A laboring client receives a narcotic pain medication 45 minutes ...

[jazziefee]

A laboring client receives a narcotic pain medication 45 minutes prior to giving birth. What action by the nurse is appropriate?
 
  a. Determine the mother's level of pain imme-diately postpartum.
  b. Evaluate the newborn's respiratory efforts.
  c. Observe for signs of hypothermia in the newborn.
  d. Observe for signs of maternal hypotension.

Question 2

A child has sustained a basilar skull fracture. For which complication should the nurse assess?
 
  1. Cerebral spinal fluid leakage from the nose or ears
  2. Headache
  3. Transient confusion
  4. Periorbital ecchymosis

[hollysheppard095]

Answer to Question 1

B
IV opioids administered less than 2 hours prior to delivery can result in neonatal respiratory depression. Determining the mother's level of pain immediately postpartum is not a priority, and opioids given IV prior to delivery will not still be providing analgesia during postpartum. Observing for signs of hypothermia in the newborn is not a priority, but should be monitored. Hypotension is not an adverse effect associated with most narcotics used in obstetrics.

Answer to Question 2

1
Rationale:
1. Cerebral spinal fluid leakage could be present from the nose or ears, and if it persists, might indicate that surgical repair will be needed.
2. Headache is a finding that is common with a basilar skull fracture but does not indicate that surgical repair will be needed.
3. Transient confusion is a finding that is common with a basilar skull fracture but does not indicate that surgical repair will be needed.
4. Periorbital ecchymosis is a finding that is common with a basilar skull fracture but does not indicate that surgical repair will be needed.

[jazziefee]

Correct answers!

[hollysheppard095]

Great! Please up vote