Nokea
What would the nurse administer if the newborn has decreased or no respiratory effort at delivery after the person received an opiate?
- A. naloxone (Narcan)
- B. acetaminophen (Tylenol)
- C. oxygen
- D. sodium bicarbonate
Correct Answer: A
Rationale: The correct answer is A: naloxone (Narcan). If a newborn has decreased or no respiratory effort after the mother received an opiate, it indicates potential opiate toxicity in the newborn. Naloxone is an opioid antagonist that can reverse the effects of opiates, including respiratory depression. Administering naloxone can help stimulate the newborn's respiratory effort, promoting adequate oxygenation.
Summary:
- A: Naloxone is the correct answer as it reverses opiate effects.
- B: Acetaminophen is a pain reliever and does not address respiratory depression.
- C: Oxygen may help with oxygenation but does not address the underlying opiate toxicity.
- D: Sodium bicarbonate is used to treat acid-base imbalances and does not address opiate toxicity or respiratory depression.
You may also like to solve these questions
The process of labor places significant metabolic demands on the obstetric patient. Which physiologic findings would be expected?
- A. Decreased maternal blood pressure as a result of stimulation of alpha receptors
- B. Uterine vasoconstriction as a result of stimulation of beta receptors
- C. Increased maternal demand for oxygen
- D. Increased blood flow to placenta because of catecholamine release
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct:
1. Labor is a physically demanding process that requires increased energy expenditure.
2. Increased uterine activity during labor leads to higher oxygen consumption by the mother.
3. Maternal demand for oxygen increases to meet the metabolic needs of both the mother and the fetus.
4. Adequate oxygen supply is crucial to support the increased workload during labor.
Summary:
A: Incorrect. Labor typically leads to increased blood pressure due to sympathetic activation, not decreased.
B: Incorrect. Uterine vasoconstriction is not expected during labor as it needs adequate blood supply for contractions.
D: Incorrect. Catecholamine release during labor can lead to vasoconstriction, not increased blood flow to the placenta.
While assisting with a vacuum extraction birth, which alteration should the nurse immediately report to the obstetric provider?
- A. Maternal pulse rate of 100 bpm
- B. Maternal blood pressure of 120/70 mm Hg
- C. Persistent fetal bradycardia below 100 bpm
- D. Decreased intensity of uterine contractions
Correct Answer: C
Rationale: The correct answer is C: Persistent fetal bradycardia below 100 bpm. This is crucial because it indicates fetal distress and requires immediate intervention to prevent potential harm to the baby. Bradycardia below 100 bpm may indicate inadequate oxygen supply to the fetus, necessitating urgent action. Maternal vital signs in choices A and B are within normal ranges. Choice D, decreased intensity of uterine contractions, while important, is not as critical as fetal bradycardia in this scenario.
Which patient will most likely have increased anxiety and tension during labor?
- A. Gravida 2 who refused any medication
- B. Gravida 2 who delivered a stillborn baby last year
- C. Gravida 1 who did not attend prepared childbirth classes
- D. Gravida 3 who has two children younger than 3 years
Correct Answer: B
Rationale: The correct answer is B. A patient who delivered a stillborn baby last year is more likely to experience increased anxiety and tension during labor due to previous traumatic experience. This can trigger fear and worry about the current pregnancy outcome, leading to heightened emotional distress.
Incorrect Choices:
A: Refusing medication does not necessarily correlate with increased anxiety during labor.
C: Not attending childbirth classes may result in lack of knowledge but does not directly relate to increased anxiety during labor.
D: Having two children younger than 3 years may cause stress but does not specifically indicate increased anxiety during labor.
Which patient at term should proceed to the hospital or birth center the immediately after labor begins?
- A. Gravida 2, para 1, who lives 10 minutes away
- B. Gravida 1, para 0, who lives 40 minutes away
- C. Gravida 2, para 1, whose first labor lasted 16 hours
- D. Gravida 3, para 2, whose longest previous labor was 4 hours
Correct Answer: D
Rationale: The correct answer is D because the patient is gravida 3, para 2, with a history of the shortest previous labor of 4 hours. This indicates a high likelihood of rapid labor progression, necessitating immediate hospital or birth center access to ensure timely delivery. Choice A lives 10 minutes away, which may not be enough time in case of rapid labor. Choice B, living 40 minutes away, poses a risk of delivering en route. Choice C's previous labor duration of 16 hours suggests a longer labor, making immediate hospital arrival less critical.
The nurse provides counter pressure to relieve pain and open the pelvis to help with fetal descent. What type of counter pressure is the nurse providing?
- A. hip squeeze
- B. perineal pressure
- C. shoulder pressure
- D. knee press
Correct Answer: A
Rationale: The correct answer is A: hip squeeze. The nurse uses hip squeeze to provide counter pressure during labor. This technique helps relieve pain, open the pelvis, and facilitate fetal descent. By applying pressure on the hips, the nurse can help alleviate discomfort and create more space for the baby to move down the birth canal. Perineal pressure (B) focuses on the perineum, shoulder pressure (C) is not typically used in this context, and knee press (D) is not a common technique for labor pain management.