A charge nurse is teaching a newly licensed nurse about substance use disorders during
pregnancy. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? - ANSWER Encourage client who are prescribed
methadone to breastfeed.
A nurse is caring for a client who received terbutaline subcutaneously. Which of the
following findings is an indication the medication was effective? - ANSWER Decreased
frequency of contractions.
A charge nurse is discussing care of clients who are in labor with a newly licensed nurse.
Which of the following actions should the charge nurse include in the teaching regarding
situations requiring an amniotomy? - ANSWER Placing a fetal scalp electrode.
A nurse is reviewing the medical record of a client who has preeclampsia prior to
administering labetalol. For which of the following findings should the nurse withhold the
medication? - ANSWER Heart rate 54/min
A nurse is caring for a client who is at 30 weeks of gestation and observes the client choking
while eating lunch. The client is unable to speak or cough. Identify the sequence of steps the
nurse should take to clear the airway obstruction. - ANSWER 1. Stand posterior to the
client.
2. Position arms under the client's axilla and across the client's chest.
3. Place thumb-side of a clenched fist to the client's mid-sternum area.
4. Initiate chest thrust to the client using a backward motion.
1
, -If the client becomes unconscious, the nurse should perform CPR and activate emergency
medical services.
A nurse is preparing to administer an opioid analgesic to a client who is in active labor.
Which of the following assessments should the nurse perform? (SATA) -
ANSWER Maternal blood pressure.
Pain level.
Fetal heart rate.
A nurse is reviewing the medical records of a client who is at 8 wks. of gestation. Which of
the following findings should the nurse identify as a risk factor for developing preeclampsia?
- ANSWER Rheumatoid Arthritis.
A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin
for deep-vein thrombosis. Which of the following laboratory tests should the nurse monitor?
- ANSWER International normalized ratio (INR).
A nurse is monitoring a client who is in the active phase of labor and has an intrauterine
pressure catheter and fetal scalp electrode. Which of the following findings should the nurse
expect? - ANSWER Montevideo units (MVU) of 220 mm Hg.
A nurse is assessing a client who has just undergone a cesarean birth and was given epidural
morphine for postpartum pain relief 1hr ago. The nurse notes that the clients respiratory
rate is 10/min. Which of the following actions should the nurse take first? -
ANSWER Administer oxygen by nonrebreather face mask.
A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which
of the following clinical findings should the nurse expect? - ANSWER Painless vaginal
bleeding.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings
should the nurse report to the provider? - ANSWER Episodes of blurred vision.
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pregnancy. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? - ANSWER Encourage client who are prescribed
methadone to breastfeed.
A nurse is caring for a client who received terbutaline subcutaneously. Which of the
following findings is an indication the medication was effective? - ANSWER Decreased
frequency of contractions.
A charge nurse is discussing care of clients who are in labor with a newly licensed nurse.
Which of the following actions should the charge nurse include in the teaching regarding
situations requiring an amniotomy? - ANSWER Placing a fetal scalp electrode.
A nurse is reviewing the medical record of a client who has preeclampsia prior to
administering labetalol. For which of the following findings should the nurse withhold the
medication? - ANSWER Heart rate 54/min
A nurse is caring for a client who is at 30 weeks of gestation and observes the client choking
while eating lunch. The client is unable to speak or cough. Identify the sequence of steps the
nurse should take to clear the airway obstruction. - ANSWER 1. Stand posterior to the
client.
2. Position arms under the client's axilla and across the client's chest.
3. Place thumb-side of a clenched fist to the client's mid-sternum area.
4. Initiate chest thrust to the client using a backward motion.
1
, -If the client becomes unconscious, the nurse should perform CPR and activate emergency
medical services.
A nurse is preparing to administer an opioid analgesic to a client who is in active labor.
Which of the following assessments should the nurse perform? (SATA) -
ANSWER Maternal blood pressure.
Pain level.
Fetal heart rate.
A nurse is reviewing the medical records of a client who is at 8 wks. of gestation. Which of
the following findings should the nurse identify as a risk factor for developing preeclampsia?
- ANSWER Rheumatoid Arthritis.
A nurse is reviewing the laboratory results for a postpartum client who is receiving warfarin
for deep-vein thrombosis. Which of the following laboratory tests should the nurse monitor?
- ANSWER International normalized ratio (INR).
A nurse is monitoring a client who is in the active phase of labor and has an intrauterine
pressure catheter and fetal scalp electrode. Which of the following findings should the nurse
expect? - ANSWER Montevideo units (MVU) of 220 mm Hg.
A nurse is assessing a client who has just undergone a cesarean birth and was given epidural
morphine for postpartum pain relief 1hr ago. The nurse notes that the clients respiratory
rate is 10/min. Which of the following actions should the nurse take first? -
ANSWER Administer oxygen by nonrebreather face mask.
A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which
of the following clinical findings should the nurse expect? - ANSWER Painless vaginal
bleeding.
A nurse is assessing a client who is at 33wks of gestation. Which of the following findings
should the nurse report to the provider? - ANSWER Episodes of blurred vision.
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