A charge nurse is teaching a newly licensed Encourage client who are prescribed methadone to breastfeed.
nurse about substance use disorders
during pregnancy. Which of the following
statements by the newly licensed nurse
indicates an understanding of the
teaching?
A nurse is caring for a client who received Decreased frequency of contractions.
terbutaline subcutaneously. Which of the
following findings is an indication the
medication was effective?
A charge nurse is discussing care of clients Placing a fetal scalp electrode.
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?
A nurse is reviewing the medical record of Heart rate 54/min
a client who has preeclampsia prior to
administering labetalol. For which of the
following findings should the nurse
withhold the medication?
A nurse is caring for a client who is at 30 1. Stand posterior to the client.
weeks of gestation and observes the client 2. Position arms under the client's axilla and across the client's chest.
choking while eating lunch. The client is 3. Place thumb-side of a clenched fist to the client's mid-sternum area.
unable to speak or cough. Identify the 4. Initiate chest thrust to the client using a backward motion.
sequence of steps the nurse should take to -If the client becomes unconscious, the nurse should perform CPR and activate
clear the airway obstruction. emergency medical services.
A nurse is preparing to administer an Maternal blood pressure.
opioid analgesic to a client who is in active Pain level.
labor. Which of the following assessments Fetal heart rate.
should the nurse perform? (SATA)
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A nurse is reviewing the medical records of Rheumatoid Arthritis.
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?
A nurse is reviewing the laboratory results International normalized ratio (INR).
for a postpartum client who is receiving
warfarin for deep-vein thrombosis. Which
of the following laboratory tests should the
nurse monitor?
A nurse is monitoring a client who is in the Montevideo units (MVU) of 220 mm Hg.
active phase of labor and has an
intrauterine pressure catheter and fetal
scalp electrode. Which of the following
findings should the nurse expect?
A nurse is assessing a client who has just Administer oxygen by nonrebreather face mask.
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?
A nurse is assessing a client who has Painless vaginal bleeding.
placenta previa and is receiving fetal
monitoring. Which of the following clinical
findings should the nurse expect?
A nurse is assessing a client who is at 33wks Episodes of blurred vision.
of gestation. Which of the following
findings should the nurse report to the
provider?
A nurse is assessing a client who is at 8wks 1. Tachycardia.
of gestation and has hyperemesis 2. Dry mucous membranes.
gravidarum. Which of the following are 3. Poor skin turgor.
findings of this condition? (SATA)
A nurse is reviewing the laboratory results BUN 30 mg/dL
for a client who is at 29wks of gestation.
Which of the following results should the
nurse identify as an indication of a prenatal
complication?
A nurse is assessing a client who is 2hr Firmly massage the fundus.
postpartum and has saturated a perineal
pad in 15min. The clients skin is cool and
clammy to touch. Which of the following
actions should the nurse take first?
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