Author Question: A woman in labor receives a dose of hydromorphone hydrochloride (Dilaudid) at 11:30 a.m. She gives ... (Read 60 times)

Engineer · **on:** Jun 28, 2018

A woman in labor receives a dose of hydromorphone hydrochloride (Dilaudid) at 11:30 a.m. She gives birth at 12:45 p.m. What action by the nurse takes priority?

A.
Assess the neonate frequently for respiratory depression.
B.
Encourage the woman to void every 2 hours postpartum.
C.
Perform a head-to-toe assessment on the neonate.
D.
Promote skin-to-skin contact and bonding as soon as possible.

Question 2

What nursing intervention would be most important for a postpartum woman who received spinal anesthesia?

A.
Assess vital signs.
B.
Facilitate bonding.
C.
Monitor urine output.
D.
Promote breastfeeding.

vboyd24 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
With Dilaudid, if birth occurs within 1 to 4 hours after administration, the nurse must assess the neonate frequently for respiratory depression. The other options are appropriate, but not the priority for this situation.

Answer to Question 2

ANS: C
Because spinal anesthesia can cause bladder atony, it is important for the nurse to monitor the postpartum woman's urine output. Assessing vital signs and promoting bonding are important for all new mothers. Nurses should promote breastfeeding if this is the woman's preference.