of pregnancy. I passed but barely so I have an email into my recruiter to see if I can retake it. L&D nurses … What must occur before the internal EFM can be applied? 1. A career in L&D nursing is often considered to be fast-paced, patient-centric and multifaceted. If you need more information or practice quizzes, please do visit the following links: Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. To assess the client’s preparation for parenting, the nurse might ask which question? An ultrasound is preformed on a client at term gestation who is experiencing moderate vaginal bleeding. Coping: Labor and delivery can be an exciting but scary time. The maternity nurse is preparing for the admission of a client in the third trimester of pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. Labor and delivery nurse interview questions & answers. I think this medical terminology for labor and delivery will be super helpful -- all from an L&D nurse! In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis? The labor nurse has to remain in this position in between the patient’s legs lifting the head off the cord until it is delivered. These feelings can be lessened by knowing what to look for and what to expect. Review assessment, interventions, monitoring, and care for conditions commonly encountered in labor and delivery nursing, including: Abruptio placenta, signs and symptoms, nursing action Apgar … However, I have horrible test anxiety and as soon as I saw it was timed I started freaking out. A client arrives at birthing center in active labor. C. Distensibility of vaginal canal and introitus . The instructor determines that the student needs to research this procedure further if the student states that: A client in preterm labor at 31 weeks who is dilated to 4 centimeters has been started on magnesium sulfate and contraction have stopped. The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus. The nurse instructs the client that she should expect normal bowel elimination to return: A nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. This includes coaching women through labor, offering advice on pain management and monitoring the vitals of both the mother and the baby throughout the entire process. “The person that’s their go-to is that labor and delivery nurse.” L&D nurses generally work 12-hour shifts, but because of the strong connection that forms, it’s not unusual for them to stay past their shift change just to be there when the baby is born. The doctor performs an amniotomy. Your nurse is trained to help you get through both the emotional and physical aspects of labor. It will be important to get … administration of oxytocin (Pitocin). Which change would the nurse identify as a progressive physiological change in the postpartum period? What is the shortest but most difficult part of this stage? Feedback. Labor … The client with lochia that is read and has a foul-smelling odor. An opioid analgesic is administered to a client in labor. A client who is 36 weeks pregnant comes to the clinic for a prenatal checkup. 13 Questions | By Rnpedia | Last updated: Nov 9, 2020 | Total Attempts: 4174 . 9. Plus it depends on how long your labor is. With all the nursing specialties out there, it can be confusing to know what requirements there are to become a labor and delivery nurse. So immediately post delivery this patient’s uterus should be felt at U, which means umbilicus or slightly above. Questions 1-11 Hannah They will do this by asking a variety of general interview questions, but you should also expect to field some common labor and delivery nurse interview questions. Take our short quiz to learn what nursing specialty is best suited for your nursing career! A nurse is preparing a plan of care for a newborn with fetal alcohol syndrome. After teaching a pregnant woman who is in labor about the purpose of the episiotomy, which of the following purposes stated by the client would indicate to the nurse that the teaching was effective? RhoGam is prescribed for a client after delivery and the nurse provides information to the client about the purpose of the medication. The passageway in labor and delivery of the fetus include the following EXCEPT. A client with eclampsia begins to experience a seizure. The nurse is reviewing the record of a client in the labor room and notes that the health care provider had documented the fetal presenting part is at the -1 station. B. Cervical dilatation and effacement. Giving birth … 8. Take the quiz again to perfect your OB IQ. After the labor has passed, delivery would commence immediately. In this method, the unsafe period for sexual intercourse is indicated by: During a nonstress test (NST), the electronic tracing displays a relatively flat line for fetal movement, making it difficult to evaluate the fetal heart rate (FHR). Let's talk about some basic labor and delivery maternity terminology. What is a common source of radiant heat loss? Labor and delivery nurse certification is valid for three years and you can recertify by taking the certification exam again or taking 45 hours of continuing education. Questions 12- 46 April (yellow NCLEX book). Continue to breast-feed every 2 to 4 hours. During this stage, how frequently should the nurse in charge assess her uterine contractions? the nurse should observe the following EXCEPT. 1. Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration? But on average midwifes tend to earn more than labor and delivery nurses. The woman would be placed under observation during labor to monitor her progress and ensure a safe delivery for her and the child. Now we are 24 hours postpartum. A nurse in a newborn nursery receives a telephone call the prepare for the admission of a 43-week gestation newborn with Apgar scores of 1 & 4. A nurse is monitoring a client in preterm labor who is receiving I.V. SATA. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Job Description & Duties. 17-0003-21-EF May 2017. Newborns are deficient in Vitamin K, and this injection prevents your newborn from bleeding. Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. Which assessment finding would alert the nurse to a compromise? A client at 36 weeks gestation is scheduled for a routine ultrasound prior to amniocentesis. You must sign in or sign up to start the quiz. Since this is a review, answers and rationales are shown after you click on the "Check" button. A primigravida client at 25 weeks gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. Persistent nonreassuring fetal heart rate. Which of the following techniques during labor and delivery can lead to uterine inversion? the uterus should contract down one finger breadth every 24 hours. Congratulations, you have completed this quiz! When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. As mentioned above, this can be a very scary time in addition to the pain. A nurse is caring for four 1-day postpartum clients. Assessment reveals that she is in the early part of the first stage of labor. Results are being recorded. A patient is in the second stage of labor. What does this score indicate? Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. Laboring mothers, particularly first-time mothers, need a nurse who knows when and how to take charge. For vaginal delivery, you’ll stay in the hospital for 1-2 nights. My hospital is restricting visitors and only allowing one support person. Methergine is prescribed for a woman to treat postpartum hemorrhage. • Labor and delivery nurses are charged with assisting pregnant women throughout the entirety of the childbirth experience, from early labor to delivery and the immediate post-delivery phase that follows. Which intervention would be included in the nurse’s plan of care after the procedure? A broader, more comprehensive approach to high-risk pregnancy has been adopted. B. The nurse was very upset and felt it was not my place to say anything to her regarding this. Which complication is most likely causing the client’s complaint of vaginal bleeding? A nurse explains the purpose of effleurage to a client in early labor. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with fetal alcohol syndrome? You may interact should i be a labor and delivery nurse quiz with your labor nurse will turn into your postpartum nurse administer. And what to look for and what to expect one floor, ’... By: 1 terminology for labor and delivery nurse performs important responsibilities in caring for a who! Delivery, the nurse sees a woman with HIV and her newborn infant briefly her. The path to becoming a labor and delivery nurse varies for each nursing professional membranes are still,! K, and are strong to palpitations with mothers and build a sense trust. Control button at which time pudendal block anesthesia before delivery must the nurse monitor the patient s... 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