A nurse is assessing a woman in labor.
Which finding would the nurse identify as a cause for concern during a contraction?.
Blood pressure rise from 110/60 mm Hg to 120/74.
White blood cell count of 12,000 cells/mm.
Respiratory rate of 10 breaths/minute.
Heart rate increase from 76 bpm to 90 bpm.
The Correct Answer is C
Choice A rationale:
A slight increase in blood pressure during contractions is normal.
Choice B rationale:
A white blood cell count of 12,000 cells/mm is within the normal range.
Choice C rationale:
A respiratory rate of 10 breaths/minute is low and could indicate respiratory depression.
Choice D rationale:
A heart rate increase from 76 bpm to 90 bpm is within the normal range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation
Choice A rationale:
LOP (Left Occiput Posterior) would mean the baby’s occiput is towards the mother’s left and facing posteriorly, which is not the case here.
Choice B rationale:
ROA (Right Occiput Anterior) would mean the baby’s occiput is towards the mother’s right and facing anteriorly, which matches the description.
Choice C rationale:
LOA (Left Occiput Anterior) would mean the baby’s occiput is towards the mother’s left and facing anteriorly, which is not the case here.
Choice D rationale:
ROP (Right Occiput Posterior) would mean the baby’s occiput is towards the mother’s right and facing posteriorly, which is not the case here.
Correct Answer is B
Explanation
Choice A rationale:
Abdominal distention is not a common side effect of opioids in newborns.
Choice B rationale:
Respiratory depression is a known side effect of opioid use, and newborns are particularly susceptible.
Choice C rationale:
Hyperreflexia is not typically associated with opioid use.
Choice D rationale:
Urinary retention is not a common side effect of opioids in newborns.
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