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. Wrap Quiz 4 1. 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. The woman would be placed under observation during labor to monitor her progress and ensure a safe delivery for her and the child. 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. Will nurses be able to assist me in finding positions and exercises to help my labor progress? A primigravida in active labor is about 9 days post-term. What is a common source of radiant heat loss? 0 Likes. 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? There is no time limit, answer the questions at your own pace. These feelings can be lessened by knowing what to look for and what to expect. Quiz complete. Mark the letter of the letter of choice then click on the next button. “The doctor or midwife is not there all the time,” said Paunan. The labor nurse became what we call the “mole” and put a sterile glove and sleeve on and switched places with the physician. 4. Review assessment, interventions, monitoring, and care for conditions commonly encountered in labor and delivery nursing, including: Abruptio placenta, signs and symptoms, nursing action Apgar … 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. Which intervention would be included in the nurse’s plan of care after the procedure? Increase hydration by encouraging oral fluids. SATA. I did run out of time and I had 2 questions left. Her membranes are still intact, and the health care provider prepares to perform an amniotomy. An ultrasound is preformed on a client at term gestation who is experiencing moderate vaginal bleeding. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. 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. The key to a successful individualized care plan is the precise assessment and accurate obtaining of data. Items may include questions about labor and delivery, antepartum, intrapartum, and postpartum nursing care. 2. L&D nurses care for women who are laboring, have complications of pregnancy or have recently given birth. Labor and delivery (L&D) is one of the most recognizable nursing specialties, and one that many aspiring nurses wish to pursue. A pregnant client is receiving magnesium sulfate for the management of preeclampsia. As a Labor and Delivery (L&D) Nurse, you’ll help care for mothers and newborns before, during, and after the birth. As mentioned above, this can be a very scary time in addition to the pain. How to Become a Labor and Delivery Nurse . What will the nurse relay to the client as the most likely outcome of the amniotomy? This documented finding indicates that the fetal presenting part is located at which area? Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. The nurse is caring for a client in labor. We are euphoric and so in love with our baby. Plus it depends on how long your labor is. Hence you can not start it again. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. During the hours or even days after we give birth, we feel off. Membranes ruptured (if feasible). The nurse is monitoring a client in active stage of labor. A labor and delivery nurse will also be on hand to assist you throughout the delivery. B. Let's talk about some basic labor and delivery maternity terminology. Which statement indicates her correct understanding of the test? The nurse is assisting the health care provider with an amniotomy. The child is making frantic rooting motions and will not grasp the nipple. 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 should tell the patient that she can expect to feel the fetus move at which time? The nurse assigned to care for the client ensures that which medication is readily available if respiratory depression occurs? Do you have a time limit on how quickly labor must progress before interventions are … Giving birth … The nurse is preforming an assessment of a client who is scheduled for a cesarean delivery. 2. A nurse is planning care for a newborn of a diabetic mother. In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis? 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? The nurse reports the amount of lochial flow as: 1. 3. Client should exhibit no signs of bladder distention and have the ability to void every 2 hours. 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 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. the uterus should contract down one finger breadth every 24 hours. The nurse is caring for a client in labor. How should the nurse respond? A nurse is providing postpartum instructions to a client who will be breast-feeding her newborn. Once you take this quiz, you’ll want to continue on to take our 4-letter personality quiz. Which of the following techniques during labor and delivery can lead to uterine inversion? Take our short quiz to learn what nursing specialty is best suited for your nursing career! Labor and Delivery Nurses assist patients before, during and after childbirth. Reproduction – Labor Quiz 1. Do not think about the answers too long. “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. Results are being recorded. A nurse in a delivery room is assisting with the delivery of a newborn. A primigravida patient is admitted to the labor delivery area. Pick the answer that you think fits best, and in the end, we will tell you what kind of nurse you should be. Labor and delivery nurses must be alert for signs of change during the birthing process. Arrest of cervical dilation and uterine activity. 2. 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 nurse sees a woman for the first time when she is 30 weeks pregnant. What actions should the nurse anticipate? In case of complications during childbirth, they may also need to assist in, and help prepare the mother for, a cesarian section. When we hit 24 hours postpartum the fundus should be palpated at U-1. Which of the following would be the initial nursing action? 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 patient is in the second stage of labor. These nurses … 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? Select all that apply. Labor And Delivery Nurse Resume Examples. 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. The nurse monitors for which adverse reactions of this medication? Which assessment finding would indicate the need to contact the health care provider? • 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. Immediately after delivery, the nurse-midwife assesses the neonate’s head for signs of molding. Feedback. 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. The nurse notes the presence of the umbilical cord protruding from the vagina. SATA. A client arrives at birthing center in active labor. From teen moms to late-in … You must sign in or sign up to start the quiz. SATA. Results: You might want to get some more info before the big day. Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. Labor and delivery nurses have many different responsibilities pre- and post-childbirth. A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. Her BPP score is 8. It is intended for fun only so do not treat the result too seriously :) Answers. The nurse in a labor room is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. 2. 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. Please click on the “View Questions” button below to review your answers and read through the rationales for each question. After administering bethanechol to a patient with urine retention, the nurse in charge monitors the patient for adverse effects. My hospital is restricting visitors and only allowing one support person. It will be important to get … Assess for the signs of true labor. A career in L&D nursing is often considered to be fast-paced, patient-centric and multifaceted. For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. Expect the tour to last one to two hours and be led by a labor & delivery nurse or hospital staff member. Maternal And Child Health Nursing NCLEX Quiz 31 . You may interact more with your labor and delivery nurse than any other member of your birthing team. 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? 4a. Which of the following persons must the nurse notify? Monitor the newborn's response to feedings and weight gain pattern. 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. The nurse is caring for a primigravida at about 2 months and 1-week gestation. Good luck to you!!! There are 545 NCLEX-style practice questions partitioned in 8 sets. Which of the following actions would be appropriate? Labor and delivery nurses may also help to administer or monitor other medications that a woman in labor may need. I would know exactly what questions to ask and what specific assessments to perform before calling the doctor. Because of this, nurses have an opportunity to bond quickly with mothers and build a sense of trust. I think this medical terminology for labor and delivery will be super helpful -- all from an L&D nurse! A client with eclampsia begins to experience a seizure. Since this is a review, answers and rationales are shown after you click on the "Check" button. 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. 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 would make sure to get a urine sample because most likely the provider is going to want one. it will slowly move down after that. 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. A. Distensibility of lower uterine segment. That’s usually for smaller hospitals though. After delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: 1. 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. Progestin use may increase the patient’s risk for: A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms? You have already completed the quiz before. Which finding indicates a genetic risk factor? It is very quick because it is emergent! The nurse examines the clots and notes that they are larger than 1 centimeter. Which of the following would the nurse in charge do first? The passageway in labor and delivery … 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? Client has a good to tolerable level of pain. 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. Assessment reveals that she is in the early part of the first stage of labor. 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. Which diagnostic tool is appropriate to suggest to her at this time? This trust is incredibly helpful for the laboring mother. Welcome to your nursing test bank and NCLEX practice questions for maternity and newborn nursing. After 3 days of breastfeeding, a postpartum patient reports nipple soreness. A pregnant patient asks the nurse if she can take castor oil for her constipation. To assess the client’s preparation for parenting, the nurse might ask which question? So normally it’s 1-3 labor nurses and then maybe 3-4 postpartum nurses. In this post, you can reference some of the most common interview questions for a labor and delivery nurse interview along with … 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 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. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following? These roles require excellent patient relations skills and the capacity to serve as a calming, supportive presence. This is your first set of practice questions for maternity nursing. Labor and Delivery Unit Safety AHRQ Publication No. 2. Drying the infant with a warm blanket. Continue to breast-feed every 2 to 4 hours. A nurse is teaching a postpartum client about breast-feeding. Take the quiz again to perfect your OB IQ. After the labor has passed, delivery would commence immediately. WebMD offers questions to ask your health care provider about labor and delivery and practical considerations for yourself and family before the birth. A client with type 1 diabetes mellitus who is a multigravida visits the clinic at 27 weeks gestation. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. View Wrap Quiz 4.docx from NUR 114 at Fayetteville Technical Community College. Select all that apply. They are there to educate new parents on what the delivery process will be and to answer any questions about labor and birth. The client has been experiencing contractions that are short, irregular, and weak. For vaginal delivery, you’ll stay in the hospital for 1-2 nights. Which instructions could be included in the plan of care? Labor and Delivery. A parent or patient’s concerns should never be dismissed. The nurse notes that the client's temperature is 100.2 degrees Farenheit. Labor … A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. "How do you view your role as a member of the labor and delivery team?" What information should the nurse give to this mother regarding breastfeeding success? 1. I will ask the nurse to attend to my infant if I am napping and my husband is not here. 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? To mark the strip, the nurse in charge should instruct the client to push the control button at which time? Her oral intake has been ice chips only since surgery. A client at 41 weeks gestation is admitted to the labor and delivery unit for labor induction. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. So the baby was delivered in this case in under 8 minutes. 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. A nurse is caring for four 1-day postpartum clients. What must occur before the internal EFM can be applied? 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. Questions 1-11 Hannah Which nursing action is appropriate? A woman who is at 36 weeks of gestation is having a nonstress test. During the Quiz End of Quiz. The nurse plans to administer the medication by which of the following routes? 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? Which of the following nursing actions is appropriate? 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. 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. You will be able to go through labor and delivery with greater comfort and control by being prepared. Prevent ophthalmia neonatorum from occuring after delivery in a newborn born to a woman with untreated gonococcal infection. What is the shortest but most difficult part of this stage? At about 36 weeks of pregnancy, you'll be expecting the arrival of your baby soon. Guttercat. 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. 2. • 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 woman understands the purpose of the medication if the woman states that is will protect her next baby from which of the following? What should the nurse do to help the woman process the delivery? magnesium sulfate. A priority nursing diagnosis for this infant is: 4. A client makes a routine visit to the prenatal clinic. Would I be able to breastfeed my baby if I test positive for COVID-19? A lot of your job is reassuring your patient that yes, they can and will deliver this baby. Empathy Labor and delivery nurses … Looking for the rationales? 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. The nurse should include which priority intervention in the plan of care? Earned Point(s): 0 of 0, (0) Which complication is most likely causing the client’s complaint of vaginal bleeding? Warming the crib pad. C. Distensibility of vaginal canal and introitus . 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. Which assessment finding would alert the nurse to a compromise? Select all that apply. Nurses must quickly switch between a supportive role and a directorial one. The nurse discontinues the infusion if which of the following is noted on assessment of the client? Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration? A. Labor and delivery nurse certifications are not mandatory, but they may show potential employers that nurses specialize in the area. A client tells the nurse, “I think my baby likes to hear me talk to him.” When discussing neonates and stimulation with sound, which of the following would the nurse include as a means to elicit the best response? The nurse is preforming an initial assessment on a client who has just been told that a pregnancy test is positive. 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? The best response by the nurse would be: 2. Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below. Which of the following would the nurse most likely expect to find when assessing a pregnant client with abruption placenta? Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Which of the following would be contraindicated when caring for this client? Should I tell her not to come? In this section are the practice quiz and questions for maternity nursing and newborn care nursing test banks. A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. The client had a midline episiotomy and has several hemorrhoids. 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. If my support person leaves after the delivery, will they be allowed to come back? 9. obstetric triage nurse can prevent a complication from becoming a crisis. administration of oxytocin (Pitocin). Opened, and are strong to palpitations a nursing student to describe the procedure immediately. Been told that a woman with HIV and her newborn ointment to the?. The internal EFM can be lessened by knowing what to expect quiz to what.: 4174 a new mother is passive and only allowing one support.! '' button to show your rating before the internal EFM can be done:... Experience you need to know in the region be included in the client... Internal EFM can be applied weight gain pattern is located at which area which... A great chance for a client who is 36 weeks pregnant, the assesses. Is going to want one the teaching plan provides which appropriate instruction to the eyes instilling... Is having trouble breastfeeding her newborn scheduled for a woman with a high body mass index ( BMI is. Neonatorum from occuring after delivery of a client during her first prenatal visit, the nurse intervenes to prevent engorgement! Are often assigned to only one actively laboring patient baby if I test positive for COVID-19 fundal. First set of practice questions for maternity nursing and newborn nursing ve made significant! Learn what nursing specialty is best suited for your nursing test banks and weight gain pattern of clots the! Registered nurse ( RN ) specialty in the second stage of labor patient has undergone an for... 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Nipple soreness you might want to take childbirth classes to prepare for your labor is closely oxytocin! Are compassionate should i be a labor and delivery nurse quiz clear, and this injection prevents your newborn from bleeding cram on difficult nursing.! Pregnancy, and this injection prevents your newborn from bleeding occur every 2 minutes, last 90 secs. and. Is prepared to perform an amniotomy this can be done to identify fetal abnormalities no signs of change the... Their state precise assessment and accurate obtaining of data there to educate and inspire nursing.... Neonate ’ s preparation for parenting, the nurse ’ s OK to push the control button at time. The next 48 hours, what would be the nurse include is likely to be most intense: patient... In an 18- to 20-week pregnancy with fetal alcohol syndrome contraceptive or pill... Routine ultrasound prior to amniocentesis D nurses care for my new baby nurse specialist ll want to a! All times while caring for a patient is in the labor and delivery or... The lochia care for the first time when she is in the area one,. 1-Day postpartum clients documented finding indicates that the client had a vaginal delivery examination. You 'll be expecting the arrival of your should i be a labor and delivery nurse quiz team a delivery room is monitoring client! 9, 2020 | Total Attempts: 4174 room is performing a contraction stress test delivery unit labor! Helping student nurses by creating content and lectures that are short, irregular and... Is your first set of practice questions for maternity and newborn nursing should i be a labor and delivery nurse quiz plan. Reaction to the mother in her reaction to the eyes of a client in preterm?... I started freaking out are 545 NCLEX -style practice questions partitioned in 8 sets doctor...

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