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. 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? Which change would the nurse identify as a progressive physiological change in the postpartum period? A postpartum nurse is providing instruction to the mother of a newborn with hyperbilirubinemia who is being breast-fed. Sequential Easy First Hard First. A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor. 4. Let's talk about some basic labor and delivery maternity terminology. Wrap Quiz 4 1. I think this medical terminology for labor and delivery will be super helpful -- all from an L&D nurse! magnesium sulfate. The client complains to the nurse of feelings of faintness and dizziness. This documented finding indicates that the fetal presenting part is located at which area? The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus. Which nursing action would be most appropriate? Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below. Which nursing diagnosis takes priority for this client? After nine months of pregnancy, you’re so close to getting to meet your new baby. 2. The nurse is preforming an assessment of a client who is scheduled for a cesarean delivery. 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. We are euphoric and so in love with our baby. 4. On the basis of these findings, the nurse should prepare the client for which anticipated prescription? Which of the following would be the nurse’s most appropriate action? Which of the following would be the priority at this time? 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. 9. The labor nurse became what we call the “mole” and put a sterile glove and sleeve on and switched places with the physician. Consider the following … Should I tell her not to come? Take our short quiz to learn what nursing specialty is best suited for your nursing career! After 3 days of breastfeeding, a postpartum patient reports nipple soreness. Labor and delivery nurses are typically RNs and must have a valid nursing license in their state. When doing perineal care in preparation for delivery. What actions should the nurse anticipate? 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. A lot of your job is reassuring your patient that yes, they can and will deliver this baby. Results are being recorded. There are 545 NCLEX -style practice questions partitioned in 8 sets. A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. Guttercat. Which question should the nurse ask her first? A career in L&D nursing is often considered to be fast-paced, patient-centric and multifaceted. Do not think about the answers too long. The nurse is caring for a primigravida at about 2 months and 1-week gestation. Results: You might want to get some more info before the big day. Quiz complete. 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? Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration? 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 finding indicates a genetic risk factor? As mentioned above, this can be a very scary time in addition to the pain. We’ve made a significant effort to provide you with the most informative rationale so please be sure to read them. Congratulations, you have completed this quiz! The appropriate nursing instruction to the mother is which of the following? In case of complications during childbirth, they may also need to assist in, and help prepare the mother for, a cesarian section. My mom was planning to fly here to help me care for my new baby after delivery. 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. So normally it’s 1-3 labor nurses and then maybe 3-4 postpartum nurses. Hence you can not start it again. How should the nurse respond? Pick the answer that you think fits best, and in the end, we will tell you what kind of nurse you should be. Because of this, nurses have an opportunity to bond quickly with mothers and build a sense of trust. Which assessment finding indicates that the client is at risk for preterm labor? 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 In this post, you can reference some of the most common interview questions for a labor and delivery nurse interview along with … "How do you view your role as a member of the labor and delivery team?" SATA. A client who is 36 weeks pregnant comes to the clinic for a prenatal checkup. According to the United States Bureau of Labor Statistics, the average salary for registered nurses including labor and delivery nurses … Labor and delivery nurse interview questions & answers. Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. 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. A. Which of the following would the nurse in charge do first? 2. Those looking to continue their education should pursue a DNP in nurse-midwifery or women's health clinical nurse specialist. “The doctor or midwife is not there all the time,” said Paunan. 2. Monitor the newborn's response to feedings and weight gain pattern. An adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. A primigravida in active labor is about 9 days post-term. Would I be able to breastfeed my baby if I test positive for COVID-19? Score will be posted as soon as the you are done with the quiz. Your labor paid off. The mother indicates she wants to breast-feed. The initial nursing action in performing this assessment is which of the following? I should have reviewed a little but I didn't. What will the nurse relay to the client as the most likely outcome of the amniotomy? Select all that apply. A client makes a routine visit to the prenatal clinic. A woman who is at 36 weeks of gestation is having a nonstress test. Earned Point(s): 0 of 0, (0) 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. A client with type 1 diabetes mellitus who is a multigravida visits the clinic at 27 weeks gestation. Labor and Delivery. Which observation would the nurse be expected to make after the amniotomy? 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. The nurse determines that the client has understood the instructions if she makes which of the following statements. “We don’t just rock babies all day,” said Crystal Paunan, MSN, RNC, an instructor at Chamberlain’s Addison campus and nurse … Which assessment signs noted in the newborn would alert the nurse to the possibility of this syndrome? 13 Questions | By Rnpedia | Last updated: Nov 9, 2020 | Total Attempts: 4174 . I passed but barely so I have an email into my recruiter to see if I can retake it. Nurses must quickly switch between a supportive role and a directorial one. I think this medical terminology for labor and delivery will be super helpful -- all from an L&D nurse! After delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: 1. 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. Once the nurse was back from lunch, I spoke with her regarding the mother’s concerns. Which of the following would be contraindicated when caring for this client? Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. 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? A nurse is assessing a newborn who was born to a mother who is addicted to drugs. What phase of labor is she in? Which complication is most likely causing the client’s complaint of vaginal bleeding? The nurse determines that a new mother understands the teaching about prevention of newborn abduction if she states: The nurse is preparing to care for a newborn receiving phototherapy. Warming the crib pad. A nurse develops a plan of care for a woman with HIV and her newborn. I will flush the eyes after instilling the ointment. After a precipitous delivery, the nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. So immediately post delivery this patient’s uterus should be felt at U, which means umbilicus or slightly above. C. Distensibility of vaginal canal and introitus . 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. Your doctor or midwife will check your cervix and thebaby’s position, and tell you when it’s OK to push. I created a labor and delivery cheat sheet to help new nurses or student nurses… A nurse is prepared to perform a fundal assessment on a postpartum client. Explore Now. That’s usually for smaller hospitals though. After the labor has passed, delivery would commence immediately. What should the nurse A client at 41 weeks gestation is admitted to the labor and delivery unit for labor induction. Which factors determine the type of molding? Learn More About Our Nursing Programs. A patient has undergone an amniocentesis for evaluation of fetal well-being. Since this is a review, answers and rationales are shown after you click on the "Check" button. Read and understand each question before choosing the best answer. 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? Labor and delivery nurses must be alert for signs of change during the birthing process. For which of the following would the nurse be alert? 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? Welcome to your nursing test bank and NCLEX practice questions for maternity and newborn nursing. To mark the strip, the nurse in charge should instruct the client to push the control button at which time? Strongly tugging on the umbilical cord to deliver the placenta and hasten placental separation . Which is most likely to occur? For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. During a prenatal visit at 4 months gestation, a pregnant client asks whether tests can be done to identify fetal abnormalities. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with fetal alcohol syndrome? Take the quiz again to perfect your OB IQ. A primigravida patient is admitted to the labor delivery area. Labor and delivery nurse certifications are not mandatory, but they may show potential employers that nurses specialize in the area. Then it’s go time. Which interventions are appropriate? Which of the following would be the initial nursing action? A nurse in a delivery room is assisting with the delivery of a newborn. Labor and delivery nurses have many different responsibilities pre- and post-childbirth. Labor and delivery nurses are often assigned to only one actively laboring patient. My hospital is restricting visitors and only allowing one support person. The client has been experiencing contractions that are short, irregular, and weak. A nurse prepares to administer a Vitamin K injection to a newborn, and the mtoher asks the nurse why her infant needs the injection. 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. Her pain is likely to be most intense: A female adult patient is taking a progestin-only oral contraceptive or mini pill. Membranes ruptured (if feasible). Progestin use may increase the patient’s risk for: A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms? But on average midwifes tend to earn more than labor and delivery nurses. The nurse examines the clots and notes that they are larger than 1 centimeter. Ask the client to urinate and empty her bladder. What is a common source of radiant heat loss? Labor and delivery nurses may also help to administer or monitor other medications that a woman in labor may need. 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? Maternal And Child Health Nursing NCLEX Quiz 31 . A nurse is preparing a plan of care for a newborn with fetal alcohol syndrome. Do you have a time limit on how quickly labor must progress before interventions are … It’s easy to be inspired to become a nurse when you read about the exploits of famous caregivers such as Florence Nightingale, Mary Eliza Mahoney, and Clara Barton. Prevent ophthalmia neonatorum from occuring after delivery in a newborn born to a woman with untreated gonococcal infection. 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 documents that the client is experiencing which type of labor dystocia? An opioid analgesic is administered to a client in labor. 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? A nurse explains the purpose of effleurage to a client in early labor. 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. 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. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. A nurse determines that the client is experiencing toxicity from the medication if which of the following is noted on assessment? I will ask the nurse to attend to my infant if I am napping and my husband is not here. When we hit 24 hours postpartum the fundus should be palpated at U-1. 4. You may interact more with your labor and delivery nurse than any other member of your birthing team. Drying the infant with a warm blanket. You will be able to go through labor and delivery with greater comfort and control by being prepared. 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. • 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. Play as. 2. Which of the following actions would be appropriate? A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time? What information should the nurse give to this mother regarding breastfeeding success? In this section are the practice quiz and questions for maternity nursing and newborn care nursing test banks. B. During labor, your cervix will open (dilate) to 10 centimeters. The best Labor and Delivery (L&D) Nurses are those who are compassionate, clear, and attentive communicators. A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Connect the resuscitation bag to the oxygen outlet. Click on the "Finish Quiz" button to show your rating. Following a precipitous delivery, examination of the client’s vagina reveals a fourth-degree laceration. 3. A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Aspiring labor and delivery nurses without a nursing license should enroll in the BSN, one of the best undergraduate programs in the region. Once you take this quiz, you’ll want to continue on to take our 4-letter personality quiz. A nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Maternal And Child Health Nursing NCLEX Quiz 29 . 7. Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. 13 notes Feb 4th, 2015. The key to a successful individualized care plan is the precise assessment and accurate obtaining of data. Vitamin K, and postpartum nursing care nurse relay to the clinic 27... She is 30 weeks pregnant: a female adult patient is in the nurse give to mother... Indicates her correct understanding of the following would the nurse anticipate will be breast-feeding her newborn may... 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The vagina help to administer the medication should include which priority intervention in the plan care. To evaluate the health care provider pregnant women ) method of family planning assessment. Super helpful -- all from an L & D ) nurses are typically and! Midwife is not included as a member of the ultrasound indicate that abruption placentae is present the indicate... Experience a seizure have reviewed a little but I did run out of.!