Giving Birth/ labor & delivery
Intrapartum monitoring/assessment
Pain management
Therapeutic nursing /procedures
Nursing care during labor & delivery
Medications affecting labor & delivery
100

Contractions that help the mother's body prepare for true labor; they do not indicate that labor has begun.

What is Braxton-Hicks contractions

100

Which method of assessing the fetal heart rate  requires the use of gel?

What is a Doppler.

 

100

Epidurals and Spinals cannot be given when a patients lab results show _________________, which can be seen in cases of PIH and HELLP.




What are low platlets

100

A patient complains of a headache and seeing blurry spots. The nurse knows these are symptoms of what complication?




What is preeclampsia


100

What are some simple thing that a nurse can do to help during labor?

 Lighting and temperature
◦ Cleanliness and mouth care
◦ Bladder
◦ Positioning
◦ Water
◦ Providing encouragement
◦ Pharmacologic pain relief


100

What are some general anesthesia, nursing considerations & care?


What is Immediate post-anesthesia nursing care  focuses on maintaining ventilation and circulation, monitoring oxygenation and level of consciousness, preventing shock, and managing pain. 

200

The 3 phases within the first stage of labor

What is latent, active, and transition?

200

What is the difference  between Cervical dilation & effacement ?

What is effacement 

200

A form of anesthesia that is administered to mothers in labor both for vaginal and cesarean births which numbs the pain of labor without affecting the mother's ability to push.

What is an epidural?

200

A small cut that prevents tearing during delivery.


What is an episiotomy

200

What are some nursing jobs during labor and delivery?

Initial care and assessment of the newborn,
including calling neonatal staff if indicated
Administration of medication such as oxytocin to
contract the uterus and control blood loss.


200

A patient in preterm labor is receiving betamethasone, what is the indication for this

What is to enhance fetal lung maturity

300

What is the difference between true and false  labor?

What is true labor contractions last more than 30 seconds at the onset and get progressively longer, up to 60 seconds, whereas false labor contractions vary in length.

300

Use of a fetal monitor to evaluate fetal well-being where you want to see 2 accelerations in 20 minutes and moderate variability.




What is a non-stress test or NST.


300

 What are some Application of Nonpharmacologic Techniques?

What is 

General Comfort

Reducing Anxiety and Fear

Relaxation

Mind-Body Stimulation/ massage

Hydrotherapy

Mental Stimulation

Breathing Techniques

Modified-Paced Breathing


300

A patient is to have anamniotomy to induce labor.The nurse recognizes that thepriority intervention after the amniotomy is to ?


What is to assess the fetal heart rate

(FHR)

300

What tool are they utilizing?

300

Medication used to help during and after labor?

What is Oxytocin is a hormone used to help start or continue labor and to control bleeding after delivery

400

What is the “normal” expected- arteries/veins, utilized?

What is The umbilical vessels carry the fetal blood back and forth to the placenta, with the umbilical vein carrying oxygenated blood with nutrients from the placenta to the fetus and the umbilical arteries transporting deoxygenated blood with waste products from the fetus to the placenta

400

Where do you observe for fetal heart rate ?

What is external fetal monitoring FHR 

400

Why is  Oxytocin utilized?

 What is prevents excessive postpartum bleeding by helping the uterus to contract.

400

What is the difference between augmentation and induction?


Cervical ripeningMedical methods (prostaglandins)

Mechanical methods (transcervical catheter, laminaria)Oxytocin administration Diluted in an isotonic solution and given as a secondary infusion

400


Leopolds maneuvers-steps and reason for utilizing a this procedure?


What is It is used to determine the position, presentation, and engagement of the fetus in utero.

Step 1: Fundal grip (Determine the fundal height) ...

Step 2: Umbilical grip (Locate the fetal back) ...

Step 3: Pawlik's grip (Identify the presenting part) ...

Step 4: Pelvic grip (Locate the fetal head)

400

 Opioid  medications used during labor?

What is , only a few are commonly used for childbirth. They include meperidine (Demerol®), morphine, fentanyl, butorphanol (Stadol®) and nalbuphine (Nubain®).

500

What are the cardinal mechanisms of labor? 

List 7 of them

• Engagement: 

• Descent: 

• Flexion: .

• Internal rotation:  

• Extension: 

• External rotation: 

• Expulsion: 


500

What to observe for in fetal heart monitoring? 

(VEAL CHOP)

What is Variable deceleration Cord compression Early deceleration Head compression Acceleration Oxygenation Late deceleration Placental insufficientcy

500

What are some pharmacological pain managments utilized during labor?

What is 

Regional Anesthesia

Pudendal Block

Local Infiltration Anesthesia

Epidural Block

Combined Spinal-Epidural Analgesia

Subarachnoid (Spinal) Block

Opioid Analgesics

Adjunctive Drugs

Sedatives

General Anesthesia















500

What is External Cephalic ?

External cephalic version (ECV) is a procedure that tries to turn a breech baby into a head-down position so you can have a normal vaginal birth

500

What is the BISHOP SCORE ?

Dilation

Effacement 

Fetal station 

Cervical consistency 

500

What are some non pharmaceutical  interventions  during labor and delivery?

What is positioning  breathing exercises , comfortable and relaxing environment therapeutic communication , positive reinforcement, relaxation , and therapeutic touch.