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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 A

Explanation

Choice A rationale:

-2 station means the baby’s head is 2 cm above the ischial spines. This is a possible position during labor.

Choice B rationale:

0 station means the baby’s head is at the level of the ischial spines, which typically indicates the beginning of active labor.

Choice C rationale:

Crowning refers to when the baby’s head is visible at the vaginal opening, which occurs later in labor.

Choice D rationale:

+2 station means the baby’s head is 2 cm below the ischial spines. This typically occurs later in labor.

A. Offering fluids as indicated. B. Encouraging the woman to void. C. Assessing the uterine fundus. D. Assisting with perineal care. E. Assisting with perineal care.

Correct Answer is C

Explanation

Choice A rationale:

Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.

Choice B rationale:

Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.

Choice C rationale:

Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.

Choice D rationale:

Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.

So, the correct answer is C, assessing the uterine fundus.

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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?

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Naxlex Comprehensive Predictor Exams

A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as

Correct Answer is A

Explanation

Which action is a priority when caring for a woman during the fourth stage of labor?.

Correct Answer is C

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?