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Labor and Postpartum Escape

Tresia

Created on September 18, 2025

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Transcript

Labor and Postpartum Escape

Start

Intro

You find yourself in the labor and delivery unit, where every second matters. A mother is in labor, a baby’s heart rate is on the monitor, and postpartum risks are waiting on the other side of delivery. To escape, you must assess, act, and educate, using your clinical judgment to guide the way.

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Labor
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Locked

Answer the question and you will find out the address of the following scenario

Which finding indicates true labor?

Contractions cause cervical dilation and effacement
Walking decreases the intensity of contractions
Discomfort is mainly felt in the abdomen
FHR Tracing
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Completed
Locked

Drag and discover

A fetal heart rate tracing reveals recurrent variable decelerations. To move forward, choose the priority nursing action.

Put a non-rebreather at 8-10/lpm
Increase the oxytocin infusion
Put client in knee to chest position
Epidural
Completed
Completed
Locked

Nice work, Nurse! The FHR recovered after your quick action. Your patient has now been laboring for 4 hours. Her membranes have ruptured, and she requested an epidural for pain control. As her nurse, what common complication should you be on high alert for after epidural placement?

Fetal tachycardia
Fever
Maternal Hypotension

Good catch! Hypotension is the most common complication. Keep those fluids and monitoring ready, let’s move on!No she is fully dilated, In what stage of labor is the client currently in?

3rd Stage
Latent Phase of 1st Stage
2nd Stage

Remember the code

259

Continue

Your patient says she feels the urge to push. Click continue to start pushing!

Continue

How many cm dilated should the patient be to begin pushing?

Enter the password

Remember the code

216

Continue
Completed
Completed
Completed
4th Stage

The placenta has now been delivered, and your patient has entered the 4th stage of labor, the immediate postpartum recovery period. As the nurse, which action is the priority during this stage?

Offer the mother a light snack and fluids
Encourage ambulation to promote circulation
Monitor maternal vital signs, fundus, and lochia

It is now 12 hours postpartum. During your assessment, you notice your patient’s fundus is boggy. What is your priority nursing action?

Straight cath the patient
Massage the Fundus
Have the patient get up and void

Great job, Nurse! You performed a fundal massage, prevented postpartum hemorrhage, and the uterus is now firm. Your patient is complaining of cramping (afterpains). What is the most appropriate nursing response?

This will last for several months.
This could be a sign of uterine infection.
These afterpains are common as your uterus contracts back to its pre-pregnancy size.

Your patient is 24 hours postpartum. What type of lochia should you expect to assess at this time?

Lochia Rubra
Lochia Alba
Lochia Serosa

The newborn has been feeding well. At the last feeding, the mother reports the baby took 1 ½ ounces of formula. How many milliliters (mL) should you document on the intake & output record?

Continue

You have reached the last mission 🎉 Do you know what the code is?

Enter the password

Well done! You dodged decels, tamed the boggy fundus, and rocked newborn care. You’re free to escape

Wrong answer!

Try again