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? - ✔✔Encourage
...
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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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. - ✔✔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 preparing to administer an opioid analgesic to a client who is in active labor. Which of the
following assessments should the nurse perform? (SATA)
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