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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Beta blockers decrease renin release, reducing angiotensin II and aldosterone, which lowers blood pressure. This statement is accurate, reflecting correct understanding, so it does not indicate a need for further teaching.
Choice B reason: Beta blockers do not primarily decrease peripheral vascular resistance; they reduce heart rate and contractility. Peripheral resistance is more affected by alpha blockers or vasodilators, so this incorrect statement indicates a need for further teaching.
Choice C reason: Beta blockers reduce heart rate and myocardial contractility, decreasing cardiac output and blood pressure. This statement is correct, showing proper understanding, so it does not require additional teaching.
Choice D reason: While beta blockers do not directly block angiotensin II, they reduce its production by decreasing renin. The statement is imprecise but not entirely wrong, making it less indicative of a teaching need than choice B.
Correct Answer is D
Explanation
Choice A reason: Captopril PO is used for chronic hypertension, not acute crises, due to slower onset. IV nitroprusside acts rapidly to control severe hypertension, so this is incorrect.
Choice B reason: Hydralazine PO has a slower onset, unsuitable for hypertensive crisis requiring immediate control. IV nitroprusside is faster and titratable, making this incorrect for acute management.
Choice C reason: Minoxidil PO is for refractory hypertension, not emergencies, due to delayed action. Sodium nitroprusside IV is preferred for rapid control, so this is incorrect.
Choice D reason: Sodium nitroprusside IV is the drug of choice for hypertensive crisis, offering rapid, titratable blood pressure reduction. This aligns with urgent needs, making it the correct choice.
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