The nurse is caring for a client in labor who has refused epidural anesthesia. An order was placed for Stadol 3mg IV Q4h PRN pain. The drug is supplied 2 mg per ml. How much of the medication should the nurse give?

0.75ml

15ml

1.5 ml

0.9ml

Answer and Explanation

The Correct Answer is C

A.   0.75 mL would provide only 1.5 mg, which is half the prescribed dose
B.   15 mL would provide 30 mg, which is ten times the prescribed dose and could be dangerously toxic
C.   1.5 mL is correct and delivers exactly 3 mg of Stadol, matching the provider's order. To calculate the correct volume to administer, use the formula: Dose to give= ordered dose/concentration= 3/2= 1.5ml
D.   0.9 mL would give 1.8 mg, which is below the ordered dose.

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Correct Answer is A

Explanation

A. "This is meconium stool and is normal for a newborn." is the correct and most appropriate response. Meconium is the newborn’s first stool, typically passed within the first 24 to 48 hours of life. It is black, tarry, and sticky in appearance and consists of materials the baby ingested while in the womb, such as amniotic fluid, mucus, and cells. It is completely normal and expected.

B. "You probably took iron during your pregnancy and that is what causes this type of stool." is incorrect. While iron supplements can darken adult stools, meconium is unrelated to maternal iron intake and is a normal physiological occurrence in all newborns.

C. “This is unusual, and I need to report this to your pediatrician." is incorrect and would be alarming to the parent unnecessarily. This is a normal finding, not something requiring physician notification.

D. "I'll take a sample and check it for possible bleeding" is also inappropriate unless there are other signs of concern (e.g., blood in stool later on). Meconium is not indicative of bleeding and does not warrant testing under normal circumstances.

A. two fingerbreadths above the umbilicus B. two fingerbreadths below the umbilicus C. at the level of the umbilicus D. four fingerbreadths below the umbilicus

Correct Answer is C

Explanation

A. Two fingerbreadths above the umbilicus would be abnormal and may indicate uterine distension due to retained placental fragments or a full bladder, especially this long after delivery.

B. Two fingerbreadths below the umbilicus is typically expected 24 hours or more after delivery, not at 12 hours postpartum.

C. At the level of the umbilicus is normal and expected at about 12 hours postpartum. After delivery, the uterus rises slightly and is generally found at or near the umbilicus before it begins to descend (involute) by about 1 fingerbreadth per day.

D. Four fingerbreadths below the umbilicus would be expected several days postpartum, not within the first 12 hours.

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The nurse is caring for a client in labor who has refused epidural anesthesia. An order was placed for Stadol 3mg IV Q4h PRN pain. The drug is supplied 2 mg per ml. How much of the medication should the nurse give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new mother is changing the diaper of her 12-hour-old newborn and asks why the stool is black and sticky. Which response by the nurse would be most appropriate?

Correct Answer is A

Explanation

A primipara client gave birth vaginally to a healthy newborn girl 12 hours ago. The nurse palpates the client's fundus. Which finding would the nurse identify as expected?

Correct Answer is C

Explanation

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