Labor & Delivery Exam Prep (New 2023/2024 Update) Guide with Questions and Verified Answers| 100% Correct

Labor & Delivery Exam Prep (New 2023/2024 Update) Guide with Questions and Verified Answers| 100% Correct QUESTION When should mom go to the hospital? Regular contractions that have occurred for at least one hour (q5min for new mom, q10min for multipara) If water breaks, regardless of contractions Bleeding (not bloody show) call first. Marked decreased fetal movements Any concerns (call) QUESTION What are some of the nursing responsibilities during admission of a new mom? Answer: Determine if birth is imminent (Circumstantial/behavior will tell you) Allow mom to change into hospital gown Collect a urine sample (unless their water has broken) Hook mom and baby up to monitor/take VS Collect a medical history Vaginal exam Check if you think membranes have ruptured. Document progression. Ask about birth plan (include the support person) QUESTION Describe the vaginal exam during the admission process. Answer: Contraindicated with bright red bleeding, maybe if membranes have ruptured You're checking for progress, position, and station QUESTION What is the station of a fetus? Answer: Station is where the baby's head is in relation to the mom's pelvic QUESTION How would you chack to see if the membranes have ruptured? Answer: Nitrazine test Ferning test QUESTION Describe the nitrazine test. Answer: Will turn dark blue if it is positive. QUESTION Describe the ferning test. Amniotic fluid will look like ferns under the microscope