A woman received 50 mcg of fentanyl intravenously 1 hour before delivery. What drug should the nurse have readily available?

Nalbuphine (Nubain).

Naloxone (Narcan).

Butorphanol (Stadol).

Promethazine (Phenergan).

Answer and Explanation

The Correct Answer is B

A. Nalbuphine (Nubain): Nalbuphine is an opioid agonist-antagonist, which can be used to treat moderate to severe pain. However, it is not specifically used to reverse the effects of fentanyl. Administering Nalbuphine could potentially complicate the situation by introducing another opioid into the system.

B. Naloxone (Narcan): Naloxone is an opioid antagonist that rapidly reverses the effects of opioids like fentanyl. It is the standard treatment for opioid overdose and can quickly restore normal respiration in a person whose breathing has slowed or stopped due to opioid use. This makes it the most appropriate drug to have readily available in this scenario.

C. Butorphanol (Stadol):Butorphanol is another opioid agonist-antagonist used for pain relief. Similar to Nalbuphine, it is not used to reverse opioid effects and could complicate the patient's condition by adding another opioid to the system.

D. Promethazine (Phenergan): Promethazine is an antihistamine used to treat nausea, vomiting, and allergies. It does not have any properties that would counteract the effects of fentanyl. Therefore, it would not be useful in reversing opioid-induced respiratory depression.

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Correct Answer is C

Explanation

Choice A: the interval between contractions

Encouraging a laboring woman to push during the interval between contractions is not appropriate. During this time, the uterus is not contracting, and pushing would be ineffective and exhausting for the woman. The intervals are meant for rest and recovery to prepare for the next contraction.

Choice B: whenever she feels the need

While it is important to listen to the laboring woman’s instincts, pushing should be coordinated with contractions for maximum effectiveness. Pushing whenever she feels the need might not align with the contractions, leading to ineffective efforts and increased fatigue.

Choice C: second-stage of labor

The second stage of labor is the most appropriate time for the nurse to encourage a laboring woman to push. This stage begins when the cervix is fully dilated to 10 centimeters and ends with the birth of the baby. During this stage, contractions are strong and frequent, providing the necessary force to help push the baby through the birth canal.

Choice D: first-stage of labor

The first stage of labor involves the dilation and effacement of the cervix and is not the appropriate time for pushing. Pushing during this stage can cause unnecessary strain and may lead to complications. The focus during the first stage should be on managing contractions and conserving energy for the second stage.

A. 10% to 15% of their birth weight. B. 20% of their birth weight. C. 15% to 18% of their birth weight. D. 5% to 10% of their birth weight.

Correct Answer is D

Explanation

Choice A reason:

10% to 15% of their birth weight. This is incorrect because this range is too high for a normal newborn weight loss. Losing more than 10% of their birth weight may indicate dehydration, inadequate feeding, or other problems. • Choice B reason:

20% of their birth weight. This is incorrect because this percentage is way too high for a normal newborn weight loss. Losing 20% of their birth weight would be a serious sign of illness or malnutrition. • Choice C reason:

15% to 18% of their birth weight. This is incorrect because this range is also too high for a normal newborn weight loss. Losing 15% to 18% of their birth weight would be a cause for concern and require further evaluation. • Choice D reason:

5% to 10% of their birth weight. This is correct because this range is within the normal limits for a newborn weight loss. Newborns lose some weight as a result of insufficient caloric intake, fluid loss, and metabolic adjustments in the first week after birth. They usually regain their birth weight by the second week.

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A woman received 50 mcg of fentanyl intravenously 1 hour before delivery. What drug should the nurse have readily available?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The most appropriate time for the nurse to encourage a laboring woman to push is during

Correct Answer is C

Explanation

A mother is upset because her newborn has lost 6 ounces since birth 2 days ago. The nurse informs the mother that it is normal for a newborn to lose which percentage of their birth weight within the first week of life?

Correct Answer is D

Explanation

Choose the sign or symptom that a new mother should be taught to report:

A woman had spinal anesthesia for delivery. Now she complains of a pounding headache rated 7/10. What action by the nurse is most appropriate?

A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?

A woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday. Her primary health care provider has written orders for perineal ice packs, use of a sitz bath tid, and a stool softener. What information is most closely correlated with these orders?

The main nursing observations of the woman who receives epidural or intrathecal opioids are for all except

The priority nursing care of the newborn immediately after birth includes all except:.