A nurse is caring for a patient and her newborn immediately after delivery
The patient's medication history includes prenatal vitamins throughout pregnancy, one or two glasses of wine before knowing she was pregnant, occasional use of an albuterol inhaler in her last trimester, and intravenous morphine during labor. What will the nurse expect to do?
a. Administer opioids to the infant to prevent withdrawal syndrome.
b. Monitor the infant's respirations closely and prepare to administer oxygen.
c. Note a high-pitched cry and irritability in the infant.
d. Prepare the patient for motor delays in the infant caused by the alcohol use.
ANS: B
Narcotics given for pain during labor cross the placenta and can cause respiratory depression in the infant. Nurses must be prepared to provide respiratory support and to give naloxone to reverse the narcotic effects if necessary. Exposure to opioids during labor is not sufficient to cause dependence, so withdrawal syndrome is not an issue. Infants withdrawing from drugs have a high-pitched cry and are irritable, which is not expected in this case. Any drug taken during the first weeks of pregnancy tends to have an "all or none" effect, meaning that they either cause death of the conceptus or, if sublethal, the conceptus recovers.
You might also like to view...
Which website is an important source for clinical evidence but limited as a provider of primary documents for literature reviews?
a. CINAHL b. MEDLINE c. Cochrane Library d. PsychINFO
Sherry, a 15-year-old patient, has been admitted for diabetic ketoacidosis. The nurse knows each of the following statements are true except:
1. This is the most common chronic complication for DM1. 2. This is deadly if not taken care of immediately. 3. This can cause frequent hospitalizations. 4. This is caused by too much insulin being release during illness.
The nurse is counseling the parents of a 10-year-old child who was caught stealing at school. Which topic should the nurse cover?
A) Having the child return the property in front of his or her class B) Discussing ways for the child to save face C) Finding out what is currently going on at home D) Reminding the child daily that stealing is wrong
The words are the most remembered part of a verbal message.
Answer the following statement true (T) or false (F)