Geniallyland Breakout

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Maternity Land

Answer Questions about L&D, Postpartum and Newborns and collect your pizes!

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Maternity Land

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What stage of labor is Emily most likely in?

1/5

First Stage of Labor, transition phase

First Stae of Labor, active phase

First Stage of Labor, latent phase

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1/5

Great!NIce job!

2/5

Emily's husband is bringing her to the labor unit, and she is talkative and excited. What is the nurse's most appropriate response?

Reassure Emily that being excited and talkative is normal in early labor.

Advise Emily to start focusing on breathing techniques to prepare for the second stage.

Tell Emily to calm down and avoid talking to prevent energy loss.

2/5

Great!Keep it up!

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3/5

Given Emily’s current assessment findings, what is the nurse’s most appropriate plan of care?

Encourage Emily to labor while in bed

Recommend epidural anesthesia for Emily

Monitor maternal and fetal status and provide comfort measures to Emily

3/5

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4/5

Emily has transitioned into the active phase of labor. Which of the following describes the pattern of uterine contractions during the active phase?

Contractions are irregular and painful, occurring every 7 to 10 minutes.

Contractions are regular, moderate to strong, occurring every 2 to 3 minutes.

Emily is encouraged by her nurse to start pushing

4/5

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5/5

Which of the following is true about the first stage of labor in a nulliparous woman (a woman who has never given birth)?

The first stage of labor typically lasts longer

The cervix dialates more rapidly

The first stage of labor is shorter and more intense

5/5

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D) Minimal variability is a sign of a well-oxygenated fetus.

C) Minimal variability can indicate fetal hypoxia or other complications, requiring further assessment.

B) Minimal variability is normal during early labor and should not be a cause for concern.

A) The fetus is in a state of distress and requires immediate c-section

1/5

What is the most likely interpretation of the minimal fetal heart rate variability?

D) Prolonged deceleration

C) Variable deceleration

B) Late deceleration

A) Early deceleration

2/5

The fetal heart rate drops to a low of 80 bpm during a contraction and slowly returns to baseline after 1 minute after the contraction ends. How should this pattern of fetal heart rate decelerations be classified?

A) Administer an oxygen NC at 6 L/min to the mother.

D) Prepare for immediate cesarean delivery.

C) Increase the rate of IV fluids to enhance uteroplacental perfusion.

B) Reposition the mother to her left side to relieve cord compression.

3/5

In the scenario, the fetal heart rate drops to 80 bpm, with a slow return to baseline. What is the most appropriate initial nursing intervention?

D) Maternal hypotension

C) Umbilical cord compression

B) Uterine rupture

A) Umbilical cord prolapse

4/5

Based on the scenario, which of the following is a potential cause of the fetal heart rate drop to 80 bpm during the contraction?

D) Offer the mother pain relief options to manage discomfort

C) Administer IV fluids to reduce maternal blood pressure.

B) Prepare for potential c-section, if fetal distress persists.

A) Increase maternal sedation to improve the mother’s comfort

5/5

If the fetal heart rate continues to show minimal variability and occasional decelerations, what should the nurse be prepared to do next?

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00:03

1/5

Which of the following teaching points should the nurse include in Megan's discharge instructions regarding perineal care?

YOU

"It is normal to have a large amount of swelling in the perineum for several months after delivery."

"You should avoid sitting for long periods of time to prevent pressure on the perineum."

"Use a perineal bottle with warm water to cleanse the area after each void or bowel movement."

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00:15

1/5

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2/5

Megan is preparing for breastfeeding. What is the most important piece of advice the nurse should give to Megan regarding breastfeeding in the first few days?

YOU

"You should aim to breastfeed every 3 to 4 hours, but don't worry if your baby is not hungry."

"Breastfeeding should be limited to 10 minutes per session to avoid nipple soreness."

"Frequent breastfeeding will help stimulate milk production, so feed as often as your newborn wants

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00:15

2/5

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3/5

Megan is concerned about the possibility of postpartum depression. Which of the following signs and symptoms should the nurse educate her to watch for in the first few weeks after delivery?

YOU

"It is normal to feel overwhelmed and cry occasionally, but if these feelings persist for more than 2 weeks, you should seek help."

"Postpartum depression typically occurs only after the first month and may include feelings of worthlessness or excessive guilt."

"Feelings of sadness or hopelessness are common in the early postpartum period, but they should resolve within a few days."

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00:15

3/5

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4/5

Brandy is concerned about her baby's safety while sleeping. Which of the following sleep practices should the nurse recommend for the safety of her newborn?

YOU

"It is okay to let your baby sleep in a car seat during naps to prevent them from rolling over."

Place your baby on their back to sleep to help prevent SIDS

"Place your baby on their stomach to sleep to reduce the risk of choking."

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00:15

4/5

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5/5

Megan and Brandy are both preparing for discharge. What is one important sign of infection that the nurse should teach Megan to watch for in the first few weeks postpartum?

YOU

If you notice foul-smelling lochia or a fever, contact your healthcare provider."

"A small amount of swelling in the breasts is normal and should not be a cause for concern."

"If you have any bleeding, it is important to seek immediate care as it could indicate infection."

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00:15

5/5

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THE HOUSEOF TERROR

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1/5

What is the most appropriate initial nursing intervention when communicating with Paula about her son’s condition?

"I understand this is very difficult to hear. Would you like more information on Matthew's condition?"

"It’s normal for premature babies to face challenges, and you should try to be positive."

"You should be prepared for the worst and expect that Matthew might not survive."

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2/5

Paula is emotionally overwhelmed and asks the nurse what her options are for her son's care. What is the most appropriate response for the nurse to provide?

"The best option is to continue all interventions and see how Matthew responds."

"The decision is out of your hands, and the doctors will decide what happens next."

There is the possibility of comfort care or continuing with aggressive treatment. Would you like to discuss these options?

3/5

When Paula expresses feelings of guilt about not being able to do more for Matthew, which of the following responses would provide the most therapeutic support?

"You need to stop feeling guilty. Matthew’s situation is beyond anyone’s control."

"I know this is a difficult situation, and it’s normal to feel this way, but you are doing everything you can for Matthew."

"Many mothers feel this way, but remember that Matthew is in the best hands possible right now."

4/5

The nurse recognizes the need to support her mental health. Which of the following actions would best help Paula cope during this challenging time?

Provide Paula with information on support groups and counseling services for parents of premature infants.

Encourage Paula to stay strong and avoid expressing emotions in front of others family members.

Encourage Paula to avoid thinking about the worst-case scenario and to focus only on positive outcomes.

5/5

Paula is considering the option of palliative care for Matthew. Which of the following is the most important role of the nurse in this situation?

Discourage Paula from choosing palliative care, as it is important to give Matthew a chance at recovery.

Suggest that Paula only consider palliative care if Matthew’s condition worsens significantly.

Offer emotional support and assist Paula in understanding the palliative care options available to her family.

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