1. The passageway in labor and delivery … 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. 8. Which of the following would be contraindicated when caring for this client? In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis? 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? RhoGam is prescribed for a client after delivery and the nurse provides information to the client about the purpose of the medication. 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. Which assessment finding should the nurse expect to note if this condition is present? 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. The nurse is caring for a client in labor. Labor and Delivery Unit Safety AHRQ Publication No. 0 Essay(s) Pending (Possible Point(s): 0). 0 Likes. A postpartum nurse is providing instructions to a client after delivery of a healthy infant. Labor and delivery nurses, usually considered a subset of obstetrics (OB) nursing, are specifically tasked with guiding women through childbirth and caring for the child immediately after. I spoke to the nurse … 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 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). Items may include questions about labor and delivery, antepartum, intrapartum, and postpartum nursing care. On the basis of these findings, the nurse should prepare the client for which anticipated prescription? A nurse is assessing a client who is 6 hours post-partum after delivering a full-term healthy infant. Call the delivery room to notify the staff that the client will be transported immediately 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? What will the nurse relay to the client as the most likely outcome of the amniotomy? The doctor performs an amniotomy. 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. 3d. Take our short quiz to learn what nursing specialty is best suited for your nursing career! The nurse plans to administer the medication by which of the following routes? Warming the crib pad. Although she is 14 weeks pregnant, the size of her uterus approximates that in an 18- to 20-week pregnancy. 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. Nurse Salary 2020: How Much Do Registered Nurses Make? Quiz Flashcard. Labor … What information should the nurse give to this mother regarding breastfeeding success? • 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. Feedback. If it’s all on one floor, you’ll have fewer because your labor nurse will turn into your postpartum nurse. 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. A client makes a routine visit to the prenatal clinic. We are euphoric and so in love with our baby. 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. Hence you can not start it again. The diet should include additional fluids. Questions 1-11 Hannah Pick the answer that you think fits best, and in the end, we will tell you what kind of nurse you should be. Strongly tugging on the umbilical cord to deliver the placenta and hasten placental separation . The nurse notes the presence of the umbilical cord protruding from the vagina. It is very quick because it is emergent! The nurse is assisting the health care provider with an amniotomy. Once the nurse was back from lunch, I spoke with her regarding the mother’s concerns. 2. Now we are 24 hours postpartum. The nurse is caring for a client in labor. 4a. A nurse is caring for four 1-day postpartum clients. What Should We Call Labor and Delivery A peek into the day to day of a Labor and Delivery unit... Posts; Archive ; itunes.apple.com ... nurse scheduling Kronos webscheduler nightshift shift work day shift nursing nurse nursing student nursing apps. A client with eclampsia begins to experience a seizure. New York University. Which of the following nursing actions is appropriate? magnesium sulfate. SATA. Dr. Charles diagnoses gestational trophoblastic disease and orders ultrasonography. As an L&D Nurse, you should be comfortable dealing with a broad range of emotions, addressing questions… These roles require excellent patient relations skills and the capacity to serve as a calming, supportive presence. Which of the following persons must the nurse notify? I think this medical terminology for labor and delivery will be super helpful -- all from an L&D nurse! Please click on the “View Questions” button below to review your answers and read through the rationales for each question. 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. The nurse includes which intervention in the plan of care? The path to becoming a labor and delivery nurse varies for each nursing professional. All questions are shown, but the results will only be given after you’ve finished the quiz. Fun. Which interventions are appropriate? 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. But on average midwifes tend to earn more than labor and delivery nurses. 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. A nurse is preparing a plan of care for a newborn with fetal alcohol syndrome. “We don’t just rock babies all day,” said Crystal Paunan, MSN, RNC, an instructor at Chamberlain’s Addison campus and nurse … The results of the ultrasound indicate that abruption placentae is present. Learn More About Our Nursing Programs. Nurses must quickly switch between a supportive role and a directorial one. 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. Take the quiz again to perfect your OB IQ. Which client has an abnormal finding that would require further intervention? Those looking to continue their education should pursue a DNP in nurse-midwifery or women's health clinical nurse specialist. “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. Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. The nurse is preforming an assessment of a client who is scheduled for a cesarean delivery. Labor and delivery nurses have many different responsibilities pre- and post-childbirth. administration of oxytocin (Pitocin). Arrest of cervical dilation and uterine activity. 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. Her oral intake has been ice chips only since surgery. As a public school, Washington residents get a low in-state tuition rate, too. Persistent nonreassuring fetal heart rate. 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. 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 nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. Client has a good to tolerable level of pain. Difficulty. The nurse reports the amount of lochial flow as: 1. A client with type 1 diabetes mellitus who is a multigravida visits the clinic at 27 weeks gestation. When assessing a client during her first prenatal visit, the nurse discovers that the client had a reduction mammoplasty. Progestin use may increase the patient’s risk for: A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms? My mom was planning to fly here to help me care for my new baby after delivery. While the postpartum client is receiving heparin for thrombophlebitis, which of the following drugs would the nurse expect to administer if the client develops complications related to heparin therapy? 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. Expect the tour to last one to two hours and be led by a labor & delivery nurse or hospital staff member. A nurse is teaching a postpartum client about breast-feeding. With all the nursing specialties out there, it can be confusing to know what requirements there are to become a labor and delivery nurse. A lot of your job is reassuring your patient that yes, they can and will deliver this baby. Labor and Delivery. There is no time limit, answer the questions at your own pace. 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. Which nursing diagnosis takes priority for this client? A broader, more comprehensive approach to high-risk pregnancy has been adopted. They are there to educate new parents on what the delivery process will be and to answer any questions about labor and birth. 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. After delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: 1. In case of complications during childbirth, they may also need to assist in, and help prepare the mother for, a cesarian section. I did run out of time and I had 2 questions left. Which of the following would the nurse in charge do first? Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. Assessment reveals that she is in the early part of the first stage of labor. Settings. The key to a successful individualized care plan is the precise assessment and accurate obtaining of data. Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. A patient has undergone an amniocentesis for evaluation of fetal well-being. Monitor the newborn's response to feedings and weight gain pattern. The nurse assigned to care for the client ensures that which medication is readily available if respiratory depression occurs? Ask the client to urinate and empty her bladder. Drying the infant with a warm blanket. During labor, these 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. A nurse is monitoring a client in preterm labor who is receiving I.V. During the hours or even days after we give birth, we feel off. Then it’s go time. This test is not based on any scientific study whatsoever. For vaginal delivery, you’ll stay in the hospital for 1-2 nights. The nurse should include which priority intervention in the plan of care? During labor, your cervix will open (dilate) to 10 centimeters. 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. Giving birth … obstetric triage nurse can prevent a complication from becoming a crisis. A nurse is planning care for a newborn of a diabetic mother. A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. Support the mother in her reaction to the newborn infant. 13 notes Feb 4th, 2015. Therapeutic Communication Techniques Quiz. The child is making frantic rooting motions and will not grasp the nipple. 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. Labor and Delivery Nurses assist patients before, during and after childbirth. After 3 days of breastfeeding, a postpartum patient reports nipple soreness. Quiz complete. Select all that apply. With all the nursing specialties out there, it can be confusing to know what requirements there are to become a labor and delivery nurse. I will ask the nurse to attend to my infant if I am napping and my husband is not here. The National Certification Corporation offers certification in Inpatient Obstetric Nursing (RNC-OB). 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. Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration? 13 Questions | By Rnpedia | Last updated: Nov 9, 2020 | Total Attempts: 4174 . The labor nurse became what we call the “mole” and put a sterile glove and sleeve on and switched places with the physician. Let's talk about some basic labor and delivery maternity terminology. 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? Do not think about the answers too long. Aspiring labor and delivery nurses without a nursing license should enroll in the BSN, one of the best undergraduate programs in the region. A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor. A patient is in her last trimester of pregnancy. Which is most likely to occur? It is intended for fun only so do not treat the result too seriously :) Answers. • 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 nurse determines that the client has understood the instructions if she makes which of the following statements. Labor and delivery nurses must be alert for signs of change during the birthing process. Maintaining standard precautions at all times while caring for the newborn. While caring for a multigravida client in early labor in a birthing center, which of the following foods would be best if the client requests a snack? Which assessment finding indicates to the nurse that the client is beginning the second stage of labor? 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. If the client's labor can be inhibited for the next 48 hours, what medication does the nurse anticipate will be prescribed? 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