The nurse is caring for an infant who is 2 days postpartum and ...

[Anajune7]

The nurse is caring for an infant who is 2 days postpartum and notes that the infant has a poor sucking response. The nurse reviews the delivery record and will likely note that which drug was given to the mother during labor?
 
  a. Butorphanol tartrate (Stadol)
  b. Fentanyl (Sublimaze)
  c. Nalbuphine (Nubain)
  d. Secobarbital (Seconal)

Question 2

The nurse administers meperidine (Demerol) to a woman who is in early labor. Immediately after the drug is given, the woman's labor progresses quickly, and she delivers her infant. The nurse will monitor the infant closely for which condition?
 
  a. Opioid withdrawal syndrome
  b. Orthostatic hypotension
  c. Respiratory depression
  d. Tachycardia and poor perfusion

[samiel-sayed]

Answer to Question 1

ANS: D
Sedative-hypnotic drugs, such as secobarbital, can cause neonatal respiratory depression, hypotonia, and a poor sucking response up to 4 days. Butorphanol tartrate, fentanyl, and nalbuphine do not have prolonged effects.

Answer to Question 2

ANS: C
Narcotic analgesics cause respiratory depression in the infant if given shortly before delivery. The nurse should monitor the infant closely and prepare to give naloxone (Narcan) if this occurs. Opioid withdrawal occurs with prolonged exposure to opioids. Orthostatic hypotension and tachycardia are not common effects.

[Anajune7]

Excellent

[bigsis44]

TYSM