(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

Answer and Explanation

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

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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

A. Monitor wound healing. B. Teach wound care. C. Culture wound if indicated. D. Culture wound if indicated. E. Apply heat to wound.

Correct Answer is ["A","B","C","D"]

Explanation

The correct answer is choice A, B, C and D. Antibiotics, wound monitoring, wound care and wound culture are all appropriate interventions for a postpartum client who has an episiotomy wound infection.According to Mayo Clinic, an episiotomy wound infection can cause pain, fever, pus and wound breakdown.According to SpringerLink, an episiotomy wound infection is usually caused by a polymicrobial infection of Gram-negative and Gram-positive bacteria.

Therefore, administering antibiotics as prescribed can help treat the infection and prevent complications.

Monitoring wound healing can help detect any signs of worsening infection or dehiscence.

Teaching wound care can help the client prevent further contamination and promote healing.

Culturing the wound if indicated can help identify the causative organisms and guide antibiotic therapy.

Choice E is wrong because applying heat to the wound can increase inflammation and pain.According to NCBI, there is no evidence that heat therapy is beneficial for episiotomy wounds.

Instead, cold therapy may be more effective in reducing swelling and discomfort.

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(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?

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Naxlex Comprehensive Predictor Exams

(from search results) What factor places the postpartum client at risk for thromboembolism?

Correct Answer is A

Explanation

A nurse is caring for a postpartum client who has an episiotomy wound infection. Which of the following should the nurse do? (Select all that apply.) A) Administer antibiotics as prescribed.

Correct Answer is ["A","B","C","D"]

Explanation

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(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?

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(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?