The nurse is caring for a client in labor. The nurse reviews the ...

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The nurse is caring for a client in labor. The nurse reviews the physician's prescriptions and notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medication is prescribed for:
 
  1. Pain relief
  2. Increasing uterine contractions
  3. Decreasing uterine contractions
  4. Promoting fetal lung maturity

Question 2

The nurse is assisting a physician during the examination of an infant with developmental hip dysplasia. The physician performs the Ortolani maneuver.
 
  The nurse determines that the infant exhibits a positive response to this maneuver if which of the following is noted? 1. A shrill cry from the infant
  2. Asymmetry of the affected hip
  3. Reduced range of motion in the affected hip
  4. A palpable click during abduction of the affected hip

[Expo]

Answer to Question 1

1

Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for pain relief. Increasing uterine contractions, decreasing uterine contractions, and promoting fetal lung maturity are not actions of this medication.

Answer to Question 2

4

Rationale: In the Ortolani maneuver, the examiner abducts both hips. A positive finding is a palpable click on the affected side during abduction. Crying is expected. Asymmetry and re-duced range of motion of the affected hip are not positive signs of this maneuver.

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Gracias!

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TYSM