A nurse receives a handoff report on a newborn who is jaundiced. The off-going nurse states that the mother received some sort of sedative during the intrapartum period. The nurse should check the mother's chart for what medication?
A.
Diphenhydramine (Benadryl)
B.
Hydroxyzine (Vistaril)
C.
Promethazine (Phenergan)
D.
Secobarbital sodium (Seconal)
ANS: C
H1 receptor antagonists are often used for sedation and relaxation in labor. Promethazine binds to bilirubin binding sites and may cause hyperbilirubinemia and jaundice in term infants exposed to the drug during the intrapartal period. The other medications do not cause this side effect.
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