A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
It can cause medication given at later stages to be ineffective.
It will have no complications for the mother or infant.
It may result in respiratory depression to the newborn.
It will speed up the dilation and effacement.
The Correct Answer is C
A. It can cause medication given at later stages to be ineffective: This is incorrect; narcotic analgesics do not impact the effectiveness of later medications.
B. It will have no complications for the mother or infant: Narcotic analgesics can have side effects, including respiratory depression in the newborn.
C. It may result in respiratory depression to the newborn: Narcotics given close to delivery can depress the newborn’s respiratory efforts.
D. It will speed up the dilation and effacement: Narcotics do not affect the rate of cervical dilation or effacement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Excessive uterine enlargement: Uterine size is often larger than expected for gestational age due to abnormal tissue growth and fluid accumulation.
B. Whitish vaginal discharge: Not associated with hydatidiform mole.
C. Fetal heart rate irregularities: Hydatidiform mole typically lacks a viable fetus, so no fetal heart rate is detected.
D. Rapidly dropping human chorionic gonadotropin (hCG) levels: hCG levels are elevated in hydatidiform mole, not dropping.
Correct Answer is A
Explanation
A. Fundal consistency: Oxytocin promotes uterine contractions to prevent postpartum hemorrhage; a firm, contracted fundus indicates effectiveness.
B. Urinary output: While important to monitor postpartum, it does not directly evaluate oxytocin effectiveness.
C. Blood pressure: Oxytocin can cause changes in blood pressure, but this is not a primary measure of effectiveness.
D. Pulse rate: A rising pulse rate could indicate blood loss but is not a direct measure of oxytocin’s effectiveness.
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