So normally it’s 1-3 labor nurses and then maybe 3-4 postpartum nurses. 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. 2. 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? A nurse in a delivery room is assisting with the delivery of a newborn. Play as. A nurse explains the purpose of effleurage to a client in early labor. A pregnant client is diagnosed with partial placenta previa. The nurse discontinues the infusion if which of the following is noted on assessment of the client? Strongly tugging on the umbilical cord to deliver the placenta and hasten placental separation . Learn More About Our Nursing Programs. But on average midwifes tend to earn more than labor and delivery nurses. The diet should include additional fluids. 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. What will the nurse relay to the client as the most likely outcome of the amniotomy? 3. 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. Next Retake Quiz. To help you plan ahead, now is a good time to talk to your doctor about labor and delivery and what you can … An adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. … Labor and delivery nurses must be alert for signs of change during the birthing process. The nurse is preforming an initial assessment on a client who has just been told that a pregnancy test is positive. The labor nurse became what we call the “mole” and put a sterile glove and sleeve on and switched places with the physician. This is your first set of practice questions for maternity nursing. 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. A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor. During the Quiz End of Quiz. What phase of labor is she in? Labor – First Stage: Consider Cesarean Delivery Cervix 6 cm or greater. The nurse in a labor room is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. The nurse sees a woman for the first time when she is 30 weeks pregnant. The appropriate nursing instruction to the mother is which of the following? Maternal And Child Health Nursing NCLEX Quiz 29 . Membranes ruptured (if feasible). 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? They should have a background working in a labor and delivery setting or specialized training in that area. Which nursing action is appropriate? After administering bethanechol to a patient with urine retention, the nurse in charge monitors the patient for adverse effects. Assessment reveals that she is in the early part of the first stage of labor. We’ve made a significant effort to provide you with the most informative rationale so please be sure to read them. Methergine is prescribed for a client with postpartum hemorrhage. The nurse reviews the health care provider's prescriptions and should question which prescription? 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. Nurses can only seek this certification after two years, and at least 2,000 hours of experience. When we hit 24 hours postpartum the fundus should be palpated at U-1. The best Labor and Delivery (L&D) Nurses are those who are compassionate, clear, and attentive communicators. Select all that apply. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her infant. A client with eclampsia begins to experience a seizure. What is the priority nursing diagnosis for this client? She has passed several clots. How to Become a Labor and Delivery Nurse . The nurse is caring for a client in labor. 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. Which of the following would be contraindicated when caring for this client? Good luck to you!!! The client desires a bilateral pudendal block anesthesia before delivery. Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. A nurse is teaching a postpartum client about breast-feeding. 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! Which of the following persons must the nurse notify? Do not think about the answers too long. © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! Which assessment finding would the nurse expect to note during the assessment of this newborn? Which of the following would the nurse in charge do first? the nurse should observe the following EXCEPT. Prevent ophthalmia neonatorum from occuring after delivery in a newborn born to a woman with untreated gonococcal infection. 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. Maternal And Child Health Nursing NCLEX Quiz 31 . Looking for the rationales? 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 in charge is caring for a patient who is in the first stage of labor. What should the nurse do to help the woman process the delivery? After 3 days of breastfeeding, a postpartum patient reports nipple soreness. C. Distensibility of vaginal canal and introitus . Call the delivery room to notify the staff that the client will be transported immediately What does this score indicate? L&D nurses care for women who are laboring, have complications of pregnancy or have recently given birth. Labor and Delivery Nurses assist patients before, during and after childbirth. Her membranes are still intact, and the health care provider prepares to perform an amniotomy. The nurse is reviewing the record of a client in the labor room and notes that the health care provider had documented the fetal presenting part is at the -1 station. When doing perineal care in preparation for delivery. Do you have a time limit on how quickly labor must progress before interventions are … 2. I will flush the eyes after instilling the ointment. Instruct the client to request help when getting out of bed. administration of oxytocin (Pitocin). Which assessment finding should the nurse expect to note if this condition is present? Here are 5 pregnancy vocabulary words you need to know in the land of L&D -- some labor and delivery vocabulary words. Following a precipitous delivery, examination of the client’s vagina reveals a fourth-degree laceration. The nurse assigned to care for the client ensures that which medication is readily available if respiratory depression occurs? A parent or patient’s concerns should never be dismissed. With all the nursing specialties out there, it can be confusing to know what requirements there are to become a labor and delivery nurse. 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 nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. As an L&D Nurse, you should be comfortable dealing with a broad range of emotions, addressing questions… Note: For spontaneous labor and induction of labor entering active phase. 4a. Since this is a review, answers and rationales are shown after you click on the "Check" button. If it’s all on one floor, you’ll have fewer because your labor nurse will turn into your postpartum nurse. Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. magnesium sulfate. Earned Point(s): 0 of 0, (0) “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. My hospital is restricting visitors and only allowing one support person. A nurse is preparing a plan of care for a newborn with fetal alcohol syndrome. 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. Which complication is most likely causing the client’s complaint of vaginal bleeding? The client has a history of cardiac disease. A nurse is assessing a client who is 6 hours post-partum after delivering a full-term healthy infant. Which assessment finding would indicate the need to contact the health care provider? The nurse should include which priority intervention in the plan of care? A primigravida client at about 35 weeks gestation in active labor has had no prenatal care and admitted to cocaine use during the pregnancy. 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. 4. The nurse is caring for a client in labor. B. 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. 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? Which intervention should the nurse implement? 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. SATA. A client with type 1 diabetes mellitus who is a multigravida visits the clinic at 27 weeks gestation. Take the quiz again to perfect your OB IQ. A nurse in a delivery room is assisting with the delivery of a newborn. 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? Labor and Delivery Unit Safety AHRQ Publication No. Increase hydration by encouraging oral fluids. Which question should the nurse ask her first? The woman would be placed under observation during labor to monitor her progress and ensure a safe delivery for her and the child. 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 who is 36 weeks pregnant comes to the clinic for a prenatal checkup. Which finding indicates a genetic risk factor? A postpartum nurse is providing instructions to a client after delivery of a healthy infant. 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? Consider the following … For which of the following would the nurse be alert? Welcome to your nursing test bank and NCLEX practice questions for maternity and newborn nursing. Results: You might want to get some more info before the big day. You may interact more with your labor and delivery nurse than any other member of your birthing team. The nurse determines that the client has understood the instructions if she makes which of the following statements. Select all that apply. The doctor performs an amniotomy. You and a support person may want to take childbirth classes to prepare for your labor and delivery. These nurses … Labor and delivery nurses have many different responsibilities pre- and post-childbirth. Client has a good to tolerable level of pain. A. Take our short quiz to learn what nursing specialty is best suited for your nursing career! Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. 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? Because of this, nurses have an opportunity to bond quickly with mothers and build a sense of trust. This includes coaching women through labor… There is no time limit, answer the questions at your own pace. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. 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. I passed but barely so I have an email into my recruiter to see if I can retake it. The key to a successful individualized care plan is the precise assessment and accurate obtaining of data. The initial nursing action in performing this assessment is which of the following? Finding help online is nearly impossible. 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. These roles require excellent patient relations skills and the capacity to serve as a calming, supportive presence. Labor And Delivery Nurse Resume Examples. Quiz Flashcard. 1. Giving birth … The path to becoming a labor and delivery nurse varies for each nursing professional. That’s usually for smaller hospitals though. 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. Her pain is likely to be most intense: A female adult patient is taking a progestin-only oral contraceptive or mini pill. In this section are the practice quiz and questions for maternity nursing and newborn care nursing test banks. Those looking to continue their education should pursue a DNP in nurse-midwifery or women's health clinical nurse specialist. Her oral intake has been ice chips only since surgery. Score will be posted as soon as the you are done with the quiz. Risk for injury related to low blood glucose levels. 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 administers erythromycin ointment 0.5% to the eyes of a newborn and the mother asks the nurse why this is performed. Mark the letter of the letter of choice then click on the next button. This documented finding indicates that the fetal presenting part is located at which area? All questions are shown, but the results will only be given after you’ve finished the quiz. 6. 4. 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