(Select all that apply) A nurse is monitoring a postpartum woman who is taking codeine for severe pain after birth.
The nurse knows that codeine can pass through breastmilk and cause adverse effects in the baby.
Which signs and symptoms should the nurse watch for in the baby?
Increased alertness and activity
Decreased appetite and weight gain
Increased respiratory rate and depth
Decreased heart rate and blood pressure
Increased sleepiness and difficulty waking up
Correct Answer : E
Increased sleepiness and difficulty waking up are signs of central nervous system (CNS) depression in breastfed infants exposed to codeine through breast milk. Codeine is converted into morphine in the body, which can pass into breast milk and cause adverse effects in the baby. Codeine use by breastfeeding mothers can cause CNS depression in breastfed infants.
Therefore, the nurse should watch for increased sleepiness and difficulty waking up in the baby.
Choice A is wrong because increased alertness and activity are not signs of CNS depression.
They are more likely to be signs of stimulation or agitation.
Choice B is wrong because decreased appetite and weight gain are not specific signs of codeine exposure.
They can be caused by many other factors, such as illness, infection, or poor latch.
Choice C is wrong because increased respiratory rate and depth are not signs of CNS depression.
They are more likely to be signs of respiratory distress or infection.
Choice D is wrong because decreased heart rate and blood pressure are not signs of CNS depression.
They are more likely to be signs of shock or hypovolemia.
Normal ranges for vital signs in newborns are:
• Heart rate: 100 to 160 beats per minute
• Respiratory rate: 30 to 60 breaths per minute
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A) Document findings as normal.
The fundus is the upper part of the uterus that contracts after delivery to prevent bleeding.The fundus should be firm, midline, and at the level of the umbilicus or lower on the second postpartum day.Lochia rubra is the normal bloody discharge that occurs for the first few days after delivery and should not contain large clots.The normal range of lochia rubra is scant to moderate.
Choice B) Massage fundus until it becomes firm is wrong because the fundus is already firm and does not need further stimulation.
Choice C) Administer oxytocin (Pitocin) is wrong because oxytocin is a medication that helps the uterus contract and is not indicated for a firm fundus.
Choice D) Increase IV fluid rate is wrong because IV fluids are not related to the assessment of the fundus and lochia and may cause fluid overload.
Correct Answer is A
Explanation
The correct answer is choice A. Increased clotting factors.Increased clotting factors are a physiological adaptation to pregnancy that reduces the risk of hemorrhage during delivery, but also increases the risk of venous thromboembolism (VTE) in pregnancy and postpartum.The risk of VTE is highest in the first week after delivery and gradually declines over the next 12 weeks.
Choice B is wrong because decreased blood volume is not a risk factor for VTE.In fact, blood volume increases by about 50% during pregnancy to meet the increased metabolic demands of the mother and fetus.
Choice C is wrong because increased cardiac output is not a risk factor for VTE.
Cardiac output also
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