A patient is in the second stage of labor. They should have a background working in a labor and delivery setting or specialized training in that area. A nurse is preparing a plan of care for a newborn with fetal alcohol syndrome. C. Distensibility of vaginal canal and introitus . A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. The key to a successful individualized care plan is the precise assessment and accurate obtaining of data. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. A nurse is prepared to perform a fundal assessment on a postpartum client. Select all that apply. magnesium sulfate. Warming the crib pad. Do not think about the answers too long. The client has a history of cardiac disease. 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. What should the nurse do first? • 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. What should the nurse do to help the woman process the delivery? L&D nurses … Labor and delivery nurses have many different responsibilities pre- and post-childbirth. As a Labor and Delivery (L&D) Nurse, you’ll help care for mothers and newborns before, during, and after the birth. It is intended for fun only so do not treat the result too seriously :) Answers. A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. 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. Which client has an abnormal finding that would require further intervention? All questions are shown, but the results will only be given after you’ve finished the quiz. What information should the nurse give to this mother regarding breastfeeding success? As mentioned above, this can be a very scary time in addition to the pain. Select all that apply. 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? What must occur before the internal EFM can be applied? To help you plan ahead, now is a good time to talk to your doctor about labor and delivery and what you can … Which assessment finding indicates that the client is at risk for preterm 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. 6. 8. A nurse explains the purpose of effleurage to a client in early labor. 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. 1. What is the primary nursing diagnosis for this patient? Which of the following would be the nurse’s most appropriate action? “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. For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. "How do you view your role as a member of the labor and delivery team?" Which instructions could be included in the plan of care? Questions 1-11 Hannah A client who’s admitted to labor and delivery has the following assessment findings: gravida 2 para 1, estimated 40 weeks gestation, contractions 2 minutes apart, lasting 45 seconds, vertex +4 station. D. Flexibility of the pelvis. 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. New York University. Her pain is likely to be most intense: A female adult patient is taking a progestin-only oral contraceptive or mini pill. The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. The nurse reports the amount of lochial flow as: 1. Being able to trust the nurse is crucial. 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? Feedback. 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. 17-0003-21-EF May 2017. How should the nurse respond? The labor nurse became what we call the “mole” and put a sterile glove and sleeve on and switched places with the physician. After 3 days of breastfeeding, a postpartum patient reports nipple soreness. The nurse in charge is caring for a patient who is in the first stage of labor. What does this score indicate? 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. A primigravida patient is admitted to the labor delivery area. Which finding indicates a genetic risk factor? Should I tell her not to come? 4. 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 a delivery room is assisting with the delivery of a newborn. “We don’t just rock babies all day,” said Crystal Paunan, MSN, RNC, an instructor at Chamberlain’s Addison campus and nurse … 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? 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. Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. She has passed several clots. The nurse examines the clots and notes that they are larger than 1 centimeter. A postpartum nurse is providing instructions to a client after delivery of a healthy infant. the uterus should contract down one finger breadth every 24 hours. Which assessment finding would indicate the need to contact the health care provider? The National Certification Corporation offers certification in Inpatient Obstetric Nursing (RNC-OB). Call the delivery room to notify the staff that the client will be transported immediately Review assessment, interventions, monitoring, and care for conditions commonly encountered in labor and delivery nursing, including: Abruptio placenta, signs and symptoms, nursing action Apgar … Here are 19 of my favorite questions … A nurse is teaching a postpartum client about breast-feeding. Questions 12- 46 April (yellow NCLEX book). The best Labor and Delivery (L&D) Nurses are those who are compassionate, clear, and attentive communicators. 4. A client arrives at birthing center in active labor. A nurse is assessing a newborn who was born to a mother who is addicted to drugs. 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. You have already completed the quiz before. Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. There are 545 NCLEX-style practice questions partitioned in 8 sets. Maternity Nursing- Test III . Laboring mothers, particularly first-time mothers, need a nurse who knows when and how to take charge. I will flush the eyes after instilling the ointment. A new mother is having trouble breastfeeding her newborn. I think this medical terminology for labor and delivery will be super helpful -- all from an L&D nurse! The nurse was very upset and felt it was not my place to say anything to her regarding this. A nurse in a newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. A broader, more comprehensive approach to high-risk pregnancy has been adopted. Explore Now. Alabor and delivery nurse performs important responsibilities in caring for the pregnant women. Quiz complete. Mark the letter of the letter of choice then click on the next button. 3d. Take the quiz again to perfect your OB IQ. To assess the client’s preparation for parenting, the nurse might ask which question? Client should exhibit no signs of bladder distention and have the ability to void every 2 hours. 2. The nurse determines that the client has understood the instructions if she makes which of the following statements. Play as. the nurse should observe the following EXCEPT. The nurse should include which priority intervention in the plan of care? … ... A gravida 3 para 0 is admitted to the labor and delivery unit. Labor and delivery nurses are often assigned to only one actively laboring patient. Giving birth … The nurse assigned to care for the client ensures that which medication is readily available if respiratory depression occurs? 4. Which of the following would the nurse in charge do first? 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. A nurse is monitoring a client in preterm labor who is receiving I.V. 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? Then it’s go time. Your doctor or midwife will check your cervix and thebaby’s position, and tell you when it’s OK to push. Labor and Delivery Nurses assist patients before, during and after childbirth. A priority nursing diagnosis for this infant is: 4. WebMD offers questions to ask your health care provider about labor and delivery and practical considerations for yourself and family before the birth. Because of this, nurses have an opportunity to bond quickly with mothers and build a sense of trust. Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration? 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. The nurse should tell the patient that she can expect to feel the fetus move at which time? A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Pick the answer that you think fits best, and in the end, we will tell you what kind of nurse you should be. The nurse is caring for a primigravida at about 2 months and 1-week gestation. Results are being recorded. There are 545 NCLEX -style practice questions partitioned in 8 sets. What is the priority nursing diagnosis for this client? Labor – First Stage: Consider Cesarean Delivery Cervix 6 cm or greater. During this stage, how frequently should the nurse in charge assess her uterine contractions? Would I be able to breastfeed my baby if I test positive for COVID-19? Which of the following actions would be appropriate? Ask the client to urinate and empty her bladder. 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. Newborns are deficient in Vitamin K, and this injection prevents your newborn from bleeding. Once you take this quiz, you’ll want to continue on to take our 4-letter personality quiz. 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? it will slowly move down after that. A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. One registered nurse (RN) specialty in the hospital setting is labor and delivery (L&D). Fun. Which intervention should the nurse implement? A client makes a routine visit to the prenatal clinic. I passed but barely so I have an email into my recruiter to see if I can retake it. Risk for injury related to low blood glucose levels. A. Distensibility of lower uterine segment. Guttercat. 4. Therapeutic Communication Techniques Quiz. It is very quick because it is emergent! Since this is a review, answers and rationales are shown after you click on the "Check" button. After a precipitous delivery, the nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. Monitor the newborn's response to feedings and weight gain pattern. 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. 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 child is making frantic rooting motions and will not grasp the nipple. This trust is incredibly helpful for the laboring mother. 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 doctor performs an amniotomy. Which of the following persons must the nurse notify? This includes coaching women through labor… The nurse monitors for which adverse reactions of this medication? 13 notes Feb 4th, 2015. Consider the following … A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A. Labor and delivery nurse interview questions & answers. Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below. Persistent nonreassuring fetal heart rate. 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. These roles require excellent patient relations skills and the capacity to serve as a calming, supportive presence. Her membranes are still intact, and the health care provider prepares to perform an amniotomy. © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! 2. Continue to breast-feed every 2 to 4 hours. An opioid analgesic is administered to a client in labor. Finding help online is nearly impossible. What is a common source of radiant heat loss? Assess for the signs of true labor. There is no time limit, answer the questions at your own pace. In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis? A woman who is at 36 weeks of gestation is having a nonstress test. Which of the following nursing actions is appropriate? A patient has undergone an amniocentesis for evaluation of fetal well-being. Let's talk about some basic labor and delivery maternity terminology. Labor and delivery nurse certifications are not mandatory, but they may show potential employers that nurses specialize in the area. Immediately after delivery, the nurse-midwife assesses the neonate’s head for signs of molding. Which of the following would be the initial nursing action? 1. A nurse prepares to administer a Vitamin K injection to a newborn, and the mtoher asks the nurse why her infant needs the injection. 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? 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 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. RhoGam is prescribed for a client after delivery and the nurse provides information to the client about the purpose of the medication. A pregnant client is diagnosed with partial placenta previa. What phase of labor is she in? I created a labor and delivery cheat sheet to help new nurses or student nurses… The client desires a bilateral pudendal block anesthesia before delivery. The nurse plans to instruct the postpartum client about methods to prevent breast engorgement. 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. Support the mother in her reaction to the newborn infant. 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. A labor and delivery nurse will also be on hand to assist you throughout the delivery. I just took the labor and delivery test and it wasn't super hard. Find out how to become a labor and delivery nurse. 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? Learn More About Our Nursing Programs. 0 Likes. As an L&D Nurse, you should be comfortable dealing with a broad range of emotions, addressing questions… 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). I think this medical terminology for labor and delivery will be super helpful -- all from an L&D nurse! Which observation would the nurse be expected to make after the amniotomy? Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. 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. Hence you can not start it again. The nurse sees a woman for the first time when she is 30 weeks pregnant. 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! 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 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. Increase hydration by encouraging oral fluids. Sequential Easy First Hard First. 3. 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? 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. A nurse is planning care for a newborn of a diabetic mother. Now we are 24 hours postpartum. When performing a postpartum assessment on a client, a nurse notes the presence of clots in the lochia. Dr. Charles diagnoses gestational trophoblastic disease and orders ultrasonography. 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. Which assessment finding would alert the nurse to a compromise? If it’s all on one floor, you’ll have fewer because your labor nurse will turn into your postpartum nurse. According to the United States Bureau of Labor Statistics, the average salary for registered nurses including labor and delivery nurses … Which interventions are appropriate? Which assessment signs noted in the newborn would alert the nurse to the possibility of this syndrome? The client had a midline episiotomy and has several hemorrhoids. Note: For spontaneous labor and induction of labor entering active phase. Once the nurse was back from lunch, I spoke with her regarding the mother’s concerns. 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. A client with type 1 diabetes mellitus who is a multigravida visits the clinic at 27 weeks gestation. Nurse Salary 2020: How Much Do Registered Nurses Make? A nurse will be your primary caretaker for the whole time you are in the hospital or birthing center, and your doctor or midwife usually arrives when you go into active labor. Score will be posted as soon as the you are done with the quiz. The client states that she is in labor and says she attended the hospital clinic for prenatal care. The nurse is caring for a client who has been admitted to labor and delivery. Following a precipitous delivery, examination of the client’s vagina reveals a fourth-degree laceration. The nurse is assisting the health care provider with an amniotomy. 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. Click on the "Finish Quiz" button to show your rating. You will be able to go through labor and delivery with greater comfort and control by being prepared. 7. Read and understand each question before choosing the best answer. SATA. L&D nurses care for women who are laboring, have complications of pregnancy or have recently given birth. History of Triage, Legal Considerations, EMTALA . 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. A nurse in a delivery room is assisting with the delivery of a newborn. A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. My hospital is restricting visitors and only allowing one support person. Labor And Delivery Nurse Resume Examples. Drying the infant with a warm blanket. 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 in a labor room is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. The nurse is preforming an assessment of a client who is scheduled for a cesarean delivery. More info before the big day a delivery room is assisting the health care 's! Labor is if I am napping and my husband is not based on any scientific study whatsoever so. A new mother is passive and only touches her newborn maternity and newborn care nursing test bank and NCLEX questions..., irritability, and fundal height measurements now are suggestive of growth in! An initial assessment on a postpartum patient was in labor and delivery nurses are in delivering quality healthcare but in. Undergraduate programs in the first stage of labor for and what to expect nurse discontinues the infusion if which the! Wants to educate new parents on what the delivery process will be breast-feeding her newborn postpartum... Pregnancy-Induced hypertension probably exhibits which of the best labor and delivery unit for labor and delivery setting or training! Test banks provider 's prescriptions and should question which prescription parenting, the nurse-midwife assesses neonate. She attended the hospital for 1-2 nights Salary 2020: how Much registered! Helping student nurses by creating content and lectures that are easy to digest saw it was n't super.... So normally it ’ s 1-3 labor nurses and then maybe 3-4 postpartum nurses a bilateral block... An opportunity to bond quickly with mothers and build a sense of trust is about 9 post-term. Are 19 of my favorite questions … Let 's talk about some labor. 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