After nalbuphine hydrochloride (Nubain) is administered, labor ...

[ghost!]

After nalbuphine hydrochloride (Nubain) is administered, labor progresses rapidly, and the baby is born less than 1 hour later. The baby shows signs of respiratory depression.
 
  Which medication should the nurse be prepared to administer to the newborn? 1. Fentanyl (Sublimaze)
  2. Butorphanol tartrate (Stadol)
  3. Naloxone (Narcan)
  4. Pentobarbital (Nembutal)

Question 2

A patient asks the nurse, Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy? What response by the nurse is best?
 
  1. Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred.
  2. Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation.
  3. Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable drop in temperature indicates that ovulation is about to occur.
  4. This is an unscientific and unproven method of determining ovulation, and is not recognized as a means of birth control.

[moormoney]

Answer to Question 1

3
Rationale 1: Fentanyl would not reverse the effects of the Nubain.
Rationale 2: Stadol would not reverse the effects of the Nubain.
Rationale 3: Naloxone (Narcan) is the only choice that is an opiate antagonist, which would reverse the effects of the Nubain.
Rationale 4: Nembutal would not reverse the effects of the Nubain.

Answer to Question 2

3
Rationale 1: Taking the temperature every evening at the same time would not provide information about when ovulation occurs.
Rationale 2: Taking the temperature every day at the same time would not necessarily provide accurate information about when ovulation occurs.
Rationale 3: Basal body temperatures should be taken and recorded every day prior to rising from bed. A drop in temperature occurs prior to ovulation, and indicates when intercourse should be avoided for 3 days. A rise in temperature indicates that ovulation has occurred. This method is quite successful when intercourse is avoided on the appropriate days.
Rationale 4: Using basal body temperature to determine the timing of ovulation is a proven scientific method, and is recognized as an effective means of birth control.