Baby positioning
A nurse confirms the baby is LOA. What position is the baby? Is this favorable?
left, occiput, anterior
yes
A nurse confirms the fetus is at station 0. Where anatomically is baby relative to mother?
A pregnant patient is actively in labor with dilation, what stage of labor is this?
1st
A pregnant patient in labor requests a short term medication to help with the pain, what medications can the nurse expect the provider to order?
fentanyl or morphine
A patient is 41 weeks gestation and preparing for induction. She is not experiencing tachysystole. Which mechanical method of induction is the provider likely to use?
balloon catheter
A nurse confirms the baby is ROP. What position is the baby? Is this favorable?
right, occiput, posterior
no increases back pain and requires rotation
A nurse confirms babys station is 4+. What is the interpretation of this?
baby is below the spines and progressing with delivery
A pregnant patient has given birth and is awaiting placenta arrival, what stage of labor is this?
A patient in the 2nd stage of labor is asking for morphine. What education should the nurse provide regarding this request?
morphine crosses the placenta and can cause severe respiratory depression and decreased FHR variability for the baby
A provider orders misoprostol for a client 41 weeks gestation. The patient doesn't understand what this medication does. What should the nurse say?
misoprostol ripens the cervix
A nurse confirms the baby is RMT. What position is the baby? Is this favorable?
right, mentum, transverse
not favorable
A nurse confirms babys station to be -1. What is the interpretation of this number?
baby is above the ischial spines
A pregnant patient is completely dilated and pushing, what stage of labor is this?
2nd
A patient in labor is requesting a self administered, rapid and short acting medication. Which medication would best fit these parameters?
nitrous oxide
What are contraindications with cervidil a PGE2 medication?
A nurse confirms the baby is RSA. What position is the baby? Is this favorable?
right, sacrum, anterior
no
A nurse notices that the maternal blood pressure begins to drop. What position can help with hypotension?
A pregnant patient has delivered both baby and placenta and now is recovering what stage of labor is this?
4th
A pregnant patient is requesting the strongest labor analgesia. The nurse can inform the patient which medication aligns with their wishes?
A patient is experiencing excessive contractions. Which medication can the nurse expect the provider to order?
terbutaline
A nurse confirms the baby is LAA. What position is the baby?
left, acromion, anterior
A nurse is helping a pregnant patient to the restroom and temporarily takes of the FHR monitor and TOCO. On the way to the restroom the patient states they felt a "pop" and clear fluid is continuously leaking. What is the nurses top priority?
assess FHR immediately because cord prolapse can occur
latent is cervical change before 6cm - slow progression
active begins at 6cm and dilation typically accelerates
A patient just gave birth and had a moderate perineal tear. She is concerned about the pain associated with the repair and wants to know if she will be given anything to help. What can the nurse inform her of?
A patient just received terbutaline, the nurse can educate them on what expected side effects?
tachycardia, palpitations, tremors, hyperglycemia and hypokalemia