A nurse is assessing a woman in labor.
Which finding would the nurse identify as a cause for concern during a contraction?.
Blood pressure rise from 110/60 mm Hg to 120/74.
White blood cell count of 12,000 cells/mm.
Respiratory rate of 10 breaths/minute.
Heart rate increase from 76 bpm to 90 bpm.
The Correct Answer is C
Choice A rationale:
A slight increase in blood pressure during contractions is normal.
Choice B rationale:
A white blood cell count of 12,000 cells/mm is within the normal range.
Choice C rationale:
A respiratory rate of 10 breaths/minute is low and could indicate respiratory depression.
Choice D rationale:
A heart rate increase from 76 bpm to 90 bpm is within the normal range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
Choice A rationale:
Butorphanol is an opioid agonist-antagonist. It would not be the first choice to treat opioid-induced respiratory depression because it can also cause respiratory depression.
Choice B rationale:
Promethazine is an antihistamine that has sedative effects and could potentially worsen respiratory depression.
Choice C rationale:
Fentanyl is a potent opioid and would likely exacerbate respiratory depression.
Choice D rationale:
Naloxone is an opioid antagonist used to reverse the effects of opioids such as respiratory depression.
Correct Answer is A
Explanation
Choice A rationale:
In the frank breech position, the baby’s hips are flexed, and the knees are extended.
Choice B rationale:
This describes a position where the baby’s hips are flexed and the knees are extended, which is not the frank breech position.
Choice C rationale:
This describes a position where both the baby’s hips and knees are extended, which is not the frank breech position.
Choice D rationale:
This describes a position where both the baby’s hips and knees are flexed, which is not the frank breech position.
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