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A woman in labor received an opioid close to the time of birth.

 The nurse would assess the newborn for which effect?

A.

Abdominal distention

B.

Respiratory depression

C.

Hyperreflexia

D.

Urinary retention

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Abdominal distention is not a common side effect of opioids in newborns.

Choice B rationale:

Respiratory depression is a known side effect of opioid use, and newborns are particularly susceptible.

Choice C rationale:

Hyperreflexia is not typically associated with opioid use.

Choice D rationale:

Urinary retention is not a common side effect of opioids in newborns. 


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Related Questions

Correct Answer is C

Explanation

Choice A rationale:

Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.

Choice B rationale:

Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.

Choice C rationale:

Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.

Choice D rationale:

Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.

So, the correct answer is C, assessing the uterine fundus.

Correct Answer is C

Explanation

Choice A rationale:

Station -2 means the presenting part is 2 cm above the ischial spines. Engagement usually occurs at 0 station.

Choice B rationale:

Station +1 means the presenting part is 1 cm below the ischial spines. This usually occurs during labor, not necessarily at engagement.

Choice C rationale:

Station 0 means the presenting part is at the level of the ischial spines. This is typically when engagement occurs.

Choice D rationale:

Station -1 means the presenting part is 1 cm above the ischial spines. Engagement usually occurs at 0 station.

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