Author Question: A nurse receives a handoff report on a newborn who is jaundiced. The off-going nurse states that the ... (Read 22 times)

Kikoku · **on:** Jun 28, 2018

A nurse receives a handoff report on a newborn who is jaundiced. The off-going nurse states that the mother received some sort of sedative during the intrapartum period. The nurse should check the mother's chart for what medication?

A.
Diphenhydramine (Benadryl)
B.
Hydroxyzine (Vistaril)
C.
Promethazine (Phenergan)
D.
Secobarbital sodium (Seconal)

Question 2

A woman is preparing for whirlpool bath hydrotherapy. To ensure patient safety, what action by the nurse is best?

A.
Allow the woman to remain in the tub for no more than 20 minutes.
B.
Maintain water temperature no higher than 100.4 F (38 C).
C.
Obtain informed consent prior to allowing the woman in the tub.
D.
Use a wheelchair to transport the woman to the hydrotherapy tub.

lkanara2 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
H1 receptor antagonists are often used for sedation and relaxation in labor. Promethazine binds to bilirubin binding sites and may cause hyperbilirubinemia and jaundice in term infants exposed to the drug during the intrapartal period. The other medications do not cause this side effect.

Answer to Question 2

ANS: B
For safety, water temperature should remain between 96.8 and 100.4 F (36-38 C). The other actions are not necessary.