A woman in labor who received an opioid for pain relief develops respiratory depression.
The nurse would expect which agent to be administered?.

Butorphanol.

Promethazine.

Fentanyl.

Naloxone.

Answer and Explanation

The Correct Answer is D

Answer and explanation

Choice A rationale:

Butorphanol is an opioid agonist-antagonist. It would not be the first choice to treat opioid-induced respiratory depression because it can also cause respiratory depression.

Choice B rationale:

Promethazine is an antihistamine that has sedative effects and could potentially worsen respiratory depression.

Choice C rationale:

Fentanyl is a potent opioid and would likely exacerbate respiratory depression.

Choice D rationale:

Naloxone is an opioid antagonist used to reverse the effects of opioids such as respiratory depression.

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Correct Answer is C

Explanation

Choice A rationale:

Contractions every 1 minute and cervical dilation of 9 cm are indicative of the transition phase of labor.

Choice B rationale:

Contractions every 2 1/2 minutes and cervical dilation of 8 cm are indicative of the active phase of labor.

Choice C rationale:

Contractions every 5 minutes and cervical dilation of 3 cm are indicative of the latent phase of labor.

Choice D rationale:

Contractions every 3 minutes and cervical dilation of 6 cm are indicative of the active phase of labor.

A. Notify the primary care provider immediately. B. Perform a vaginal exam. C. Change the linen saver pad. D. Check the fetal heart rate.

Correct Answer is D

Explanation

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

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A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for several women in labor. The nurse determines that which woman is in the latent phase of labor?.

Correct Answer is C

Explanation

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Correct Answer is D

Explanation

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A woman in labor who received an opioid for pain relief develops respiratory depression.
The nurse would expect which agent to be administered?.