A laboring client receives a narcotic pain medication 45 minutes prior to giving birth. What action by the nurse is appropriate?
a. Determine the mother's level of pain imme-diately postpartum.
b. Evaluate the newborn's respiratory efforts.
c. Observe for signs of hypothermia in the newborn.
d. Observe for signs of maternal hypotension.
B
IV opioids administered less than 2 hours prior to delivery can result in neonatal respiratory depression. Determining the mother's level of pain immediately postpartum is not a priority, and opioids given IV prior to delivery will not still be providing analgesia during postpartum. Observing for signs of hypothermia in the newborn is not a priority, but should be monitored. Hypotension is not an adverse effect associated with most narcotics used in obstetrics.
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a. mental depression b. underdeveloped mental capacity c. mental impairment d. paranoia
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The patient has delivered her first child at 39 weeks. The nurse would explain this to the patient as what type of delivery?
1. Preterm 2. Post-term 3. Term 4. Near term