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A woman in labor received an opioid close to the time of birth.

The nurse would assess the newborn for which effect?

Abdominal distention

Respiratory depression

Hyperreflexia

Urinary retention

Answer and Explanation

The Correct Answer is B

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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Correct Answer is B

Explanation

Choice A rationale:

Bradypnea and hypertension are not typically signs of impending shock.

Choice B rationale:

Tachycardia and a falling blood pressure are classic signs of shock as the body tries to compensate for the decreased blood flow.

Choice C rationale:

Tachypnea and a widening pulse pressure can be signs of shock, but they are not as indicative as tachycardia and a falling blood pressure.

Choice D rationale:

Bradycardia and auscultation of fluid in the base of the lungs are not typically signs of impending shock.

Correct Answer is ["20"]

Explanation

Calculate the total units of insulin in the IV bag:
- The bag contains 150 mL of solution.
- The concentration is 0.456 units/mL.
- Total insulin = 150 mL × 0.456 units/mL = 68.4 units.
Determine how long the IV bag will last:
- The ordered rate is 9 units/hour.
- Total duration = 68.4 units ÷ 9 units/hour = 7.6 hours.
Calculate the IV pump rate:
- The total volume of the bag is 150 mL.
- Pump rate = 150 mL ÷ 7.6 hours = 19.74 mL/hr.
- Rounded to the nearest whole number: 20 mL/hr.

So the nurse should set the IV pump to 20 mL/hr.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes. What sign would indicate impending shock?.

Correct Answer is B

Explanation

The pharmacy sends a bag of 150 mLs of D5W/0.456 normal saline with 25 units of Regular Insulin. The patient is ordered to receive an insulin drip at a rate of 9 units/hour. What rate will you set the IV pump to deliver? Numeric values only.

Correct Answer is ["20"]

Explanation

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A woman in labor received an opioid close to the time of birth.

The nurse would assess the newborn for which effect?