Nokea
A newborn weighing 6½ lb is to be given naloxone hydrochloride (Narcan) due to respiratory depression caused by a narcotic administered to the mother shortly before delivery. The dosage is 0.01 mg/kg, administered into the umbilical vein. The vial is labeled 0.4 mg/mL.. How many milligrams would the newborn receive? Round to two decimals.
Correct Answer: 0.03 mg
Rationale: The neonate weighs 6.5 lb (2.95 kg). The dose is 0.01 mg/kg, so 0.01 mg/kg × 2.95 kg = 0.0295 mg, rounded to 0.03 mg.
You may also like to solve these questions
When caring for a neonate born at 30 weeks' gestation who is in an isolette and receiving continuous oxygen, which of the following would the nurse use as the best method to determine the effectiveness of this treatment?
- A. Evidence of cyanosis on mouth, hands, and feet.
- B. Continuous pulse rate monitoring.
- C. Arterial blood gas levels.
- D. Percentage of oxygen delivered.
Correct Answer: C
Rationale: Arterial blood gas levels provide the most accurate assessment of oxygenation and ventilation status, indicating the effectiveness of oxygen therapy.
A nurse is teaching a client about the use of the contraceptive injection. Which of the following instructions should the nurse include?
- A. The injection is given every 6 months.
- B. The injection may cause a delay in return to fertility.
- C. The injection protects against STIs.
- D. The injection is taken orally daily.
Correct Answer: B
Rationale: The contraceptive injection (Depo-Provera) may cause a delay in return to fertility, sometimes up to 18 months. It is given every 3 months, does not protect against STIs, and is not taken orally.
A nurse is discussing the contraceptive injection with a client. Which of the following benefits should the nurse highlight?
- A. It provides protection against STIs.
- B. It is effective for 3 months per injection.
- C. It requires daily administration.
- D. It guarantees regular periods.
Correct Answer: B
Rationale: The contraceptive injection is effective for 3 months per injection, offering convenient long-term contraception. It does not protect against STIs, is not administered daily, and may cause irregular periods.
Which of the following would the nurse include in the primiparous client's discharge teaching plan about measures to provide visual stimulation for the neonate?
- A. Maintain eye contact while talking to the baby.
- B. Paint the baby's room in bright colors accented with teddy bears.
- C. Use brightly colored animals and cartoon figures on the wall.
- D. Move a brightly colored rattle in front of the baby's eyes.
Correct Answer: A
Rationale: Maintaining eye contact promotes visual stimulation and bonding, suitable for a neonate's developmental stage.
A nurse is reviewing a client's maternal prenatal record and notes that the mother used narcotics during her pregnancy. A primary nursing intervention when caring for a drug-exposed neonate is to:
- A. Assess vital signs including blood pressure every hour.
- B. Minimize environmental stimuli.
- C. Place the infant in a well-lighted area for observation.
- D. Provide stimulation to increase adaptation to the environment.
Correct Answer: B
Rationale: Minimizing environmental stimuli reduces stress and overstimulation in drug-exposed neonates, who are often hypersensitive.