A woman in labor receives meperidine (Demerol) for pain. The nurse caring for the infant will observe the infant closely for:

Respiratory Depression

Hypothyroidism

Tremors and Hyperreflexia

Congenital Anomalies

Answer and Explanation

The Correct Answer is A

Choice A reason: Meperidine, an opioid, crosses the placenta, risking neonatal respiratory depression. Monitoring breathing is critical post-delivery, making this the correct observation for the infant.

Choice B reason: Hypothyroidism is not associated with meperidine exposure. Opioids primarily affect respiration, so this is irrelevant and incorrect for the expected effect.

Choice C reason: Tremors and hyperreflexia are not typical meperidine effects in newborns; respiratory depression is the primary concern. This is incorrect for the nurse’s focus.

Choice D reason: Congenital anomalies result from chronic exposure, not acute labor analgesia. Meperidine’s immediate risk is respiratory, so this is incorrect for monitoring.

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Correct Answer is B

Explanation

Choice A reason: Jaundice indicates liver dysfunction, but ibuprofen rarely causes hepatotoxicity at standard doses. It’s more associated with gastrointestinal issues due to COX-1 inhibition, reducing protective prostaglandins in the stomach lining. While possible with overdose, jaundice is less common than gastrointestinal bleeding, making this choice less likely.

Choice B reason: Ibuprofen, an NSAID, inhibits COX-1, reducing gastric mucosal protection, which can lead to ulcers or gastrointestinal bleeding. Bloody emesis (hematemesis) indicates severe gastrointestinal damage, a well-documented adverse effect requiring immediate intervention, making this the correct choice for a severe ibuprofen-related complication.

Choice C reason: Itching may indicate a mild allergic reaction or skin irritation, not a severe adverse effect of ibuprofen. While possible, it’s less critical than gastrointestinal bleeding, which poses life-threatening risks due to ibuprofen’s impact on gastric mucosa, making this choice less severe and incorrect.

Choice D reason: Dysmenorrhea (painful periods) is a condition ibuprofen treats, not an adverse effect. By inhibiting prostaglandins, ibuprofen reduces uterine contractions and pain. It doesn’t cause dysmenorrhea, making this choice irrelevant as an indicator of a severe adverse effect of ibuprofen therapy.

A. Respiratory Acidosis B. Metabolic Acidosis C. Metabolic Alkalosis D. Respiratory Alkalosis

Correct Answer is D

Explanation

Choice A reason: Respiratory acidosis has low pH and high PaCO2. High pH (7.47) and low PaCO2 (32) indicate alkalosis, not acidosis, so this incorrect.

Choice B reason: Metabolic acidosis has low pH and HCO3-. High pH and normal HCO3- (23) rule this out, pointing to respiratory alkalosis, so this is incorrect.

Choice C reason: Metabolic alkalosis has high pH and high HCO3-.. Normal HCO3- and low PaCO2 indicate respiratory alkalosis, so this is incorrect.

Choice D reason: High pH (7.47) and low PaCO2 (32) with normal CO2 HCO3- confirm respiratory alkalosis due to hyperventilation. This is matches, so it’s correct.

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A woman in labor receives meperidine (Demerol) for pain. The nurse caring for the infant will observe the infant closely for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a patient who takes ibuprofen [Advil] on a regular basis. Which finding would indicate a severe adverse effect of ibuprofen therapy?

Correct Answer is B

Explanation

Name the following arterial blood gas (ABG) values: pH 7.47, PaCO2 32, HCO3- 23

Correct Answer is D

Explanation

Name the imbalance using the following Arterial Blood Gas (ABG) values: pH 7.39, PaCO2 47, HCO3- 29

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