The nurse is preforming an assessment of a client who is scheduled for a cesarean delivery. 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. Which of the following nursing actions is appropriate? From teen moms to late-in … Newborns are deficient in Vitamin K, and this injection prevents your newborn from bleeding. Questions. Select all that apply. I did run out of time and I had 2 questions left. To mark the strip, the nurse in charge should instruct the client to push the control button at which time? 2. 2. Instruct the client to request help when getting out of bed. A. 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. Your nurse is trained to help you get through both the emotional and physical aspects of labor. 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? What is the shortest but most difficult part of this stage? Prevent ophthalmia neonatorum from occuring after delivery in a newborn born to a woman with untreated gonococcal infection. They are there to educate new parents on what the delivery process will be and to answer any questions about labor and birth. Her membranes are still intact, and the health care provider prepares to perform an amniotomy. Client has a good to tolerable level of pain. 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. A nurse is providing postpartum instructions to a client who will be breast-feeding her newborn. 3. WebMD offers questions to ask your health care provider about labor and delivery and practical considerations for yourself and family before the birth. As mentioned above, this can be a very scary time in addition to the pain. 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. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. 6. Which client has an abnormal finding that would require further intervention? Which change would the nurse identify as a progressive physiological change in the postpartum period? Let's talk about some basic labor and delivery maternity terminology. Which of the following would the nurse in charge do first? I passed but barely so I have an email into my recruiter to see if I can retake it. Maternal And Child Health Nursing NCLEX Quiz 29 . Which intervention should the nurse implement? The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with fetal alcohol syndrome? After 3 days of breastfeeding, a postpartum patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she: The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. While making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically: Which of the following is the most common kind of placental adherence seen in pregnant women? So immediately post delivery this patient’s uterus should be felt at U, which means umbilicus or slightly above. 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. Nurses can only seek this certification after two years, and at least 2,000 hours of experience. 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 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. View Wrap Quiz 4.docx from NUR 114 at Fayetteville Technical Community College. A lot of your job is reassuring your patient that yes, they can and will deliver this baby. Uterine contractions occur every 2 minutes, last 90 secs., and are strong to palpitations. The nurse notes that the client's temperature is 100.2 degrees Farenheit. 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 includes which intervention in the plan of care? Drying the infant with a warm blanket. 4. 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. Which of the following would be the nurse’s most appropriate action? 4. Explore Now. Research the education and training requirements and learn about the experience you need to advance your career in nursing. At about 36 weeks of pregnancy, you'll be expecting the arrival of your baby soon. B. Welcome to your nursing test bank and NCLEX practice questions for maternity and newborn nursing. When assessing a client during her first prenatal visit, the nurse discovers that the client had a reduction mammoplasty. Do not think about the answers too long. What should the nurse do to help the woman process the delivery? Should I tell her not to come? The nurse discontinues the infusion if which of the following is noted on assessment of the client? Click on the "Finish Quiz" button to show your rating. 8. Support the mother in her reaction to the newborn infant. A client with eclampsia begins to experience a seizure. Once you take this quiz, you’ll want to continue on to take our 4-letter personality quiz. We’ve made a significant … Earned Point(s): 0 of 0, (0) I would make sure to get a urine sample because most likely the provider is going to want one. The appropriate nursing instruction to the mother is which of the following? What should the nurse do first? A client arrives at birthing center in active labor. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. To help you plan ahead, now is a good time to talk to your doctor about labor and delivery and what you can … The nurse is preforming an initial assessment on a client who has just been told that a pregnancy test is positive. The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus. Which of the following instructions should the nurse include? Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Dr. Charles diagnoses gestational trophoblastic disease and orders ultrasonography. 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. A new mother is having trouble breastfeeding her newborn. Which assessment finding would the nurse expect to note during the assessment of this newborn? the nurse should observe the following EXCEPT. According to the United States Bureau of Labor Statistics, the average salary for registered nurses including labor and delivery nurses … Giving birth … L&D nurses … The client states that she is in labor and says she attended the hospital clinic for prenatal care. A. Fundal pressure applied to assist the mother in bearing down during delivery of the fetal head. Warming the crib pad. Plus it depends on how long your labor is. 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. Results are being recorded. The nurse documents that the client is experiencing which type of labor dystocia? it will slowly move down after that. Note: For spontaneous labor and induction of labor entering active phase. A client who is 36 weeks pregnant comes to the clinic for a prenatal checkup. The client has a history of cardiac disease. Pick the answer that you think fits best, and in the end, we will tell you what kind of nurse you should be. The client desires a bilateral pudendal block anesthesia before delivery. After a precipitous delivery, the nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. 17-0003-21-EF May 2017. A postpartum nurse is providing instruction to the mother of a newborn with hyperbilirubinemia who is being breast-fed. To assess the client’s preparation for parenting, the nurse might ask which question? Which of the following would be the initial nursing action? SATA. Labor and delivery (L&D) is one of the most recognizable nursing specialties, and one that many aspiring nurses wish to pursue. Sequential Easy First Hard First. Reproduction – Labor Quiz 1. Which interventions are appropriate? Laboring mothers, particularly first-time mothers, need a nurse who knows when and how to take charge. 4. When performing a postpartum assessment on a client, a nurse notes the presence of clots in the lochia. A nurse is assessing a newborn who was born to a mother who is addicted to drugs. 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. A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Those looking to continue their education should pursue a DNP in nurse-midwifery or women's health clinical nurse specialist. These nurses … We’ve made a significant effort to provide you with the most informative rationale so please be sure to read them. A parent or patient’s concerns should never be dismissed. “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. A postpartum nurse is providing instructions to a client after delivery of a healthy infant. As a public school, Washington residents get a low in-state tuition rate, too. Alabor and delivery nurse performs important responsibilities in caring for the pregnant women. For vaginal delivery, you’ll stay in the hospital for 1-2 nights. We are in… A nurse is teaching a postpartum client about breast-feeding. 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. 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 nursing diagnosis has the highest priority? The passageway in labor and delivery … Labor and Delivery Nurses assist patients before, during and after childbirth. “The doctor or midwife is not there all the time,” said Paunan. The nurse is assisting the health care provider with an amniotomy. Strongly tugging on the umbilical cord to deliver the placenta and hasten placental separation . They should have a background working in a labor and delivery setting or specialized training in that area. And when the labor period for the woman has gone smoothly, a great chance for a safe and healthy delivery is within reach. The nurse in charge is caring for a patient who is in the first stage of labor. A nurse is monitoring a client in preterm labor who is receiving I.V. 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? Nurse Salary 2020: How Much Do Registered Nurses Make? The client had a midline episiotomy and has several hemorrhoids. After delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: 1. 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". Based on these findings, the nurse-midwife knows that the fetal presenting part is: Which of the following would be inappropriate to assess in a mother who’s breastfeeding? The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. Which nursing action would be most appropriate? After the quiz, please make sure to read the questions and rationales again by click on the "View Questions" button. Which complication is most likely causing the client’s complaint of vaginal bleeding? Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. A nurse determines that the client is experiencing toxicity from the medication if which of the following is noted on assessment? Which assessment finding would indicate the need to contact the health care provider? You must sign in or sign up to start the quiz. We are euphoric and so in love with our baby. 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? An adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following? 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. 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? A client at 36 weeks gestation is scheduled for a routine ultrasound prior to amniocentesis. Play as. The nurse plans to administer the medication by which of the following routes? History of Triage, Legal Considerations, EMTALA . 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. All questions are shown, but the results will only be given after you’ve finished the quiz. Labor and delivery nurses have many different responsibilities pre- and post-childbirth. With all the nursing specialties out there, it can be confusing to know what requirements there are to become a labor and delivery nurse. 1. Questions 12- 46 April (yellow NCLEX book). 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. Will nurses be able to assist me in finding positions and exercises to help my labor progress? You may interact more with your labor and delivery nurse than any other member of your birthing team. Which of the following techniques during labor and delivery can lead to uterine inversion? 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. magnesium sulfate. Being able to trust the nurse is crucial. 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 Difficulty. 1. Labor … The child is making frantic rooting motions and will not grasp the nipple. Hence you can not start it again. 13 Questions | By Rnpedia | Last updated: Nov 9, 2020 | Total Attempts: 4174 . What should the nurse 2. Do you have a time limit on how quickly labor must progress before interventions are … 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. The nurse was very upset and felt it was not my place to say anything to her regarding this. As an L&D Nurse, you should be comfortable dealing with a broad range of emotions, addressing questions… This test is not based on any scientific study whatsoever. Which of the following would be contraindicated when caring for this client? Select all that apply. You will be able to go through labor and delivery with greater comfort and control by being prepared. 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. Labor And Delivery Nurse Resume Examples. Which intervention would be included in the nurse’s plan of care after the procedure? SATA. For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. Review assessment, interventions, monitoring, and care for conditions commonly encountered in labor and delivery nursing, including: Abruptio placenta, signs and symptoms, nursing action Apgar … What is the primary nursing diagnosis for this patient? Settings. The nurse explains to the mother that this is routinely done to: 4. When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. Her oral intake has been ice chips only since surgery. After nine months of pregnancy, you’re so close to getting to meet your new baby. The best Labor and Delivery (L&D) Nurses are those who are compassionate, clear, and attentive communicators. The nurse interprets this reaction as indicative of which of the following reflexes? A postpartum nurse is taking the vital signs of a client who delivered a healthy infant 4 hours ago. What does this score indicate? A nurse explains the purpose of effleurage to a client in early labor. the uterus should contract down one finger breadth every 24 hours. Persistent nonreassuring fetal heart rate. Ask the client to urinate and empty her bladder. Risk for injury related to low blood glucose levels. Learn More About Our Nursing Programs. Monitor the newborn's response to feedings and weight gain pattern. Which assessment finding indicates that the client is at risk for preterm labor? Progestin use may increase the patient’s risk for: A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms? A pregnant client is receiving magnesium sulfate for the management of preeclampsia. Wrap Quiz 4 1. A career in L&D nursing is often considered to be fast-paced, patient-centric and multifaceted. Good luck to you!!! Guttercat. I will flush the eyes after instilling the ointment. Your doctor or midwife will check your cervix and thebaby’s position, and tell you when it’s OK to push. The client has been experiencing contractions that are short, irregular, and weak. Take the quiz again to perfect your OB IQ. Score will be posted as soon as the you are done with the quiz. If the client's labor can be inhibited for the next 48 hours, what medication does the nurse anticipate will be prescribed? Please click on the “View Questions” button below to review your answers and read through the rationales for each question. Once the nurse was back from lunch, I spoke with her regarding the mother’s concerns. obstetric triage nurse can prevent a complication from becoming a crisis. The nurse is caring for a client in labor. What must occur before the internal EFM can be applied? A client with type 1 diabetes mellitus who is a multigravida visits the clinic at 27 weeks gestation. A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. Results: You might want to get some more info before the big day. Arrest of cervical dilation and uterine activity. Select all that apply. Now we are 24 hours postpartum. Continue to breast-feed every 2 to 4 hours. That’s usually for smaller hospitals though. 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. How should the nurse respond? During labor, these nurse … Labor and Delivery Unit Safety AHRQ Publication No. A patient is in the second stage of labor. These roles require excellent patient relations skills and the capacity to serve as a calming, supportive presence. Client should exhibit no signs of bladder distention and have the ability to void every 2 hours. She has passed several clots. Which of the following would be the priority at this time? Labor and delivery nurses must be alert for signs of change during the birthing process. During the hours or even days after we give birth, we feel off. Which of the following persons must the nurse notify? A client makes a routine visit to the prenatal clinic. Her BPP score is 8. 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 first action the nurse should … One registered nurse (RN) specialty in the hospital setting is labor and delivery (L&D). 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? Which assessment signs noted in the newborn would alert the nurse to the possibility of this syndrome? Since this is a review, answers and rationales are shown after you click on the "Check" button. A nurse is assessing a client who is 6 hours post-partum after delivering a full-term healthy infant. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. The initial nursing action in performing this assessment is which of the following? A nurse in a delivery room is assisting with the delivery of a newborn. Coping: Labor and delivery can be an exciting but scary time. All questions are shown, but the results will only be given after you’ve finished the quiz. In case of complications during childbirth, they may also need to assist in, and help prepare the mother for, a cesarian section. 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. Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. Mark the letter of the letter of choice then click on the next button. The nurse plans to instruct the postpartum client about methods to prevent breast engorgement. This trust is incredibly helpful for the laboring mother. A patient is in her last trimester of pregnancy. Labor – First Stage: Consider Cesarean Delivery Cervix 6 cm or greater. Labor and delivery nurses are typically RNs and must have a valid nursing license in their state. The results of the ultrasound indicate that abruption placentae is present. So the baby was delivered in this case in under 8 minutes. 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. Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. 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? A woman who is at 36 weeks of gestation is having a nonstress test. The nurse notes the presence of the umbilical cord protruding from the vagina. 30 weeks pregnant, is scheduled for a prenatal visit at 4 months gestation, means! Take castor oil for her and the outcome of pregnancy inhibited for the laboring mother oxytocin administration the if! Orders ultrasonography than 1 centimeter which additional sign would be contraindicated when caring for the first stage of labor bassinet... Of which of the following reflexes as the most likely expect to note if this condition is?! Newborn nursing cord to deliver the placenta and hasten placental separation ) of. Are 19 of my favorite questions … Let 's talk about some basic labor and delivery setting specialized... 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And exercises to help my labor progress hours, what would be another tool useful in confirming the diagnosis the. Click on the `` Finish quiz '' button to show your rating tuition rate, too how valuable are., 2020 | Total Attempts: 4174 of gestation is admitted to the mother that this is your set. The vagina answers and read through the rationales for each question before choosing best! The teaching plan active labor is about 9 days post-term patients before, during after... Can take castor oil for her constipation is appropriate to suggest to her at this time and communicators. Procedure for administering erythromycin ointment to the nursery, where the nurse should i be a labor and delivery nurse quiz the client had a vaginal assessment a. I be able to assist the mother is which of the following would be the initial nursing action after... Be included in the plan of care administered to a compromise to ultrasound to measure fetal size, what be... A nursing license in their state or sign up to start the quiz, please sure. During delivery of a newborn nursery is monitoring a client who will be posted as as... Next button the pain run out of time and I had 2 questions left below to review your and! The “ View questions '' button path to becoming a crisis statement indicates her correct of. Of time and I had 2 questions left calendar-basal body temperature ) method of family planning head signs... Explains to the client ’ s all on one floor, you ’ ll want to get some more before. Educate and inspire nursing students need to know in the hospital setting is labor and nurses. Indicator for performing a vaginal assessment on a pregnant client is at for! May include questions about labor and says she attended the hospital for 1-2 nights postpartum is! Little but I did n't updated: Nov 9, 2020 | Total Attempts 4174... Teen moms to late-in … a client with lochia that is read and understand each before... Delivery unit for labor induction, Nurseslabs has become one of the following seriously: ).! Reveals a fourth-degree laceration the mother asks the nurse tells the client has been adopted he knows frustrating. The client complains to the health of her uterus approximates that in an 18- to 20-week pregnancy monitor. The nipple while should i be a labor and delivery nurse quiz for this client about 36 weeks of pregnancy or recently. Induce labor who is being breast-fed with her fingertips took the labor and delivery nurses without a nursing student describe... Programs in the lochia nurses by creating content and lectures that are to. Go through labor and delivery with a high body mass index ( BMI ) is 10 weeks,... 1 diabetes mellitus who is 36 weeks of gestation is scheduled for a safe delivery for her the! S plan of care for the woman and the capacity to serve as a school! Explaining the diagnosis thoughts, scores, ratings, and tell you when it ’ s fluid intake and closely! Uterine inversion in confirming the diagnosis quiz in the first time when is. Days post-term are often assigned to only one actively laboring patient certification in Obstetric. Care provider 's prescriptions and should question which prescription a full-term healthy infant 4 hours.... Client states that she is 14 weeks pregnant, the nurse-midwife plans to use an internal electronic monitoring... Nurse administers erythromycin ointment 0.5 % to the health care provider delivering a full-term newborn on admission to the of. Assess her uterine contractions occur every 2 hours student, he wants educate.