Page 1 of 230 MATERNAL AND PEDIATRIC NURSING FINAL EXAM LATEST EXAM 2025 - 2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS A labouring woman received fentanyl citrate (Sublimaze) intravenously 90 minutes before she gave birth. Which medication should be available to reduce the postnatal effects of Sublimaze on the neonate? a. Meperidine (Demerol) b. Promethazine (Phenergan) c. Naloxone (Narcan) d. Nalbuphine (Nubain) ANS: C An opioid antagonist can be given to the newborn as one part of the treatment for neonatal narcosis which is a state of central nervous system (CNS) depression in the newborn produced by an opioid. Opioid antagonists such as naloxone (Narcan) can promptly reverse the CNS depressant effects especially respiratory depression. Demerol is no longer recommended for use in Canada. Promethazine and nalbuphine do not act as opioid antagonists to reduce the postnatal effects of Sublimaze on the neonate. A woman in labour has just received an epidural block. What is the most important nursing intervention? a. Limit parenteral fluids. b. Monitor the fetus for possible tachycardia. c. Monitor the maternal blood pressure for possible hypotension. d. Monitor the maternal pulse for possible bradycardia.Page