Labor
It's a process
Position
This and That
Labs & Medications
100
This is the assessment the nurse should do before giving pain medications when this fetal strip is present.
What is a cervical exam?
100
This is where the baby should go directly after birth unless resuscitation is required.
What is skin to skin?
100
Vertex
What is fetal position that is best for a vaginal birth
100
The nurse should recognize that the third stage of labor ends with
What is Expulsion of the placenta
100
A serious organism that can cause fatal neonatal sepsis if the baby contracts it.
What is Group beta strep
200
The nurse knows that a full bladder can interfere with __________ during labor.
What is the descent of the fetal head.
200
During augmentation of labor with oxytocin this is the priority intervention.
What is stop the oxytocin?
200
The nurse walks into the labor room and notices her client is holding her breath with each contraction and starting to bear down. When last checked one hour ago, she was 6cm dilated and 80% effaced. This nursing action would be best.
What is perform a cervical exam to check for dilation.
200
The client is due for her second cytotec. This is how the nurse should proceed. 
What is administer the cytotec and continue to monitor for an hour.
200
The nurse notes a late deceleration on the fetal monitor. These nursing interventions would be appropriate.
What is give oxygen via non-rebreather, place client on left side, turn off the oxytocin & notify the provider.
300
The nurse is checking the fetal heart rate of a laboring client. He knows that this range of fetal heart rate baseline would reassure the nurse of appropriate fetal perfusion.
What is 110-160?
300
When this tracing occurs following a SROM, this assessment should be done.
What is cervical exam?
300
On assessment the nurse finds the fetal heart tones above the umbilicus. This is the position the baby most likely in.
What is Breech?
300
When considering the cultural beliefs of a Muslim woman, this nursing consideration is best.
What is offer a female provider.
300
When a non stress test has a baseline of 115, minimal variability, no accelerations and no decelerations this test should be done.
What is a biophysical profile (BPP)
400
This is the priority nursing assessment.
What is maternal temperature?
400
Of the laceration degrees 1-4, this one is most likely to give the client the most complications?
What is 4th degree?
400
The nurse notices the amniotic fluid is meconium stained, what is the important nursing action to be taken immediately?
What is assess the fetal heart rate?
400
The nurse is caring for a client with a repaired second-degree laceration of the perineum immediately after delivery. The nurse should first apply _____ to the perineum. ( heat or cold)
What is cold.
400
A nurse is caring for a laboring client who is to receive an epidural. The nursing action will best prevent fetal compromise.
What is giving an IV fluid bolus?
500
A laboring client having an epidural for pain relief would be at risk for this major side effect that may decrease placental perfusion.
What is Maternal hypotension?
500
This is the measurement (in cm) from the symphysis pubis to the fundus that is equal the the number of weeks gestation.
What is fundal height?
500
fetal heart rate of 90 is known as this.
What is fetal bradycardia.
500
The nurse is admitting a client who is in early labor and is scheduled for a cesarean delivery. This assessment is the priority.
What is monitor the fetal heart rate?
500
This action should be taken when the oxytocin is running with the strip below.
What is discontinue the oxytocin?