IV Medications, Labor, and Postpartum Care Exam Quiz and Answers 100% Solved 2025

IV Medications, Labor, and Postpartum Care Exam Quiz and Answers 100% Solved 2025 Fentanyl - Answer- Opioid agonist that alters the response to pain by binding to the opiate receptors in the central nervous system. Fentanyl - Therapeutic use - Answer- Manages pain, added to anesthesia. Fentanyl - Adverse effects - Answer- Respiratory depression, hypotension, N/V, arrhythmia, bradycardia, facial itching, blurred vision. Fentanyl - Interactions - Answer- MAO inhibitors within 14 days, general anesthetics, muscle relaxants, antipsychotics. Fentanyl - Contraindications - Answer- Hypersensitivity; use with caution in clients who have diabetes or hypothyroidism, are breastfeeding, or are pregnant unless the benefits outweigh the risks. Fentanyl - Client teaching - Answer- Change positions slowly to prevent orthostatic hypotension; can cause dizziness and drowsiness. Ask for assistance with ambulation. Morphine - Answer- Class: opioid agonist. Morphine - Action - Answer- Alters the response to pain by binding to the opiate receptors in the central nervous system. Morphine - Therapeutic use - Answer- Decreases pain severity. Morphine - Adverse effects - Answer- Respiratory depression, hypotension, bradycardia, itching, blurry vision, nausea, vomiting, headache, constipation, flushing, dizziness. Morphine - Interactions - Answer- MAO inhibitors within 14 days, benzodiazepines, SSRIs, SNRIs. Morphine - Contraindications - Answer- Hypersensitivity; extended release form is contraindicated for postoperative pain, significant respiratory depression, acute or severe bronchial asthma, or paralytic ileus. Morphine - Client teaching - Answer- Medication with overuse potential; manifestations of respiratory depression; avoid alcohol or CNS depressants. Ondansetron - Answer- Class: antiemetic. Ondansetron - Action - Answer- Blocks the effects of serotonin in the vagal nerve and in the central nervous system. Ondansetron - Therapeutic use - Answer- Decreases N/V. Ondansetron - Adverse effects - Answer- Serotonin syndrome, headache, dizziness, constipation, abdominal pain, dry mouth. Ondansetron - Interactions - Answer- Apomorphine, carbamazepine, phenytoin, rifampin, SSRIs, MAOIs, fentanyl. Ondansetron - Contraindications - Answer- Hypersensitivity; safety not determined while breastfeeding. Ondansetron - Client teaching - Answer- Notify provider if pregnant or breastfeeding; educate on manifestations of irregular heartbeat, serotonin syndrome, or involuntary movements. Remifentanil - Answer- Administered via PCA pump; monitor closely for respiratory depression. Remifentanil - Action - Answer- Alters the response to pain by binding to the opiate receptors in the central nervous system. Remifentanil - Adverse effects - Answer- Apnea, respiratory depression, bronchospasm, confusion, blurry vision, pruritus, muscle rigidity, bradycardia, hypotension, arrhythmia. Nalbuphine - Answer- Class: opioid agonist antagonist analgesic. Nalbuphine - Action - Answer- Alters the response to pain by binding to the opiate receptors in the CNS; partial agonist properties can result in opioid withdrawal in dependent clients. Nalbuphine - Therapeutic use - Answer- Decreases pain. Nalbuphine - Adverse effects - Answer- Respiratory depression, hypertension, orthostatic hypotension, dizziness, confusion, nausea, vomiting, sweating, headache. Nalbuphine - Client teaching - Answer- May cause drowsiness; call for assistance ambulating; avoid use with alcohol. Naloxone - Answer- Class: opioid antagonist, antidote. Local anesthesia - Pudendal nerve block - Answer- Local anesthesia injected directly into pudendal nerve, producing anesthesia to lower vagina, vulva, and perineum. Local anesthesia - Local infiltration - Answer- Local anesthesia injected into perineum prior to episiotomy; provides pain relief only for episiotomy incision. Lidocaine - Answer- Class: anesthetics; action: local anesthesia by preventing induction and conduction of expected nerve impulses. Bupivacaine - Answer- Class: local anesthetic; action: inhibits initiation and conduction of sensory nerve impulses. Epidural anesthesia - Answer- Monitor for hypotension; change maternal position every 2 hours. Spinal anesthesia - Answer- Monitor for hypotension; anesthesia will monitor in OR. Ephedrine - Answer- Class: adrenergic; action: agonist for alpha and beta receptors. Phenylephrine - Answer- Class: adrenergic; action: stimulates alpha adrenergic receptors, constricting blood vessels. Spinal-epidural analgesia - Answer- Combines spinal and epidural analgesia for quicker and longer-lasting pain relief. General anesthesia - Answer- Used in emergencies or when spinal anesthesia is not successful.