A first-time mother is concerned about the type of medications ...

[Lisaclaire]

A first-time mother is concerned about the type of medications she will receive during labor. She is in a fair amount of pain and is nauseous. In addition, she appears to be very anxious.
 
  You explain that opioid analgesics often are used with sedatives because: a. The two together work the best for you and your baby.
  b. Sedatives help the opioid work better, and they also will help relax you and re-lieve your nausea.
  c. They work better together so you can sleep until you have the baby.
  d. This is what the doctor has ordered for you.

Question 2

The nurse has admitted a child with a cyanotic heart defect. Which initial lab result would the nurse expect to find?
 
  1. High hemoglobin
  2. Low hematocrit
  3. High white blood cell count
  4. Low platelet count

[voltaire123]

Answer to Question 1

B

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A A potentiator may cause the two drugs to work together more effectively, but it does not ensure no maternal or fetal complications.
B Sedatives can be used to reduce the nausea and vomiting that often accompany opioid use. In addition, some ataractics reduce anxiety and apprehension and potentiate the opioid analgesic affects.
C Sedation may be a related effect of some ataractics, but it is not the goal. Fur-thermore, a woman is unlikely to be able to sleep through transitional labor and birth.
D This statement may be true, but it is not an acceptable comment for the nurse to make.

Answer to Question 2

1
Rationale:
1. The child's bone marrow responds to chronic hypoxemia by producing more red blood cells to increase the amount of hemoglobin available to carry oxygen to the tissues. This occurs in cases of cyanotic heart defects. Therefore, the hematocrit would not be low, the white blood cell count would not be high (unless an infection were present), and the platelets would be normal.
2. The child's bone marrow responds to chronic hypoxemia by producing more red blood cells to increase the amount of hemoglobin available to carry oxygen to the tissues. This occurs in cases of cyanotic heart defects. Therefore, the hematocrit would not be low, the white blood cell count would not be high (unless an infection were present), and the platelets would be normal.
3. The child's bone marrow responds to chronic hypoxemia by producing more red blood cells to increase the amount of hemoglobin available to carry oxygen to the tissues. This occurs in cases of cyanotic heart defects. Therefore, the hematocrit would not be low, the white blood cell count would not be high (unless an infection were present), and the platelets would be normal.
4. The child's bone marrow responds to chronic hypoxemia by producing more red blood cells to increase the amount of hemoglobin available to carry oxygen to the tissues. This occurs in cases of cyanotic heart defects. Therefore, the hematocrit would not be low, the white blood cell count would not be high (unless an infection were present), and the platelets would be normal.