When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect?.

Excessive weight gain.

Longer gestational periods.

Low-birthweight infants.

Higher pain tolerance.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Substance use during pregnancy does not typically result in excessive weight gain. In fact, it can often lead to inadequate weight gain due to poor nutrition.

Choice B rationale:

Substance use during pregnancy does not typically result in longer gestational periods. It can, however, lead to preterm labor and birth.

Choice C rationale:

Substance use during pregnancy can indeed lead to low-birthweight infants. This is due to a variety of factors, including poor nutrition and premature birth.

Choice D rationale:

Substance use during pregnancy does not typically result in a higher pain tolerance. In fact, it can lead to increased sensitivity to pain.

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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.

A. Cephalhematoma. B. Vertex presentation. C. Caput Succedaneum. D. Molding.

Correct Answer is D

Explanation

Choice A rationale:

A cephalhematoma is a collection of blood that can occur under the scalp of a newborn. It does not aid in the passage of the fetal skull through the birth canal.

Choice B rationale:

Vertex presentation refers to the position of the fetus in the womb, not a feature of the skull that aids in birth.

Choice C rationale:

Caput succedaneum is a swelling of the scalp in a newborn. It is caused by pressure from the uterus or vaginal wall during a head-first (vertex) delivery, not a feature that aids in birth.

Choice D rationale:

Molding refers to the shaping of the fetal skull to fit through the birth canal. This is possible due to the presence of sutures and fontanelles in the skull, which allow the bony plates of the skull to move and overlap.

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When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered?.

Correct Answer is D

Explanation

The skull is the most important factor in relation to the labor and birth processes. The fetal skull must be small enough to travel through the bony pelvis. What feature of the fetal skull helps to make this passage possible?

Correct Answer is D

Explanation

A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which effect?

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