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 D
Explanation
Choice A reason: Trade names are brand-specific (e.g., Tylenol for acetaminophen). N-acetyl-para-aminophenol is the chemical structure name, not a marketed brand. Trade names are proprietary and vary by manufacturer, while chemical names describe molecular composition, making this choice incorrect for the given term.
Choice B reason: Proprietary names are brand names owned by manufacturers (e.g., Advil for ibuprofen). N-acetyl-para-aminophenol is the chemical name for acetaminophen, not a proprietary or trade name, which is used for marketing purposes, making this choice incorrect for the drug’s nomenclature.
Choice C reason: Generic names are non-proprietary, like acetaminophen for N-acetyl-para-aminophenol. The term given is the chemical name, describing the molecular structure, not the standardized generic name used in clinical practice, making this choice incorrect for classifying N-acetyl-para-aminophenol.
Choice D reason: N-acetyl-para-aminophenol is the chemical name for acetaminophen, describing its molecular structure (an acetyl group on a para-aminophenol backbone). Chemical names are used in scientific contexts, distinct from generic or trade names, making this the correct choice for the drug’s nomenclature.
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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