Questions & 100% Correct Answers #
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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.
-The nurse should encourage clients who are prescribed methadone
during pregnancy to breastfeed their newborns to help with withdrawal
symptoms.
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.
-Terbutaline is a tocolytic medication that is used to halt preterm labor.
Terbutaline cause relaxation of smooth muscle, which decrease uterine
,activity. Therefore, the nurse should identify that a decrease in
frequency of contractions is an indication that terbutaline was effective.
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 fetal scalp electrode is attached to the presenting part of the fetus in
order to provide accurate continuous monitoring of the fetal heart rate.
If the client's membranes are intact, the amniotic sac must be artificially
ruptured prior to attaching the electrode to enable access to the
presenting part.
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
-The nurse should identify that a heart rate of 54/min is below the
expected reference range of 60 to 100/min. During pregnancy, the heart
rate increases 10 to 15/min due to increased blood volume and
increase tissue demands for oxygen. Bradycardia is a contraindication
for the administration of labetalol, an antihypertensive medication.
Therefore, the nurse should withhold the medication and notify the
provider.
, 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.
-If the client becomes unconscious, the nurse should perform CPR and
activate emergency medical services.
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✔✔-Epigastric pain.
-This is a manifestation of preeclampsia. Other findings the nurse
should report include severe HA, Blurred vision, confusion, N&V, and
decrease urinary output.
A nurse is assessing a client who is 6hrs postpartum, tachycardia, and
has cool skin. The client reports that they have been bleeding
excessively. Which of the following actions should the nurse take? -
✔✔ANSWER✔✔-Initiate and infusion of oxytocin.
-The nurse should identify that the client is exhibiting manifestations of
hypovolemic shock, which can be caused by uterine atony and is a
medical emergency. The nurse should initiate an infusion of 10-20 units