(Select all that apply) A nurse is monitoring a postpartum woman who is taking codeine for severe pain after birth.

The nurse knows that codeine can pass through breastmilk and cause adverse effects in the baby.

Which signs and symptoms should the nurse watch for in the baby?

Increased alertness and activity

Decreased appetite and weight gain

Increased respiratory rate and depth

Decreased heart rate and blood pressure

Increased sleepiness and difficulty waking up

Answer and Explanation

Correct Answer : E

Increased sleepiness and difficulty waking up are signs of central nervous system (CNS) depression in breastfed infants exposed to codeine through breast milk. Codeine is converted into morphine in the body, which can pass into breast milk and cause adverse effects in the baby. Codeine use by breastfeeding mothers can cause CNS depression in breastfed infants.

Therefore, the nurse should watch for increased sleepiness and difficulty waking up in the baby.

Choice A is wrong because increased alertness and activity are not signs of CNS depression.

They are more likely to be signs of stimulation or agitation.

Choice B is wrong because decreased appetite and weight gain are not specific signs of codeine exposure.

They can be caused by many other factors, such as illness, infection, or poor latch.

Choice C is wrong because increased respiratory rate and depth are not signs of CNS depression.

They are more likely to be signs of respiratory distress or infection.

Choice D is wrong because decreased heart rate and blood pressure are not signs of CNS depression.

They are more likely to be signs of shock or hypovolemia.

Normal ranges for vital signs in newborns are:

• Heart rate: 100 to 160 beats per minute

• Respiratory rate: 30 to 60 breaths per minute

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

The correct answer is choice D. Both A and B.A boggy uterus is a uterus that is enlarged, soft, and tender due to the failure of the uterus to contract sufficiently after delivery.This condition is called uterine atony and it is the most common cause of postpartum hemorrhage.Postpartum hemorrhage is excessive bleeding after childbirth that can lead to shock and death if not treated promptly.

The nursing actions indicated for a boggy uterus are:

• Perform immediate fundal massage: This helps to stimulate uterine contractions and reduce bleeding.

• Ambulate to the bathroom or use bedpan to empty bladder: This helps to reduce bladder distension and allow the uterus to contract and descend into the pelvis.

Choice A is partially correct but not sufficient by itself.

Choice B is also partially correct but not sufficient by itself.Choice C is incorrect because administering oxytocin alone may not be effective in restoring uterine tone if there are other factors contributing to uterine atony, such as overdistension, prolonged labor, or infection.Oxytocin is a hormone that stimulates uterine contractions.

A. I will change my perineal pad every time I use the bathroom. B. I will wipe my perineum from back to front after urinating or defecating C. I will apply ice packs on my perineum for the first week after birth D. I will avoid sitting or standing for long periods of time

Correct Answer is A

Explanation

The correct answer is choice A.The woman should change her perineal pad every time she uses the bathroom to prevent infection and promote healing of the perineal area.

Some possible explanations for the other choices are:

• Choice B is wrong because the woman should wipe her perineum from front to back after urinating or defecating to avoid introducing bacteria from the anus to the vagina or urethra.

• Choice C is wrong because the woman should apply ice packs on her perineum for the first 24 hours after birth, not for the first week.

Ice packs help reduce swelling and pain in the per

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

(Select all that apply) A nurse is monitoring a postpartum woman who is taking codeine for severe pain after birth. The nurse knows that codeine can pass through breastmilk and cause adverse effects in the baby. Which signs and symptoms should the nurse watch for in the baby?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(from search results) A nurse discovers a postpartum client with a boggy uterus, displaced above the right of the umbilicus. What nursing action is indicated?

Correct Answer is D

Explanation

A nurse is preparing a discharge plan for a postpartum woman who had a vaginal delivery with a second-degree perineal tear. The nurse includes instructions on how to care for the perineum at home. Which statement by the woman indicates that she understands the instructions?

Correct Answer is A

Explanation

A nurse is evaluating a postpartum woman’s knowledge about pain management after birth. The nurse asks the woman what she would do if she has uterine cramping while breastfeeding her baby. Which response by the woman indicates a need for further teaching?

A nurse is assessing a postpartum client for signs of infection. Which of the following should the nurse report immediately? A) Lochia with clots.

(from search results) What factor places the postpartum client at risk for thromboembolism?

A nurse is assessing a client who delivered an infant vaginally 2 days ago and notes that the fundus is firm, midline, and at the level of the umbilicus, lochia rubra is moderate, and there are no clots present in the lochia flow. Which of the following actions should the nurse take?

A nurse is caring for a postpartum client who has an episiotomy wound infection. Which of the following should the nurse do? (Select all that apply.) A) Administer antibiotics as prescribed.

A nurse is providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

(Select all that apply) A nurse is monitoring a postpartum woman who is taking codeine for severe pain after birth. The nurse knows that codeine can pass through breastmilk and cause adverse effects in the baby. Which signs and symptoms should the nurse watch for in the baby?

A nurse is assessing a postpartum client who delivered vaginally 2 days ago and notes that her fundus is boggy and displaced to the right side of her abdomen. Which of the following actions should the nurse take first?

(Select all that apply) A nurse is monitoring a postpartum woman who is taking codeine for severe pain after birth.

The nurse knows that codeine can pass through breastmilk and cause adverse effects in the baby.

Which signs and symptoms should the nurse watch for in the baby?