Practice Question
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?
Answer Choices:
Correct Answer:
Respiratory rate 10/min
Rationale:
✔️ A respiratory rate of 10/min indicates respiratory depression, a known side effect of butorphanol.
✔️ Opioid agonist-antagonist medications like butorphanol can suppress the medullary respiratory center.
✔️ This adverse effect requires immediate provider notification and possibly withholding further doses.
✔️ It is important to monitor oxygenation and respiratory status after administration.
✔️ This rate is below normal and could lead to hypoventilation and hypoxia in both mother and fetus.
Want to practice more questions like this?
This question is from RN ATI Maternal Newborn NGN- 2019~Exam 2 which contains 62 questions.
More Questions from This Exam
A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Answer Choices:
A. Cervical dilation
B. Slight abdominal cramps
C. Elevated hCG
D. Scant bright red spotting
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex?
Answer Choices:
A. Turn the newborn's head to one side.
B. Touch the newborns cheek with a finger.
C. Make a loud noise above the newborn.
D. Tap the newborn's forehead with a finger.
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B2. Which of the following foods should the nurse recommend?
Answer Choices:
A. Raw carrots
B. Fresh citrus fruits
C. Brown rice
D. Fortified soy milk
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Answer Choices:
A. History of uterine atony
B. History of human papillomavirus
C. Newborn weight 2.948 kg (6 lb 8 oz)
D. Labor induction with oxytocin
E. Vacuum-assisted delivery
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Answer Choices:
A. Rust-stained urine.
B. Single palmar creases.
C. Subconjunctival hemorrhage.
D. Transient circumoral cyanosis
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4