1.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.

2. A nurse is caring for a client who received terbutaline subcutaneously. Which

ofthe 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.

3. A charge nurse is discussing care of clients who are in labor with a newly

licensednurse. 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.

4.A nurse is reviewing the medical record of a client who has preeclampsia prior

toadministering 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